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Dr. Lox | http://www.drlox.com/ | 727-462-5582

Dr. Lox | http://www.drlox.com/ | 727-462-5582

(WFLA) When Judy Loar, 68, could not bear to walk any longer due to excruciating pain in both of her knees from degenerative joint disease, she did what most people in her condition do, she went in for a surgical knee replacement.

After being released, Loar found out her knee cap had been set incorrectly.

Going through surgery again to fix her other knee was not an option, so Loar started researching other alternatives to ease the agony of bone-on-bone friction caused by her condition.

"I really did my research, because I knew I could go through another major surgery," said Loar who became a patient of Dr. Dennis Lox.

Dr. Lox is the founder and medical director of Tampa-based Florida Spine and Sports Medicine Center, and one of the world's leading doctors specializing in using stem cell therapy as an alternative to successfully treat debilitating injuries or conditions.

Shoulder Pain Rotator Cuff

Dr. Lox | http://www.drlox.com/ | Call Toll Free 844-440-8503

The shoulder is the one of the most flexible parts of the human body. Unfortunately, the flexibility of the shoulder makes it an extremely fragile joint. Anatomy of the Shoulder

The shoulder joint is composed of three bones: i. Clavicle (collarbone) ii. Scapula (shoulder blade) iii. Humerus (upper arm bone).

Two joints facilitate shoulder movement:

The acromioclavicular joint is located between the acromion ( that part of the scapula that forms the highest point of the shoulder) and the clavicle.

The glenohumeral joint, commonly called the shoulder joint, is a ball-and-socket type joint that helps move the shoulder forward and backward and allows the arm to rotate in a circular fashion or hinge out and up away from the body. (The "ball," or humerus is the top rounded portion of the upper arm bone; the "socket," or glenoid is a dish-shaped part of the outer edge of the scapula into which the ball fits.) The capsule is a soft tissue envelope that encircles the glenohumeral joint. It is lined by a thin, smooth synovial membrane.

Most ball and socket joints are constructed of a large socket into which the ball fits nicely. This is a very stable type of joint. The shoulder joint, on the other hand, is made up of a ball which is larger than the socket. This is not a very stable type of joint.

Because the shoulder's ball-and-socket joint provides little inherent stability, it is highly dependent on the surrounding soft tissues such as the capsule, ligaments and muscles to hold the ball in place. The relative instability of the shoulder joint allows it to be highly mobile, thus allowing an individual to place the hand in numerous positions.

The bones of the shoulder are held in place by muscles, tendons, and ligaments.

Tendons are tough cords of tissue that attach the shoulder muscles to bone and assist the muscles in moving the shoulder. The rotator cuff is a structure composed of tendons that work along with associated muscles to hold the ball at the top of the humerus in the glenoid socket; it provides mobility and strength to the shoulder joint

Ligaments attach shoulder bones to each other, providing stability. For example, the front of the joint capsule is anchored by three glenohumeral ligaments. Two filmy sac-like structures called bursae permit smooth gliding between bones, muscles, and tendons. They cushion and protect the rotator cuff from the bony arch of the acromion.

Muscles are bundles of specialized tissue that attach to, and move bones via their tendons.

The rotator cuff consists of four muscles and several tendons that form a covering around the top of the upper arm bone (humerus). These muscles form a cover around the head of the humerus. The rotator cuff holds the humerus in place in the shoulder joint and enables the arm to rotate.

Two filmy sac-like structures called bursae permit smooth gliding between bones, muscles, and tendons. They cushion and protect the rotator cuff from the bony arch of the acromion.

The shoulder is susceptible to numerous injuries, some of the more common injuries are listed below. To learn more, just click on the title.

Dr. Dennis Lox and the Florida Spine Center serve patients within the greater Tampa Bay area, including Clearwater, Tampa and St. Petersburg, as well as all of Florida and the US.

Avascular Necrosis of the Hip: Dr. Lox Treats with Stem Cells

Dr. Lox | http://www.drlox.com/ | Call (844) 440-8503

Dr. Dennis Lox a Sports and Regenerative Medicine Specialist has treated his share of difficult cases. Avascular necrosis (AVN) also referred to as ischemic necrosis and osteonecrosis, occurs when the blood flood flow to the bone is disrupted leading to bone cell death (necrosis). The problem with this is that if the necrotic zone collapses, it leads to rapid secondary osteoarthritis (joint destruction). The leading cause of AVN is trauma. Many famous athlete have had avascular necrosis of the hip (Bo Jackson and Brett Favre). Bo Jackson never played professional football again after he was tackled and injured his hip. Favre was lucky, the secondary arthritis never set in, and his avascular necrosis of the hip remained stable. Despite occasional hip pain.

