You Don't Have to Resort to Knee Surgery - Regenerative Medicine Can Help

January 14, 2019

Chronic knee problems are debilitating. They're painful. And they stop you from doing the things you love. We know that some of you have been suffering for many years, having tried absolutely everything with little to no results. And now, you feel like you've come to your last resort: A complete knee replacement surgery.



But is surgery really the only option? Is it the single route that can lead to a pain-free existence? We're here to tell you that no, it isn't. Regenerative Medicine that uses stem cells are a viable alternative that is drug free, non-surgical, and most importantly effective!


At Chronic Care of Richmond & Regenerative Medicine, we treat all types of knee problems. For many of our patients, regenerative medicine that utilizes stem cells have worked when nothing else did. We have seen patients that were told by qualified surgeons that surgery was the only option left to consider. In many cases, doctors dread treating patients with chronic knee problems due to the difficulties these represent.


Dr Snyder and his medical team, however, have successfully managed to help patients using non-drug and non-surgical treatment options. We use umbilical cord-derived stem cells (specifically Wharton's Jelly). The stem cells we use in our regenerative medicine are carefully collected from thoroughly screened full-term umbilical cord tissue. They are minimally processed to preserve what's valuable. Then they are cryogenically frozen in an FDA-registered lab. We adhere to the highest standards for handling by storing the stem cells in cryotanks in our office so that when it's time for a patient to receive them, we ensure optimal vivacity of our product.


What Do Medical Studies Say?

There are an increasing number of peer-reviewed studies that show just how effective regenerative medicine using stem cells can be. For instance, a paper published in Stem Cells Translational Medicine (December 2018) confirmed, through controlled randomized trials (registered at http://ClinicalTrials.gov), both the safety and efficacy of regenerative medicine in the treatment of osteoarthritic knee joints. Patients that received repeated MSC (Mesenchymal Stem Cells), also known as Wharton's Jelly, were observed to have seen the following results:

  • No adverse effects. Some patients worry about injections or new treatment options. Multiple studies have shown that patients do not see adverse effects.
  • Significant pain reduction. Patients who received MSC treatment (both single and multiple dose) enjoyed a significant reduction in pain.
  • Improved function. Patients were seen to have improved movement and reduction in stiffness. .
  • Continued improvement. Patients who received multiple treatment cycles saw continued improvement over time. However, even patients who only received a single treatment saw measurable benefits.

The outcomes of this medical trial were also evaluated at regular intervals (1, 4, 8, 12, 24, 36, and 52 weeks) by an orthopedic surgeon. This surgeon had no involvement with the study prior to the evaluation and he was blinded to patient allocation.


This is just one of many studies and medical journals that have been published on the topic. For those of you who wish to delve deeper, you may want to look at some of the following peer-reviewed studies:


Regenerative Medicine and Stem Cells

Many people have heard of regenerative medicine that utilizes stem cells but don't know too much about it. In this discussion, we're going to give you a quick overview of what stem cells are, how the procedure works, how it's helped our patients, and why it's a viable alternative to knee surgery.

Stem cells are the precursor to almost every type of cell that exists in the body, whether muscle, skin, or blood cells. They are what we call building blocks, and their unique characteristic is that they are able to renew themselves.


In short, stem cells go where they're needed and become what your body requires to self-heal. Instead of simply masking the symptoms (which is all that NSAIDs do!), stem cells help your body repair damaged tissue and regenerate new, healthy tissue.


What is Regenerative Medicine Using Stem Cells?

Regenerative medicine using stem cells are non-surgical. Regenerative medicineis injected into the body and, in our Richmond practice, consist of human umbilical cord-derived stem cells (specifically Wharton's Jelly). The regenerative medicine that utilizes stem cells reduce inflammation, while also repairing and regenerating tissue.


The advantage of regenerative medicine using stem cells are first and foremost their efficacy. Our patients have seen great results! The other important aspect is that it's a cost efficient option in the long-run. Treatment regenerates new tissue, which means that it's a long term solution. Think about medications or shots: these need to be administered as long as you experience knee pain.

Some people worry about the treatment, which is understandable as it's relatively new (in medical terms, at least!). However, the treatment is a simple, in-office procedure.


Our Success Stories

You've read about what regenerative medicine using stem cells is and what it does. You understand the concept, but let's get to what patients really care about. Is regenerative medicine using stem cells an effective treatment option for chronic knee pain? We're happy to say that, based on our medical experience and patient feedback, regenerative medicine really does what it's supposed to.


