{"id":3916,"date":"2024-09-24T22:32:58","date_gmt":"2024-09-25T01:32:58","guid":{"rendered":"https:\/\/stemcelltherapyargentina.com\/regenerative-rehabilitation-for-knee-a-concept-driven-from-stem-cell-therapy-argentina-since-2018-that-helps-all-our-patients\/"},"modified":"2026-03-30T17:13:43","modified_gmt":"2026-03-30T20:13:43","slug":"regenerative-rehabilitation-for-knee-a-concept-driven-from-stem-cell-therapy-argentina-since-2018-that-helps-all-our-patients","status":"publish","type":"post","link":"https:\/\/stemcelltherapyargentina.com\/en\/regenerative-rehabilitation-for-knee-a-concept-driven-from-stem-cell-therapy-argentina-since-2018-that-helps-all-our-patients\/","title":{"rendered":"Regenerative Rehabilitation for Knee. A concept driven from Stem Cell Therapy Argentina since 2018 that helps all our patients."},"content":{"rendered":"\n<p>Blog written by <strong>Dr. Matias Fernandez Vi\u00f1a, Medical Director of Stem Cell Therapy Argentina.<\/strong><\/p>\n\n<p>Rehabilitation after regenerative medicine treatment for knee osteoarthritis.  <\/p>\n\n<p>I was fortunate to be awarded a scholarship in 2018, to the <strong>World Congress of Regenerative Rehabilitation<\/strong>, at the University of Virginia, in order to optimize the therapeutic response of my patients.<\/p>\n\n<p><strong>Regenerative rehabilitation<\/strong> is a concept that we have been strongly promoting, as a co-assistant therapy to the strategies of Regenerative Medicine, and it is one of the fundamental pillars of our therapeutic protocols.<\/p>\n\n<p>Regenerative rehabilitation methods are one of the strategies that we have been promoting for many years and in fact, most of our students of Regenerative Medicine today promote in their clinics. These methods seem novel, but they are not, as we have been promoting them since 2018-19, as a key treatment strategy. <\/p>\n\n<p>These programs should focus on facilitating regeneration and functional strength. Gradual progression of load plays an important role in the rehabilitation framework model. Cardiovascular training is recommended to maintain and improve aerobic capacity along with neuromuscular training to maintain overall muscle strength, flexibility and functional control.Sufficient load will result in changes in strength through adaptation.  <\/p>\n\n<p><strong>Osteoarthritis<\/strong> (OA) is a common degenerative disorder that affects the articular cartilage and underlying bone, and is characterized by chronic structural and functional degeneration of a joint. OA attempts to repair damaged joints, but chronic levels of inflammation affect this cycle and the result is chronic progressive tissue degradation. More recently, OA has been defined as a complex, multifactorial disorder that includes genetics, aging, obesity, biomechanics, joint laxity and misalignment. Studies show that excessive stress can alter joint balance and ultimately lead to cartilage damage.   <\/p>\n\n<p>During the early stages of OA, there is an initial increase in inflammation, which causes the body&#8217;s natural immune system to recognize the presence of damage. This results in an influx of inflammatory mediators that ultimately affect the repair process and lead to further degradation. <\/p>\n\n<p><strong>Regenerative medicine<\/strong>, with the use of orthobiological products driven from <strong>Stem Cell Therapy Argentina<\/strong>, is a rapidly growing field and it is very important that rehabilitation protocols are fully understood and adopted. Treatment of osteoarthritis through various rehabilitation methods is extremely important to control and reduce pain symptoms and ultimately improve quality of life. The ultimate goal of regenerative medicine is to effectively support and promote the body&#8217;s natural healing mechanisms. Regenerative rehabilitation interventions involve treatment of all structures surrounding the affected joint to achieve pain relief and prevention of further deterioration.   <\/p>\n\n<p>This article will provide an understanding of the <strong>rehabilitative treatment<\/strong> that we perform from <strong>Stem Cell Therapy Argentina<\/strong>, for knee osteoarthritis after regenerative medicine treatments. It will specify the current best practices of rehabilitation methods and non-surgical treatment with emphasis on promoting tissue healing and restoration of natural function. <\/p>\n\n<p><strong>Manual therapy<\/strong><\/p>\n\n<p>Manual therapy is my favorite therapy for my patients (those of you who know me have probably heard me mentioned multiple times) and consists of specialized manual techniques that are commonly used to treat pain and dysfunction. Manual therapy is used to treat soft tissue injuries and joint dysfunction by increasing mobility, reducing pain and inflammation, and increasing circulation and fluid dynamics, which ultimately improves function and motion. Patients with knee osteoarthritis who are treated with manual therapy and rehabilitative exercises experience clinically durable improvements in pain, stiffness and functional capacity. The mechanisms of manual therapy are to improve tissue repair, stability and function.   <\/p>\n\n<ul class=\"wp-block-list\">\n<li><strong>Exercise, strengthening and weight control<\/strong><\/li>\n<\/ul>\n\n<p>Moderate, well-controlled physical exercise is associated with a lower risk of severe knee osteoarthritis. Physical exercise will stimulate the production of joint synovial fluid, which has a protective effect against cartilage degradation. An exercise program combining endurance and strength work in arthritic patients has been shown to increase function and reduce pain. In addition, osteoarthritis patients often have muscle weakness and atrophy, so adequate strength training is necessary. Other benefits include improved bone mineral density, reduced risk of falls, increased walking speed, better balance and increased ability to climb stairs.    <\/p>\n\n<p>Although physical exercise has been shown to be beneficial, appropriate exercises should involve a gradual load and be specific to each individual. Excessive mechanical stress can directly damage cartilage and affect joint balance. Decreasing body weight also has tremendous benefits. A comprehensive rehabilitation exercise therapy program generally focuses on strengthening the muscles of the knee, hip and pelvis. A regenerative medicine\/rehabilitation protocol is strongly recommended after a regenerative medicine procedure.    <\/p>\n\n<ul class=\"wp-block-list\">\n<li><strong>Stability, balance and control<\/strong><\/li>\n<\/ul>\n\n<p>Most patients over 60 years of age with knee osteoarthritis report knee joint instability, which is commonly associated with pain and poor function. Reductions in control and strength associated with patients with knee osteoarthritis can often result in impaired balance and, therefore, neuromuscular training aimed at balance control is needed. <\/p>\n\n<p>Initial knee stabilization training will provide added value over standard exercises (i.e., strength\/functional training). Patients with muscle weakness around the knee and instability should focus on muscle strengthening, while in patients with knee instability and strong muscles, initial knee stabilization training may be beneficial. A combination of lower extremity strengthening and balance control training is essential in patients with osteoarthritis. As with strength training, mechanical stimulation of articular cartilage generates biochemical signals that increase cartilage cell growth activity.   <\/p>\n\n<p>A combination of strength, stability, balance and neuromuscular training is recommended in subsequent rehabilitation\/regenerative medicine interventions due to the role in stimulating cartilage cells and their role in improving function.<\/p>\n\n<p><strong>Acupuncture and dry needling<\/strong><\/p>\n\n<p>Musculoskeletal acupuncture and dry needling are treatment modalities often used in the treatment of muscle pain conditions. Clinical trials by Scharf et al. and Chen et al. concluded that acupuncture in combination with exercise in the treatment of knee osteoarthritis has benefits in improving pain and function while reducing tenderness.   <\/p>\n\n<ul class=\"wp-block-list\">\n<li><strong>Therabody Technology Bandages and Theraboots<\/strong><\/li>\n<\/ul>\n\n<p>Therabody and Theraboots technologies are used to provide support, increase local circulation, reduce pain, reduce swelling and provide sensory feedback; however, they are not widely used in osteoarthritis although we found good results. Knee braces have been recommended as an effective device for the treatment of knee osteoarthritis to achieve changes in sensory balance, muscle activation and pain reduction resulting from joint unloading. The braces have been shown to effectively reduce symptoms of medial compartment degradation in both the short term (6 weeks) and medium term.  <\/p>\n\n<ul class=\"wp-block-list\">\n<li><strong>Corrective rehabilitation program<\/strong><\/li>\n<\/ul>\n\n<p>Phase 1 should begin immediately after the procedure and may last up to a week depending on pain and swelling. In the acute phase, it is advantageous to begin weight bearing and loading as soon as it is tolerable. This is because early gentle mobility exercises and tissue bearing will have positive benefits in tissue remodeling and healing.  <\/p>\n\n<p>The rehabilitation program for knee osteoarthritis should fully incorporate strength, stability and intermuscular balance of the core, hips and surrounding joints. Early implementation of these corrective exercises will prepare the body for further progression of joint loading exercises. The exercises will progress to focused multi-joint functional exercises.  <\/p>\n\n<p>Phase 1) will focus on reducing pain and inflammation, as well as early weight bearing exercises, as tolerated. Full functional weight bearing exercises should include squats, lunges, single leg dips, gluteal bridges and single leg deadlifts. Exercise progressions will depend on neuromuscular control and functional mobility.  <\/p>\n\n<p>Phase 2) can begin once pain and swelling are much less, and neuromuscular control and static stability reach adequate levels.<\/p>\n\n<p>Phase 3) can begin once the individual has reached full mobility.<\/p>\n\n<p>Phase 4) can be initiated when the individual reaches a non-painful range of motion. The 2016 consensus statement on return to sport was used to inform rehabilitation and return to sport protocols (see table below). The main treatment modalities included were active rehabilitation to promote tissue healing along with PRP or stem cell therapy. Early mobilizations and, in acute phases, loading as pain permits. Gradual loading progression and cardiovascular exercise is recommended.    <\/p>\n\n<p><strong>Conclusions<\/strong><\/p>\n\n<p>Conventional methods for mild to moderate knee osteoarthritis focus on short-term symptomatic relief and do not promote regeneration. Regenerative treatments focus more specifically on stimulating regenerative potential. Regenerative treatments involve the use of blood-based procedures such as platelet-rich plasma (PRP), stem cells and cell-based procedures or tissue bioengineering. That said, to maximize the clinical success of these regenerative procedures, standardization in the preparation, administration and monitoring of treatment protocols is imperative. Our rehabilitation program from Stem Cell Therapy Argentina is proposed and is based on current evidence and clinical experience related to the rehabilitation of people suffering from osteoarthritis. There are some interventions that seem to be promising to support the joint until regeneration or restoration.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Blog written by Dr. Matias Fernandez Vi\u00f1a, Medical Director of Stem Cell Therapy Argentina. Rehabilitation after regenerative medicine treatment for knee osteoarthritis. I was fortunate to be awarded a scholarship in 2018, to the World Congress of Regenerative Rehabilitation, at the University of Virginia, in order to optimize the therapeutic response of my patients. Regenerative [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":3560,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-3916","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sin-categorizar"],"_links":{"self":[{"href":"https:\/\/stemcelltherapyargentina.com\/en\/wp-json\/wp\/v2\/posts\/3916","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stemcelltherapyargentina.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stemcelltherapyargentina.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stemcelltherapyargentina.com\/en\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/stemcelltherapyargentina.com\/en\/wp-json\/wp\/v2\/comments?post=3916"}],"version-history":[{"count":1,"href":"https:\/\/stemcelltherapyargentina.com\/en\/wp-json\/wp\/v2\/posts\/3916\/revisions"}],"predecessor-version":[{"id":3919,"href":"https:\/\/stemcelltherapyargentina.com\/en\/wp-json\/wp\/v2\/posts\/3916\/revisions\/3919"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/stemcelltherapyargentina.com\/en\/wp-json\/wp\/v2\/media\/3560"}],"wp:attachment":[{"href":"https:\/\/stemcelltherapyargentina.com\/en\/wp-json\/wp\/v2\/media?parent=3916"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stemcelltherapyargentina.com\/en\/wp-json\/wp\/v2\/categories?post=3916"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stemcelltherapyargentina.com\/en\/wp-json\/wp\/v2\/tags?post=3916"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}