Dr. J. Keller Wortham and Dr. Stephan A. Brunton

MEDICAL BLOG

Dr. Keller Wortham - 2-9-217

Stem Cell Therapy

Amniotic Stem Cell As A Treatment for Musculoskeletal Injury

There is a powerful new player on the field when it comes to regenerative medicine--amniotic fluid.  Ok, amniotic fluid is actually not new at all.  In fact, amniotic fluid has been around for just as long as we mammals have; it's the fluid that surrounds a baby in the womb to nourish it and protect it from the outside environment.  However, tapping into the power of amniotic fluid as a stimulant for regenerative healing is as cutting-edge as it gets.

You see, amniotic fluid is rich in stem cells and many of the growth factors that are needed to trigger healing in damaged areas of the body such as joints, tendons, ligaments, and skin.  

What are Stem Cells?

Stem cells are "undifferentiated" cells that can mature into specific cell types needed for helping repair injured or damaged body tissue.  Stem cells are different from other cells because they have the ability to create copies of themselves (self-renewal), and to divide for a long period of time.  They can differentiate into specialized cells with distinct functions, thus adapting to and fulfilling a wide array of needs for repairing damaged, degenerated, and injured body areas.  

What are Growth Factors?  

Growth factors are the many chemicals that the body uses to signal metabolic and healing processes.  Amniotic fluid contains over 30 growth factors, including ILGF, BDNF, FGF, IL-1, IL-6, to name a few.  These growth factors regulate growth and repair of everything from bone to tendon to blood vessels to skin.  It should be easy to see how a fluid so rich in growth factors could be a useful adjunct in regenerative medicine.  

Studies have already looked at amniotic fluid as a safe an effective alternative to hyularonic acid [ http://www.painmed.org/2015press/files/amniotic-fluid-may-be-safe-and-effective-alternative-to-hyaluronic-acid-for-osteoarthritis-pain.pdf ] or to synovial fluid (lubricating fluid) for arthritic joints [ http://www.painmed.org/2015posters/abstract-lb004/ ] Several promising studies have used amniotic fluid for shoulder pain due to rotator cuff tears and tendinopathy [ http://www.painmed.org/2015posters/abstract-177/ ]

How are Amniotic Stem Cells Acquired? 

Amniotic fluid is donated from pregnant mothers during an elective C-Section surgery at the time of delivery.  This fluid is then sent to a lab for evaluation, purification, and quality control.  This process is much the same as that for donated blood products.  Additionally, the mother and baby are screened both before and several months after the procedure to ensure that both are, and continue to be, in good health.  (A note:  amniotic stem cells are not the same as embryonic stem cells, therefore this procedure is completely legal in the United States, and no fetus is harmed in the process.  )
At Dr. J. Keller Wortham and Dr. Stephan A. Brunton's office, we have added Amniotic Fluid Injections to our already-powerful arsenal of Platelet Rich Plasma (PRP) and prolotherapy to help our patients get relief from musculoskeletal injuries and chronic pain.  Amniotic Fluid Injections can treat arthritis, rotator cuff tears, sprains and strains, plantar fasciitis, tennis elbow, knee injuries like tendon and meniscus tears, to name a few.  

Before you resign yourself to a slow or incomplete recovery, to a life of chronic pain, or to an invasive surgery, call us at Dr. J. Keller Wortham and Dr. Stephan A. Burton's office to set up your evaluation with our trained Stem Cell specialist, Dr. Keller Wortham, who will evaluate you and your specific needs to determine if stem cells are right for you.

For more on our Stem Cell Procedures, including Amniotic Stem Cell, as well as stem cell harvesting from fat and bone marrow obtained from the patient, see our website at [ http://www.optimum-wellness.net/stem_cell_therapy.php ] 

Dr. Keller Wortham


Dr. Keller Wortham - 11-18-2016

Knee Pain

Knee pain

The knee: easily ignored or taken for granted...until it hurts. It is often said, "You can mess with the Gods, but not with your knees." If you have ever had knee pain, you know how true this adage is. Knee pain can be completely debilitating, reducing you from your once-active self to someone who can hardly walk. Knee pain affects over 60% of Americans. It does not discriminate. People of every sex, race, and age experience knee pain at some point.

The knee is a wonderful joint that potentiates our strength and enhances our movement. However, it is very susceptible to injury. Knee pain can be caused by acute trauma (such as a torn ligament or meniscus), chronic wear and tear (leading to conditions like arthritis), or temporary overuse (causing problems like chondromalacia patella or bursitis).

Luckily there are many things that can be done to treat knee pain. The first step is having a physical evaluation to determine the source and the cause. You may also need imaging studies like an x-ray or MRI. After that, your doctor can prescribe a treatment regimen. Often the treatment for knee pain will require rest, physical therapy, and potentially even surgery.

Fortunately, at Dr. J. Keller Wortham and Dr. Stephan A. Brunton's office, we offer several non-surgical treatments for knee pain that can reduce pain, speed recovery, and even help prevent the need for surgery. Our regenerative procedures, including Prolotherapy, Platelet Rich Plasma (PRP) and Stem Cell Therapy, harness your body's own healing power to fix injuries. These regenerative medical procedures can treat conditions such as meniscus and ligament tears, cartilage damage, and even osteoarthritis. What's more important is that the risks and the recovery times are much lower and shorter than with knee surgery.

If you have knee pain, please call our office at 818-547-5400 to schedule an appointment with Dr. Keller Wortham. After a thorough evaluation he will determine if a regenerative procedure like Prolotherapy, PRP or stem cell injection is right for you.

Before you give in to pain, or go under the knife, come learn about these cutting-edge regenerative options at the offices of Dr. J. Keller Wortham and Dr. Stephan A. Brunton .

Dr. Keller Wortham

E-mail: optwell1030@yahoo.com.
Telephone: 818.547.5400    Fax: 818.547.3380
1030 S. Glendale Avenue, Suite 503
Glendale, CA 91205