For example, Debbie B (last name withheld for privacy reasons) had been suffering from chronic bilateral knee pain for a number of years. She found it difficult to walk long distances and even struggled to sleep. After six weeks of treatment, her condition improved tremendously, being able to walk to the supermarket without aid, cross her legs for the first time in over seven (!) years, and is finally able to have a pain-free night of sleep.


Joy B perhaps best encapsulates why we believe knee replacement surgery is a last resort. She came to see us with extreme pain in the right knee, with frequent swelling in the both the joints and her right foot. An orthopaedic surgeon had previously suggested that she was a good candidate for surgery. After just six weeks of regenerative medical procedures, however, she was able to see a significant improvement: the swelling and inflammation has subsided, she is now able to see her knee cap again (for the first time in years!), and she can walk up and down stairs without experiencing excruciating pain.


Surgery is a Last Resort, Not the Only Option

The important takeaway here is this: do not settle for chronic knee pain. It's not just part of getting older. It's not something you should just learn to live with. There are viable treatment options available to you and they don't necessarily involve surgery.

You can get back to the things you love doing using non-surgical regenerative medicine. Perhaps one of our patients, Lottie Sacks, put it best when she declared that with regenerative medicine using stem cells she feels “life is fuller!" To find out more, sign up for a free educational seminar about regenerative medicine that utilizes stem cells with Chronic Care of Richmond & Regenerative Medicine.

