Blog Article<\/title><\/p>\n<style>\n body {\n font-family: Arial, sans-serif;\n line-height: 1.6;\n margin: 0;\n padding: 0;\n max-width: 800px;\n margin: 0 auto;\n }\n header {\n text-align: center;\n padding: 20px;\n }\n section {\n padding: 20px;\n }\n h2 {\n color: #333;\n }\n p {\n margin-bottom: 15px;\n }\n <\/style>\n<p><\/head><br \/>\n<body><\/p>\n<section>\n<p>Dealing with the challenges of bone-on-bone osteoarthritis, especially in joints like the shoulder, can be overwhelming. The pain and limited mobility often lead individuals to consider various treatment options, ranging from traditional methods like cortisone shots to newer approaches such as regenerative injections. In this blog, we delve into the insights shared by Dr. David Guyer, a triple board-certified orthopedic surgeon and regenerative medicine expert. Dr. Guyer explores the pros and cons of these treatments, emphasizing the potential benefits and limitations of options like stem cells and exosomes. While regenerative treatments are promising, they remain experimental according to the FDA. Join us as we examine these various strategies and how they might help manage osteoarthritis symptoms, providing pain relief and possibly delaying the need for joint replacement surgery.<\/p>\n<\/section>\n<section>\n<h2>Cortisone Shots: Pros and Cons<\/h2>\n<p>Cortisone injections have long been used to provide temporary pain relief for arthritic joints. These injections work by reducing inflammation, which in turn alleviates pain and increases mobility. However, Dr. Guyer warns of their pitfalls. While helpful in dulling pain short-term, cortisone shots can accelerate cartilage deterioration and weaken tendons when used repeatedly. This is particularly concerning with the shoulder joint, as weakened rotator cuff tendons could complicate future surgical procedures.<\/p>\n<p>So, for those with bone-on-bone arthritis, where cartilage loss is already significant, cortisone shots may offer temporary relief. Yet, it is imperative to consider the risk of speeding up the degenerative process and potentially creating more severe issues down the line.<\/p>\n<\/section>\n<section>\n<h2>Regenerative Injections: Stem Cells and Exosomes<\/h2>\n<p>As traditional treatments can fall short, many patients are turning their sights to regenerative medicine. Treatments like stem cells and exosomes are gaining interest for their potential to offer longer-term solutions. Yet, as Dr. Guyer notes, they are not magic bullets.<\/p>\n<p><strong>Stem Cells:<\/strong> These are undifferentiated cells that have the potential to develop into different cell types, including cartilage cells. However, in cases of advanced osteoarthritis where cartilage loss is nearly total, the chances of stem cells regenerating sufficient new cartilage are slim. The role of stem cells here would more likely be in alleviating inflammation and providing some pain relief.<\/p>\n<p><strong>Exosomes:<\/strong> Derived from stem cells, exosomes are tiny vesicles that carry proteins and genetic material which can signal healing responses in tissues. Dr. Guyer suggests that exosomes might be more promising than stem cells in some scenarios. These vesicles might work to reduce localized inflammation and aid in structural repair of the tissues, though comprehensive evidence is still developing.<\/p>\n<p>Both stem cells and exosomes present a hopeful outlook for delaying the need for joint replacement surgery by enhancing joint function and reducing discomfort. Yet, they are still classified as experimental under FDA guidelines, meaning further research is necessary to understand their long-term effects.<\/p>\n<\/section>\n<section>\n<h2>The Reality of Advanced Osteoarthritis Treatment<\/h2>\n<p>Despite the allure of regenerative medicine, Dr. Guyer highlights a sobering reality: once arthritis reaches the bone-on-bone stage, it’s challenging to reverse. The limited cartilage means most treatments\u2014both traditional and experimental\u2014primarily aim to manage symptoms and delay the inevitable.<\/p>\n<p>For those considering surgery, understanding that joint replacement is often the most definitive way to restore function can be vital. Yet, the decision to undergo surgery is significant, requiring one to weigh current quality of life against potential surgical outcomes.<\/p>\n<\/section>\n<section>\n<h2>Patient Guidance and Decision-Making<\/h2>\n<p>Navigating these complicated treatment options requires informed decision-making. Patients should:<\/p>\n<ul>\n<li>Discuss all possible treatments with an orthopedic surgeon.<\/li>\n<li>Consider factors such as current pain levels, daily functional requirements, and personal preference for non-surgical versus surgical interventions.<\/li>\n<li>Understand the limitations of each treatment, especially with experimental options still undergoing research.<\/li>\n<li>Explore supportive resources, such as Dr. Guyer’s ebook on osteoarthritis, for further education.