Metabolic Therapies in Orthopedics, Second Edition: 2nd Edition (Hardback) book cover

Metabolic Therapies in Orthopedics, Second Edition

2nd Edition

Edited by Ingrid Kohlstadt, Kenneth Cintron

CRC Press

470 pages | 33 Color Illus. | 27 B/W Illus.

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Description

The first medical reference textbook to compile an unprecedented synthesis of evidence for regenerative orthopedics by key opinion leaders

Thirty-five authors address your clinical questions

What emerging technologies are right for my clinical practice? How can I strengthen my patients before their orthopedic surgery? Practically speaking, how can I leverage the latest metabolic therapies to safeguard my patients from toxins, medications, food and chronic diseases known to adversely affect the musculoskeletal system?

"Ask the Author" feature

Would you like to discuss a patient with a particular author? Now you can do so at www.betterorthopedics.com.

First to be second

Did you notice this book is the first book in regenerative orthopedics to publish a second edition? This diverse author team leads the growing field of regenerative orthopedics and offers the broadest and in-depth approach to leveraging metabolic therapies.

This book comprises the professional opinion of its authors. It does not claim to represent guidelines, recommendations, or the current standard of medical care.

Reviews

This CRC Press book's 35 authors reveal new-found consensus across the table - internists and surgeons.

Ethan Kellum, MD, is a sports medicine trained orthopedic surgeon in Nashville and says, "I am ecstatically overwhelmed by the knowledge that is found within its pages. Whether you are a patient and especially if you are a caregiver for musculoskeletal injuries and condition, this book is a mist read! I believe wholeheartedly that as we follow the information given in this book we will revolutionize how we treat patients with musculoskeletal conditions."

As a family physician Melissa Campania, MD, MPH, explains, "Living in a state where the opioid crisis has reached epidemic proportions, I certainly have high recommendations for this textbook."

– Townsend, April 2019

Table of Contents

Contents

Preface……………………………………………………………………………………………………………………………..ix

Acknowledgments………………………………………………………………………………………………………………xi

Editors…………………………………………………………………………………………………………………………… xiii

Contributors……………………………………………………………………………………………………………………..xv

Section I Cross-Cutting Technologies

Chapter 1 Regenerative Orthopedics Enabled by Cross-Cutting Technologies……………………….3

Kenneth Cintron, MD, MBA

Chapter 2 Orthogenomics: Genome-Directed Therapies in Orthopedics…………………………….. 21

Joseph R. Veltmann, PhD, DCCN and Roberta L. Kline, MD

Chapter 3 Predictive Biomarkers in Personalized Laboratory Diagnoses and Best

Practices Outcome Monitoring for Musculoskeletal Health………………………………… 39

Russell Jaffe MD, PhD, CCN and Jayashree Mani, MS, CCN

Chapter 4 Veterinary Medicine’s Advances in Regenerative Orthopedics……………………………. 59

Sophie H. Bogers, BVSc, MVSc, PhD and Jennifer G. Barrett, DVM, PhD

Chapter 5 Biotensegrity: How Ultrasound Diagnostics Guide Regenerative Orthopedic

Therapies to Restore Biomechanical Function……………………………………………………93

Bradley D. Fullerton, MD

Chapter 6 Photobiomodulation Therapy in Orthopedics: Metabolic Effects………………………. 113

Michael R. Hamblin, PhD

Section II Clinical Approaches to Preventing

and Treating Metabolic Dysfunction

Chapter 7 Safeguarding Musculoskeletal Structures from Food Technology’s Untoward

Metabolic Effects………………………………………………………………………………………… 141

Ingrid Kohlstadt, MD, MPH

Chapter 8 Inflammatory Responses Acquired Following Environmental Exposures Are

Involved in Pathogenesis of Musculoskeletal Pain……………………………………………. 159

Ritchie C. Shoemaker, MD and James C. Ryan, PhD

Chapter 9 Periodontal Disease: Treatable, Nutrition-Related, and with Systemic

Repercussions……………………………………………………………………………………………… 185

David Kennedy, DDS

Chapter 10 Reduction in Orthopedic Conditions through Teledontic Treatment of

Pharyngorofacial Disorders…………………………………………………………………………… 193

Joseph Yousefian, DMD, MS and Michael N. Brown, DC, MD

Chapter 11 Drug-Related Muscular Pain…………………………………………………………………………. 215

Sahar Swidan, PharmD

Chapter 12 Metabolic Interventions for Sarcopenic Obesity……………………………………………….223

Gabrielle Lyon, DO and Jamie I. Baum, PhD

Chapter 13 Drug-Related Sarcopenia……………………………………………………………………………… 239

Sahar Swidan, PharmD

Chapter 14 Sex Hormones and Their Impact on Sarcopenia and Osteoporosis…………………….. 251

Pamela W. Smith, MD, MPH, MS

Chapter 15 Treating the Dysmetabolism Underlying Osteoporosis……………………………………..263

Xaviour Walker, MD, MPH, DTMH and Joseph Lamb, MD

Chapter 16 Nutritional Status and Interventions for Reducing Stress Fracture Risk among

Military Personnel………………………………………………………………………………………..283

James McClung, PhD

Section III Metabolic Therapies for

Specific Orthopedic Conditions

Chapter 17 Perioperative Metabolic Therapies in Orthopedics……………………………………………293

Frederick T. Sutter MD, MBA

Chapter 18 Metabolic Therapies for Muscle Injury…………………………………………………………… 319

Ana V. Cintrón, MD and Kenneth Cintron, MD, MBA

Chapter 19 Tendinopathy: Addressing the Chronic Pain and Pathophysiology…………………….. 339