March 28, 2025
Inflammation is a natural response that helps the body protect and heal itself. However, when inflammation lingers for too long or flares up repeatedly, it can transition from a protective mechanism into a source of ongoing discomfort. This persistent state of low-level inflammation can be a contributing factor in many chronic pain conditions. According to the Centers for Disease Control and Prevention (CDC) , six in ten adults in the United States live with at least one chronic disease, many of which are influenced by inflammatory responses. While acute inflammation is often easy to recognize—such as redness or swelling—chronic inflammation manifests more quietly yet causes significant long-term stress on the body. How Chronic Inflammation Contributes to Pain When tissues are inflamed, the immune system sends out signals that heighten pain sensitivity. This can become a cyclical process, with inflammation activating pain receptors and persistent pain further fueling the body’s inflammatory response. Over time, these signals may disrupt normal nerve function and encourage widespread discomfort. Individuals experiencing persistent inflammation often report fatigue, muscle stiffness, and difficulty sleeping, all of which exacerbate chronic pain. Chronic Care of Richmond emphasizes that inflammation is not always obvious; sometimes, the body’s inflammatory response operates stealthily, attacking healthy tissue and making effective pain management more challenging. Dietary Strategies to Calm Inflammation Scientific research supports the powerful role that nutrition plays in mitigating chronic inflammation. Certain foods are known to encourage an anti-inflammatory environment in the body. For instance, the National Center for Complementary and Integrative Health (NCCIH) suggests that incorporating a variety of fruits, vegetables, whole grains, fish rich in omega-3 fatty acids, and healthy fats like extra virgin olive oil can help maintain a balanced inflammatory response. Phytonutrients found in berries, leafy greens, and brightly colored vegetables also have significant health benefits, as they may naturally modulate inflammation. On the other hand, heavily processed foods and those high in refined sugar can worsen inflammation. Research indicates that diets high in added sugars, trans fats, and artificial additives disrupt healthy immune signaling. By replacing sugary beverages with water or herbal teas and limiting foods with chemicals and preservatives, you can support your body’s natural healing processes. Although it may be tempting to adopt extreme dietary changes for rapid results, sustainable habits are often more effective in the long run. Lifestyle Choices That Reduce Inflammatory Stress In addition to dietary adjustments, certain lifestyle factors play a major role in managing inflammation. Stress, for instance, triggers a cascade of hormonal changes that can ramp up inflammation. Whether it stems from work pressures or day-to-day challenges, prolonged stress may lead to elevated cortisol levels, which over time has been linked to chronic inflammation. Techniques such as mindfulness meditation, regular physical activity, and spending time outdoors can help the body regulate its inflammatory response more efficiently. Quality sleep is another cornerstone of a healthy lifestyle. The body repairs itself during periods of rest, and insufficient or disrupted sleep can contribute to both heightened inflammation and increased pain sensitivity. According to the National Heart, Lung, and Blood Institute (NHLBI) , adults generally require at least seven hours of good-quality sleep to support optimal health. Consistent bedtime habits such as limiting electronic device usage before bed and keeping the sleeping environment dark and cool encourage a more restful night’s sleep. Expert Perspectives from Richmond Health Practitioners Understanding the link between inflammation and chronic pain is only half the battle; implementing strategies that ensure long-term relief is equally crucial. Chronic Care of Richmond collaborates with local health practitioners who emphasize individualized approaches to wellness. Given that each person’s medical history, lifestyle, and genetic makeup differ, it is vital to consult with healthcare professionals before making drastic changes to your diet or lifestyle. They can help develop safe, comprehensive plans for reducing chronic inflammation. In Richmond, many professionals advocate for integrative therapies that combine nutrition counseling, gentle exercise routines, and stress-reduction techniques. Although these methods may appear simple, they can be profoundly effective in restoring balance to an inflamed body. By targeting multiple aspects of wellness and working closely with experienced practitioners, patients can gradually mitigate low-level inflammation, often noticing improvements in energy levels, sleep quality, and daily mobility. Navigating Your Path to Lasting Relief While chronic inflammation tends to develop slowly, targeted efforts to reduce it can yield significant improvements in overall well-being. Consistent dietary modifications, plus intentional stress management, can lay the groundwork for sustainable pain relief. Adopting an anti-inflammatory lifestyle not only helps manage chronic pain but also enhances immune function, mood regulation, and even cardiovascular health. Because the body is inherently interconnected, even modest changes—when practiced consistently—can lead to noticeable benefits. Whether it’s choosing fresh produce over processed foods or setting aside ten minutes for deep breathing each day, thoughtful choices add up and can make a real difference. Gaining knowledge about the root causes of inflammation empowers you to take informed steps that transform your relationship with pain, providing a roadmap toward a healthier life. When you are ready to learn more about natural approaches for reducing inflammation or want to connect with a Richmond health practitioner, visit the Chronic Care of Richmond Contact Page to schedule a consultation or explore additional resources . By prioritizing healthy habits and professional guidance, you can begin addressing chronic inflammation at its source and chart a path toward lasting relief.
March 21, 2025
Maintaining joint health is vital for overall well-being, mobility, and comfort. Many people experience foot, ankle, knee, or even hip discomfort due to misalignment or uneven weight distribution when walking or standing. Orthotics, which are custom-designed inserts and supports, can help by alleviating strain on joints and promoting better posture. Richmond-based orthotics specialists employ various methods to personalize orthotic devices, offering significant benefits to individuals experiencing anything from routine foot fatigue to more persistent concerns like plantar fasciitis or knee pain.  