Surgical Complications and Two Colleagues

By Chris Centeno, MD /

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As I have said here before, we have a good number of health care providers as patients. As an example, yesterday I performed a stem cell re-implant on a dentist from Hawaii.  The reason I’ve usually given is that these medical providers know the other side of the big surgical procedure coin.  They have seen the complications of surgical procedures, treated these patients or been involved in treating the complications.  So when it comes time for these medical providers to get a knee replacement or major orthopedic procedure, they go looking for other alternatives.  I’d like to highlight two colleagues who have contacted me in the past week who went through with big orthopedic surgeries and lived to tell the tale (one only barely).  This is not to say that many times big orthopedic procedures don’t change lives for the  better, they do so everyday.  However, the bigger and more invasive the procedure, the bigger the chance for significant complications.

The first is a doctor who had a benign tumor on his spine.  It definitely needed to be taken out.  He scoured our local area for a neurosurgeon who had experience in taking out this particular type of tumor (a tall task).  It was an 11 hour surgery where the surgical site became infected.  He is now on IV antibiotics, had a second surgery where they were forced to remove the hardware and “power wash” the area.  Thank God this wasn’t MRSA, as he likely wouldn’t have lived to tell the tale.  This of course led to protracted inactivity, a deep venous thrombosis, which led to a pulmonary embolus, and finally the placement of a filter in one of his major veins (to catch the little blood clots).  What started as a simple removal of a benign tumor led to him almost loosing his life to surgical complications.  Complications like this are not uncommon in spine surgery, with most studies quoting a 2-5% serious complication rate.

The second story that I’ve heard this past week is another colleague who went in for routine arthroscopic  shoulder surgery for rotator cuff repair.  The surgeon may have speared one of the major nerves of the shoulder with the scope which has led to atrophy in the surrounding shoulder muscles and adhesive capsulitis in the shoulder.  It’s also possible that the traction used to pull on his arm during surgery caused the nerve injury.  He now is forced to leave practice as a chiropractor as he has no strength in the arm.  How often do serious complication occur in shoulder arthroscopy?  Several studies quote about 10%, but reading between the lines, the rate of serious complications is likely lower, about 5%.

Many pundits have written about the possible horrible complications that could befall anybody who tries stem cell therapy.  I have written on this topic in the past. To recap, the safest option for treatment at this point is the patent’s own adult stem cells, as they are used everyday by the body to repair and maintain many tissues.  However, the surgical complications of the procedures that stem cell therapy would replace make any possible complications from the patent’s own adult stem cells look mild.  This is ultimately why we see so many health care providers, they simply weigh both of these things and opt for the much less invasive stem cell treatment.

Chris Centeno, MD

Regenexx Founder

Chris Centeno, MD is a specialist in regenerative medicine and the new field of Interventional Orthopedics. Centeno pioneered orthopedic stem cell procedures in 2005 and is responsible for a large amount of the published research on stem cell use for orthopedic applications.
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Regenerative procedures are commonly used to treat musculoskelatal trauma, overuse injuries, and degenerative issues, including failed surgeries.
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Shoulder

Shoulder

Many Shoulder and Rotator Cuff injuries are good candidates for regenerative treatments. Before considering shoulder arthroscopy or shoulder replacement, consider an evaluation of your condition with a regenerative treatment specialist.

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Spine

Many spine injuries and degenerative conditions are good candidates for regenerative treatments and there are a number of studies showing promising results in treating a wide range of spine problems. Spine surgery should be a last resort for anyone, due to the cascade of negative effects it can have on the areas surrounding the surgery. And epidural steroid injections are problematic due to their long-term negative impact on bone density.

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Knees are the target of many common sports injuries. Sadly, they are also the target of a number of surgeries that research has frequently shown to be ineffective or minimally effective. Knee arthritis can also be a common cause for aging athletes to abandon the sports and activities they love. Regenerative procedures can be used to treat a wide range of knee injuries and conditions. They can even be used to reduce pain and delay knee replacement for more severe arthritis.

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  • And more
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Lower Spine

Spine

Many spine injuries and degenerative conditions are good candidates for regenerative treatments and there are a number of studies showing promising results in treating a wide range of spine problems. Spine surgery should be a last resort for anyone, due to the cascade of negative effects it can have on the areas surrounding the surgery. And epidural steroid injections are problematic due to their long-term negative impact on bone density.

  • Herniated, Bulging, Protruding Discs
  • Degenerative Disc Disease
  • SI Joint Syndrome
  • Sciatica
  • Pinched Nerves and General Back Pain
  • And more
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Hand & Wrist

Hand and wrist injuries and arthritis, carpal tunnel syndrome, and conditions relating to overuse of the thumb, are good candidates for regenerative treatments. Before considering surgery, consider an evaluation of your condition with a regenerative treatment specialist.
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Elbow

Elbow

Most injuries of the elbow’s tendons and ligaments, as well as arthritis, can be treated non-surgically with regenerative procedures.

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  • And more
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Hip

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Hip injuries and degenerative conditions become more common with age. Do to the nature of the joint, it’s not quite as easy to injure as a knee, but it can take a beating and pain often develops over time. Whether a hip condition is acute or degenerative, regenerative procedures can help reduce pain and may help heal injured tissue, without the complications of invasive surgical hip procedures.

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Foot & Ankle

Foot and ankle injuries are common in athletes. These injuries can often benefit from non-surgical regenerative treatments. Before considering surgery, consider an evaluation of your condition with a regenerative treatment specialist.
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