David Musnick, MD

Chapter 20 Metabolic Therapies in the Management of Heel Pain………………………………………349

Emily M. Splichal, DPM, MS

Chapter 21 Fascial Syndromes: Emerging, Treatable Contributors to Musculoskeletal Pain….. 357

David Lesondak, BCSI, ATSI, FST, FFT

Chapter 22 Metabolic Approaches to the Treatment of Back Pain……………………………………….369

Carrie Diulus, MD and Patrick Hanaway, MD

Chapter 23 Optimizing Metabolism to Treat Fractures and Prevent Nonunion…………………….. 389

Jacob Wilson, MD, Scott Boden, MD, Kenneth Cintron, MD, MBA and

Mara Schenker, MD

Chapter 24 Treating the Underlying Causes of Synovitis, Degenerative Joint Disease and

Osteoarthritis in Primary Care ……………………………………………………………………..403

John C. Cline, MD, BSc

Chapter 25 Osteoarthritis: Comprehensive Treatment………………………………………………………. 419

David Musnick, MD and Richard D. Batson, ND

Chapter 26 Integrative Approaches to Autoimmune Arthritis…………………………………………….449

George E. Muñoz, MD

Index……………………………………………………………………………………………………………………………..465

About the Editors

Ingrid Kohlstadt, M.D., M.P.H. is a 1993 physician graduate of Johns Hopkins School of Medicine and is currently a faculty associate at Johns Hopkins Bloomberg School of Public Health, Center for Human Nutrition. Dr. Kohlstadt earned a Master’s Degree in Public Health to add epidemiology and tropical medicine to her skills in diagnosing and treating metabolic conditions. She is a Fellow of the American College of Nutrition and a Fellow of the American College of Preventive Medicine.

Dr. Kohlstadt specializes in optimizing the body’s metabolism for vibrant health and longevity. On this topic she conducts research and lectures at Johns Hopkins University; consults for Gerson Lehrman Group; contributes to TIME and Townsend Letter; and unites thought leaders from around the world by editing two prominent medical references Advancing Medicine with Food and Nutrients commencing its 3rd edition and Metabolic Therapies in Orthopedics, now in its 2nd edition.

Dr. Kohlstadt has set out to repair the metabolism of her patients in the Indian Health Service, for the Florida Orthopaedic Institute, with the Johns Hopkins Weight Management Center, and on every continent including as station doctor in Antarctica.

Augmenting her clinical efforts Dr. Kohlstadt has taken a public health approach to optimizing metabolism. She was an inaugural U.S. Food and Drug Administration Commissioner’s Fellow in the Office of Pediatric Therapeutics; directed a state capitol’s health department; assists hospitals with interpreting medical records through Fair Code Associates; and served at the CDC and the USDA.

Because longevity starts with youth, Dr. Kohlstadt has developed and researched an intervention for medically at-risk youth. Her research findings compelled her into social entrepreneurship. She founded NutriBee National Nutrition Competition and serves as its executive director. Dr. Kohlstadt newly brings her longstanding professional passion - innovating metabolic shortcuts to longevity - to Carolina Research Institute.

Dr. Kenneth Cintron, M.D. was born and raised in Ponce, Puerto Rico. During his youth days he was an elite baseball player and an outstanding student. He completed his bachelor and medical degree from the University of Puerto Rico with honors. Moved for his interest in sports, he became an orthopedic surgeon and then completed a Foot and Ankle surgery fellowship from Emory University during the Olympic year of 1996. Recently, he obtained an MBA degree from the Physician Executive program of the University of Tennessee in Knoxville.

Dr. Cintron is board certified by the American Academy of Orthopedic Surgeons and has more than 20 years of clinical experience. He is currently the Chief of Orthopedics at the Veterans Administration Hospital in San Juan and holds an Ad honorem appointment from the Department of Orthopedic Surgery of the University of Puerto Rico. Has served as a team physician in Puerto Rico and in the USA for multiple professional, college and national athletic teams. He has also served in several national and international athletic competitions like Central-American, Pan-American and Olympic Games. He is past-president of the Society of Orthopedic and Traumatology Surgeons of Puerto Rico and current President of the Caribbean, Mexico and Central-American Region for the Latino-American Society of Orthopedic and Traumatology Surgeons.

He has a kind interest and special training in wellness, nutrition and non-toxic therapies. His passion for the emerging field of Functional Medicine started nine years ago when her older daughter was diagnosed with type 1 diabetes at 14 years of age. He decided then to join the American Academy of Anti-Aging Medicine and completed a two year fellowship in Functional, Integrative and Regenerative Medicine. He was president and owner of BodylogicMD of San Juan, a national network of highly trained physicians specializing in natural bio-identical hormone replacement therapy. His training has helped tremendously his daughter and family to enjoy and optimize their health and lifestyle. He has published and collaborate in multiple scientific articles, studies and international congresses. Dr. Cintron has a double board certification in both Orthopedic Surgery (AAOS) and Integrative Medicine (ABOIM).

The medical community has welcomed his visionary concept of applying preventative and nutritional medicine to the field of orthopedics and regenerative medicine. His experience in Sports medicine and his passion for this new field has transformed the way he practices the art of medicine. Dr. Cintron has successfully incorporated into his practice the important concepts of age management including cellular physiology, epigenetics, nutrigenomics, regenerative medicine, hormone balance and metabolic optimization to improve the quality of life and the athletic performance of his patients.

Subject Categories

BISAC Subject Codes/Headings:
MED004000
MEDICAL / Alternative Medicine
MED014000
MEDICAL / Clinical Medicine
MED060000
MEDICAL / Nutrition
TEC012000
TECHNOLOGY & ENGINEERING / Food Science