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Chapter-107 Regenerative Medicine

BOOK TITLE: Ramamurthy's Decision Making in Pain Management: An Algorithmic Approach

Author
1. JP McCallin
ISBN
9789386261458
DOI
10.5005/jp/books/14128_108
Edition
3/e
Publishing Year
2018
Pages
4
Author Affiliations
1. Medical Corps; San Antonio Military Medical Center; Uniformed Services University of the Health Sciences, San Antonio, TX, USA
Chapter keywords
Regenerative medicine, prolotherapy, platelet-rich plasma, PRP, stem cell therapy, mesenchymal stem cell, MSC, hematopoietic stem cell, HSC, chronic pain

Abstract

The field of regenerative medicine has gained more popularity as a possible treatment strategy for soft tissue and joint injuries and may be more advantageous for these particular types of chronic pain conditions. Two conditions with a large amount of evidence supporting the use of regenerative medicine are chronic tendinopathies and degenerative conditions involving cartilage and bone, specifically osteoarthritis. Regenerative medicine can be broken into three categories following as prolotherapy, platelet-rich plasma (PRP) injections, and stem cell therapy. Prolotherapy is a technique of injecting an irritant, typically a hyperosmolar dextrose solution into the area of pain. The use of injectable stem cells (SCs) in chronic pain caused by soft tissue and joint injuries remains controversial. Both mesenchymal stem cells (MSCs) and hematopoietic stem cells (HSCs) are utilized in regenerative medicine.

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