Why Joint Health Matters The joints in our bodies are the meeting points of bones that allow movement. They contain soft tissues such as cartilage, ligaments, and tendons—all of which can become inflamed or overused. About 24% of adults in the United States experience joint-related issues like arthritis. While not every joint concern stems from arthritis, the wear and tear due to misalignment or poor foot support can have wide-ranging effects. When weight is not distributed evenly across the feet, ankles, or knees, undue stress can accumulate over time and lead to pain or discomfort during everyday activities. Protecting joint health starts from the ground up. Feet are a key foundation, and the alignment of the foot affects the positioning of the knees, hips, and spine. Orthotics can help correct or compensate for irregularities in foot structure, making each step more efficient and less strenuous on the joints. Understanding Orthotics Orthotics are specially designed inserts that fit inside your shoes. They can be customized or prefab (off-the-shelf), providing varying levels of support and cushioning. Conditions like plantar fasciitis, flat feet, heel spurs, knee pain, and even lower back discomfort can often be alleviated with the right orthotic inserts. While custom orthotics are created using molds or scans of your feet, prefabricated versions rely on standard templates that may be sufficient for milder issues. In addition to insoles, orthotic devices can include braces and splints. Braces aimed at stabilizing knees or ankles often come into play for more acute conditions or athletic pursuits. These braces help maintain proper joint alignment and protect against excessive movement that may aggravate existing issues. By offering external support, orthotics create a more stable environment for joints to function optimally. Types of Orthotics and Their Benefits Orthotics can vary in both type and design, depending on a person’s specific needs and goals: Insoles for Plantar Fasciitis: Plantar fasciitis involves inflammation of the tissue connecting the heel bone to the toes. The hallmark symptom is sharp heel pain, particularly in the mornings. Orthotic insoles designed to support the arch can mitigate this discomfort and encourage the foot to align properly. Knee Braces: Knee pain can result from overuse, injury, or chronic conditions like osteoarthritis. A supportive knee brace keeps the joint properly aligned, thereby decreasing strain on the cartilage and ligaments. Ankle Braces: For ankle instability or frequent sprains, an ankle brace provides compression and limits unnecessary motion. This not only supports healing but also helps in preventing re-injury for active individuals or athletes. Custom-Molded Orthotics: For those with unique foot structures, such as high arches or significantly pronated feet, custom orthotics are beneficial. They can address more nuanced needs, improving overall posture and reducing compensation in other areas of the body. Researchers have noted that supportive orthotics can significantly reduce symptoms of foot and ankle problems. Proper foot support can lead to better pain management and improved mobility in individuals with lower limb issues. Fitting Orthotics: Getting the Right Support Not all orthotics are created equal. The fitting process is crucial, as improperly fitted orthotics might fail to support the foot fully or limit your natural range of motion. Richmond-based orthotics specialists at Chronic Care of Richmond often perform detailed examinations that may include measuring foot arches, analyzing gait, and discussing daily habits. This exam ensures the orthotic device you receive matches your unique foot type and lifestyle. During a fitting, you might be asked to walk to measure how pressure is distributed across your feet. These diagnostic methods help identify imbalances or irregularities that could contribute to joint strain. Once an orthotic device is selected or created, specialists can adjust the shape, thickness, and material composition to achieve an optimal balance of support and comfort. Lifestyle Considerations and Where to Find Support Although orthotics can be transformative, they work best when complemented by a healthy lifestyle. Maintaining a healthy weight reduces the load on your joints, while consistent physical activity helps strengthen supporting muscles. Gentle exercises like swimming, yoga, or low-impact cardio can keep you active without placing extreme stress on the body. If you’re dealing with ongoing discomfort, speaking to a healthcare professional to create a personalized routine can accelerate relief and improve long-term outcomes. The specialists at Chronic Care of Richmond have experience providing solutions that are tailored to each patient’s concerns. Whether it’s mild discomfort from standing for extended hours at work or chronic knee pain that disrupts your daily routine, our team can help discuss which type of orthotic best meets your needs. By delving into comprehensive assessments, we strive to ensure that each pair of orthotics works seamlessly with your body’s natural movements. Next Steps: Improving Your Comfort Orthotics can promote better alignment, support joint health, and help you move more freely throughout your day. Just as significant, they can reduce discomfort that prevents you from enjoying favorite activities or performing essential tasks. By being proactive about foot care and consulting with professionals, you increase the chances of maintaining a healthier and more comfortable lifestyle. If you’re ready to explore orthotic options or want to learn more about our approach, contact us to schedule a consultation. You can also explore our other services for a full range of supportive therapies aimed at helping you achieve your wellness goals. Building a strong foundation for joint health starts with personalized solutions you can trust, and our specialists at Chronic Care of Richmond are here to guide you every step of the way.
March 12, 2025
Richmond, VA, has seen a significant rise in wellness events, reflecting the city's commitment to promoting a healthy lifestyle. These events are becoming increasingly popular, offering a diverse range of options that cater to various interests and wellness goals. The community plays a significant role in organizing and supporting these events, fostering a culture of health and wellness throughout the city, including Midlothian, Chester, Chesterfield, Tuckahoe, the West End, Glen Allen, Laurel, Goochland, Mechanicsville, Ashland, Powhatan, and more. Benefits of Participating in Wellness Events Wellness events in Richmond offer numerous educational opportunities through workshops and seminars led by health experts. These events provide a platform for community support and networking, allowing participants to connect with like-minded individuals. Engaging in wellness events can lead to personal health benefits, such as stress reduction, increased physical activity, and improved mental health, contributing to overall well-being. Spotlight on Health Fairs Health fairs are a staple of Richmond's wellness scene, typically offering free health screenings, informational booths, and expert talks. One of the prominent events is the annual Richmond Health and Wellness Expo, which attracts a large number of attendees. These fairs empower participants by helping them make informed health decisions and providing access to local health resources. Mindfulness Retreats in Richmond Mindfulness retreats focus on mental well-being and stress management, offering a break from daily stressors. In the Richmond area, popular retreats include weekend getaways and day-long workshops. The long-term benefits of mindfulness practices include improved focus, emotional regulation, and reduced chronic pain. More information about the benefits of mindfulness can be found on reputable sources like Harvard Health Publishing . Fitness Classes and Workshops Richmond offers a variety of fitness classes, ranging from yoga and Pilates to high-intensity interval training (HIIT) and dance classes. Fitness instructors play an essential role in guiding participants through exercises that promote joint health and pain management. Regular physical activity is crucial in maintaining a pain-free lifestyle, supported by expert opinions. For more on the benefits of exercise for joint health, see this article by the CDC . Community Impact and Future Trends The positive impact of wellness events on the Richmond community includes increased awareness of health issues and lifestyle changes. Emerging trends, such as virtual participation options and hybrid events, are expanding accessibility, allowing more people to engage in wellness activities. Future developments in Richmond's wellness event scene will likely consider local health initiatives and community feedback, ensuring ongoing relevance and engagement.
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