<\/li>\n<\/ul>\n<\/section>\n<section>\n<h2>Conclusion<\/h2>\n<p>In managing bone-on-bone osteoarthritis, the path to treatment is multifaceted. Cortisone offers short-term relief but at a potential long-term cost. Regenerative injections hold promise but come with uncertainty and the need for more research. Ultimately, the choice lies in balancing temporary pain relief, delaying surgical interventions, and considering how each approach aligns with personal health goals and lifestyle needs. Keeping abreast of ongoing research and maintaining open communication with healthcare providers remain crucial steps in this journey.<\/p>\n<\/section>\n<p><\/body><br \/>\n<\/html><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Blog Article Dealing with the challenges of bone-on-bone osteoarthritis, especially in joints like the shoulder, can be overwhelming. The pain and limited mobility often lead individuals to consider various treatment options, ranging from traditional methods like cortisone shots to newer approaches such as regenerative injections. In this blog, we delve into the insights shared by […]<\/p>\n","protected":false},"author":2,"featured_media":14934,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":{"0":"post-14935","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-uncategorized"},"_links":{"self":[{"href":"https:\/\/butikhus.com\/wp-json\/wp\/v2\/posts\/14935","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/butikhus.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/butikhus.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/butikhus.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/butikhus.com\/wp-json\/wp\/v2\/comments?post=14935"}],"version-history":[{"count":0,"href":"https:\/\/butikhus.com\/wp-json\/wp\/v2\/posts\/14935\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/butikhus.com\/wp-json\/wp\/v2\/media\/14934"}],"wp:attachment":[{"href":"https:\/\/butikhus.com\/wp-json\/wp\/v2\/media?parent=14935"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/butikhus.com\/wp-json\/wp\/v2\/categories?post=14935"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/butikhus.com\/wp-json\/wp\/v2\/tags?post=14935"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}

{"id":14935,"date":"2025-03-07T05:02:14","date_gmt":"2025-03-07T05:02:14","guid":{"rendered":"https:\/\/butikhus.com\/considering-regenerative-injections-for-bone-on-bone-osteoarthritis-weighing-the-options-with-dr-david-guyer\/"},"modified":"2025-03-07T05:02:14","modified_gmt":"2025-03-07T05:02:14","slug":"considering-regenerative-injections-for-bone-on-bone-osteoarthritis-weighing-the-options-with-dr-david-guyer","status":"publish","type":"post","link":"https:\/\/butikhus.com\/considering-regenerative-injections-for-bone-on-bone-osteoarthritis-weighing-the-options-with-dr-david-guyer\/","title":{"rendered":"Considering Regenerative Injections for Bone-on-Bone Osteoarthritis: Weighing the Options with Dr. David Guyer"},"content":{"rendered":"

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\n Blog Article<\/title><\/p>\n<style>\n body {\n font-family: Arial, sans-serif;\n line-height: 1.6;\n margin: 0;\n padding: 0;\n max-width: 800px;\n margin: 0 auto;\n }\n header {\n text-align: center;\n padding: 20px;\n }\n section {\n padding: 20px;\n }\n h2 {\n color: #333;\n }\n p {\n margin-bottom: 15px;\n }\n <\/style>\n<p><\/head><br \/>\n<body><\/p>\n<section>\n<p>Dealing with the challenges of bone-on-bone osteoarthritis, especially in joints like the shoulder, can be overwhelming. The pain and limited mobility often lead individuals to consider various treatment options, ranging from traditional methods like cortisone shots to newer approaches such as regenerative injections. In this blog, we delve into the insights shared by Dr. David Guyer, a triple board-certified orthopedic surgeon and regenerative medicine expert. Dr. Guyer explores the pros and cons of these treatments, emphasizing the potential benefits and limitations of options like stem cells and exosomes. While regenerative treatments are promising, they remain experimental according to the FDA. Join us as we examine these various strategies and how they might help manage osteoarthritis symptoms, providing pain relief and possibly delaying the need for joint replacement surgery.<\/p>\n<\/section>\n<section>\n<h2>Cortisone Shots: Pros and Cons<\/h2>\n<p>Cortisone injections have long been used to provide temporary pain relief for arthritic joints. These injections work by reducing inflammation, which in turn alleviates pain and increases mobility. However, Dr. Guyer warns of their pitfalls. While helpful in dulling pain short-term, cortisone shots can accelerate cartilage deterioration and weaken tendons when used repeatedly. This is particularly concerning with the shoulder joint, as weakened rotator cuff tendons could complicate future surgical procedures.<\/p>\n<p>So, for those with bone-on-bone arthritis, where cartilage loss is already significant, cortisone shots may offer temporary relief. Yet, it is imperative to consider the risk of speeding up the degenerative process and potentially creating more severe issues down the line.