The prognosis for Brett Favre is eventual osteoarthritis of his hip. The utility of stem cells in the management of Avascular Necrosis (AVN) is multifold. Acute effects are aimed at increasing blood flow through angiogenesis. Secondly, the stem cells may produce new bone cells via differentiation, thirdly, the stem cells may exert a positive effect on the joint, preventing secondary osteoarthritis. All three combined is excellent. Yet, just preventing the secondary arthritis may be enough to keep a patient functional and prevent a total hip joint replacement.

When a patient presents with hip AVN, all these considerations are weighed and measured. It is through such an approach that optimal out comes occurs.

Dr. Lox | http://www.drlox.com/ | Call (844) 440-8503

What do you do when your told your knee is not quite bad enough for replacement surgery?

If you or a loved one has faced the situation that your doctor has informed you your knee has a lot of arthritis and eventually you will need a knee joint replacement….but not yet. Where do you go with that information?

A common side comment is, you will know when it’s time. Equally an un-soothing statement.

At this juncture, conservative treatment continues. Pain medications, anti-inflammatories, cortisone injections, rooster comb shots (hyaluronic acid).

All of these treatments have led up to this point. Some provide short term relief of pain, yet all do not prevent the inevitable future appointment to schedule joint replacement surgery when desperation and frustration take over.

Perhaps a timeline could occur where you never had to make that appointment.

If you could halt the progression of arthritis or better yet repair the knee just enough to allow better function and less pain, you could avoid the surgery appointment.

An alternative is needed.

Enter regeneration medicine. Repair and regenerate are goals of this field.

Obviously goals do not always meet everyone’s expectations, therefore reasonable goals for those with degenerative arthritis must be obtained. Preventing loss of function, reducing pain, stiffness, and swelling are reasonable goals. Combining this with repairing the degenerative pathway that occurs inside the joint at the cellular level provides a step in this direction. Medicine has moved towards a new frontier. Treatment and research have been directed to cellular mechanisms. Chemicals such as cytokines and chemokines are targeted for altering specific negative functions or enhancing positive functions. Genes, DNA, and transcription of proteins have altered the way medicine approaches repair of knee pathology.

Dr. Dennis Lox is a Regenerative Medicine specialist who focuses on the way new therapies can be utilized to more effectively treat disorders that were previously thought to be untreatable. Dr. Lox states patients were often given palliative medications, therapy, or even surgical recommendations for these type of problems without hope of modifying their outcome. The field of Regenerative Medicine provides cutting edge treatment options for problems that were offered little hope in the past. By combining Regenerative Medicine with rehabilitation strategies such as biomechanical knee joint stress modifications, the paradigm of waiting for your knee to further fall apart so then you can have knee joint replacement may be avoided.

Running Injuries

Dr. Lox | http://www.drlox.com/ | Call 844-440-8503

It is rewarding to return an athlete to their sport. Knee ailments derail many athletes, so when they turn to Stem Cell Therapy with Dr. Dennis Lox, he is strict on getting them to follow his advice to improve their chances of a successful outcome. Imagine this: two marathon runners in the office the same day to have their knees done. Obviously, they strike up a conversation and when they realize they are both marathon runners, they start comparing times and races. Both do well with their procedures. One flew in from New York the other drove from another Florida metropolitan area. The first who flew in from New York already had a phone followup consultation, and was doing great 2 months out biking up to 60 miles, but no running was allowed. The second was seen in the office for follow-up and he too was doing great after his stem cell treatment. He inquired about his waiting room friend (the competitive spirit). He too was biking, in the gym, and swimming.

Elbow Pain - Tennis Elbow

Dr. Lox | http://www.drlox.com/ | Phone (844) 440-8503

Elbow pain may encompass a variety of disorders as it is a region where many different muscles, tendons, nerves, ligaments, and joints are found. In addition, there are bursas which can be inflamed and intraarticular joint problems such as arthritis that must be considered.

Frequent causes of elbow pain include tennis elbow, tendonitis, golfer’s elbow, arthritis, bursitis, and nerve pain. The elbow joint is formed where the long bone in the arm (humerus) meets the inner bone of the forearm (the ulna) and the outer bone of the forearm (the radius) to form a hinged joint. Also in the elbow, the radius and ulna meet to form a joint that allows rotation of the forearm or pronation and supination. This is the twisting inward and outward motion that occurs in the forearm. The major muscles involved around the elbow in the anterior aspect are the biceps that flexes the elbow, hinged joint and the triceps, the large muscle in the posterior aspect of the arm which extends the elbow. The outer bone of the elbow is known as the lateral epicondyle and this is the bony protuberance of the humerus. The inner portion of the elbow with the bony protuberance is called the medial epicondyle. The tendons insert on to the epicondyles and may be a source of pain with chronic inflammation or tendonitis referred to as lateral epicondylitis or tennis elbow. The medial aspect of the elbow tendons insert and can be also a painful area with tendonitis referred to as medial epicondylitis or golfer’s elbow. In the posterior aspect of the elbow, there is a bursal sac which overlies the bony protuberance known as the olecranon and this bursa is referred to as the olecranon bursa and this can be involved with chronic inflammation or irritation from a variety of causes.

A large nerve tracks along the olecranon in the region referred to as the funny bone, the ulnar nerve, can be irritated from acute or repetitive trauma and can give nerve-type symptoms in this area. Additionally, the radial nerve can be entrapped as well as the median nerve at the region of the elbow and cause nerve symptoms that may be confused with other chronic conditions.

Achilles Tendinitis

Dr. Lox | http://www.drlox.com/ | Phone: 844-440-8503

Chronic Shoulder Pain - Dr. Dennis Lox

Dr. Lox | http://www.drlox.com/ | Phone: (844) 440-8503

Chronic shoulder pain may have many etiologies. When the pain arises from a supraspinatus tear it poses difficulty especially with sports. The supraspinatus is one of 4 muscles that comprise the rotator cuff. Of the 4 muscles that form the rotator cuff the distal supraspinatus tendon inserts on the greater tuberosity. It also traverses under the acromium and is subject to wear and tear by impingement. Of the rotator cuff muscles the supraspinatus functions to initiate shoulder elevation (abduction). When a tear occurs it makes elevation of the arm difficult. Activities overhead and upper extremity sports become more difficult.

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Avascular Necrosis (AVN or Osteonecrosis Treatment with Stem Cells

Dr. Dennis Lox | http://www.drlox.com/ | Phone 844-440-8503

Avascular Necrosis (AVN) also referred to as osteonecrosis can be a significantly debilitating condition. New treatment strategies with stem cell treatment have been utilized to treat avascular necrosis. Avascular necrosis (AVN) is most frequently seen in the hip. The large thigh bone known as the femur is most often affected with AVN at the top or femoral head. A frequent treatment option has been total hip replacement. Trauma is the leading cause, however in the middle age group it may result from other other causes or be of unknown origin (idiopathic). If the femoral head collapses as the result of the region of AVN degeneration, it may lead to rapid escalation of hip joint degeneration. It is estimated that 5-8 % of the roughly 500,000 total hip replacements performed in the United States annually are the result of AVN.

Sports Injury Treatment Options: Two Safe & Effective Alternatives to Invasive Surgery

Dr. Lox | http://www.drlox.com/ | Phone: 844-440-8503

For many athletes, sports injury treatment is not just a physical roadblock; it’s an emotional nightmare. Being sidelined from training is one thing; losing the fitness gains you've worked so hard for is another thing entirely. Add in a long, slow rehabilitation process, and it can be hard to stay optimistic – whether you’re a professional athlete or a recreational endorphin lover.

In some cases (such as torn rotator cuff or bursitis of the knee), non-invasive and minimally invasive therapies help athletes get back in the game more quickly than they’d expected. Platelet rich plasma (PRP) treatment and adult stem cell therapy are two particularly patient-friendly sports injury treatment options; both are associated with shorter recovery times than full surgeries.

Platelet Rich Plasma Treatment for Sports Injuries With this therapy, a physiatrist takes a blood sample from the patient, then isolates the platelets. Re-injected into the target site, the platelets can stimulate stem cell growth, in turn accelerating the body’s own healing process.

PRP can initiate several forms of internal repair – such as bone regeneration and blood vessel development. Patients often note significant improvements in pain and related symptoms, as can regain most of their athletic function after PRP.

Adult Stem Cell Therapy for Sports Injuries Using the patient’s own existing supply of stem cells, adult stem cell therapy relies on a similar biological process to accelerate recovery. Always performed in a single appointment, this sports injury treatment takes stem cells from the patient’s fat tissue or bone marrow, prepares the cells, and re-injects them into the site of damage. Many patients note improvements in their pain levels within a week of receiving treatment (yet it’s important to allow the joint three to six months to fully return to a healthy state.)