<\/p>\n<\/section>\n<section>\n<h2>Regenerative Injections: Stem Cells and Exosomes<\/h2>\n<p>As traditional treatments can fall short, many patients are turning their sights to regenerative medicine. Treatments like stem cells and exosomes are gaining interest for their potential to offer longer-term solutions. Yet, as Dr. Guyer notes, they are not magic bullets.<\/p>\n<p><strong>Stem Cells:<\/strong> These are undifferentiated cells that have the potential to develop into different cell types, including cartilage cells. However, in cases of advanced osteoarthritis where cartilage loss is nearly total, the chances of stem cells regenerating sufficient new cartilage are slim. The role of stem cells here would more likely be in alleviating inflammation and providing some pain relief.<\/p>\n<p><strong>Exosomes:<\/strong> Derived from stem cells, exosomes are tiny vesicles that carry proteins and genetic material which can signal healing responses in tissues. Dr. Guyer suggests that exosomes might be more promising than stem cells in some scenarios. These vesicles might work to reduce localized inflammation and aid in structural repair of the tissues, though comprehensive evidence is still developing.<\/p>\n<p>Both stem cells and exosomes present a hopeful outlook for delaying the need for joint replacement surgery by enhancing joint function and reducing discomfort. Yet, they are still classified as experimental under FDA guidelines, meaning further research is necessary to understand their long-term effects.<\/p>\n<\/section>\n<section>\n<h2>The Reality of Advanced Osteoarthritis Treatment<\/h2>\n<p>Despite the allure of regenerative medicine, Dr. Guyer highlights a sobering reality: once arthritis reaches the bone-on-bone stage, it’s challenging to reverse. The limited cartilage means most treatments\u2014both traditional and experimental\u2014primarily aim to manage symptoms and delay the inevitable.<\/p>\n<p>For those considering surgery, understanding that joint replacement is often the most definitive way to restore function can be vital. Yet, the decision to undergo surgery is significant, requiring one to weigh current quality of life against potential surgical outcomes.<\/p>\n<\/section>\n<section>\n<h2>Patient Guidance and Decision-Making<\/h2>\n<p>Navigating these complicated treatment options requires informed decision-making. Patients should:<\/p>\n<ul>\n<li>Discuss all possible treatments with an orthopedic surgeon.<\/li>\n<li>Consider factors such as current pain levels, daily functional requirements, and personal preference for non-surgical versus surgical interventions.<\/li>\n<li>Understand the limitations of each treatment, especially with experimental options still undergoing research.<\/li>\n<li>Explore supportive resources, such as Dr. Guyer’s ebook on osteoarthritis, for further education.<\/li>\n<\/ul>\n<\/section>\n<section>\n<h2>Conclusion<\/h2>\n<p>In managing bone-on-bone osteoarthritis, the path to treatment is multifaceted. Cortisone offers short-term relief but at a potential long-term cost. Regenerative injections hold promise but come with uncertainty and the need for more research. Ultimately, the choice lies in balancing temporary pain relief, delaying surgical interventions, and considering how each approach aligns with personal health goals and lifestyle needs. Keeping abreast of ongoing research and maintaining open communication with healthcare providers remain crucial steps in this journey.<\/p>\n<\/section>\n<p><\/body><br \/>\n<\/html><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Blog Article Dealing with the challenges of bone-on-bone osteoarthritis, especially in joints like the shoulder, can be overwhelming. The pain and limited mobility often lead individuals to consider various treatment options, ranging from traditional methods like cortisone shots to newer approaches such as regenerative injections. In this blog, we delve into the insights shared by […]<\/p>\n","protected":false},"author":2,"featured_media":14934,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":{"0":"post-14935","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-uncategorized"},"_links":{"self":[{"href":"https:\/\/butikhus.com\/wp-json\/wp\/v2\/posts\/14935","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/butikhus.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/butikhus.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/butikhus.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/butikhus.com\/wp-json\/wp\/v2\/comments?post=14935"}],"version-history":[{"count":0,"href":"https:\/\/butikhus.com\/wp-json\/wp\/v2\/posts\/14935\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/butikhus.com\/wp-json\/wp\/v2\/media\/14934"}],"wp:attachment":[{"href":"https:\/\/butikhus.com\/wp-json\/wp\/v2\/media?parent=14935"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/butikhus.com\/wp-json\/wp\/v2\/categories?post=14935"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/butikhus.com\/wp-json\/wp\/v2\/tags?post=14935"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}