WEBVTT

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I am Dr.

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Cyril Fischhoff,

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a chiropractor and a specialist in musculoskeletal ultrasound practicing in Mauritius.

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I invite you to listen to a new episode of the Vertebra & Co.

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podcast every first and third Monday of the month.

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This podcast is dedicated to the world of musculoskeletal medicine and is for everyone.

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We discuss the mechanisms involved,

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diagnoses,

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treatments,

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and the prevention of various musculoskeletal pathologies through short clinical stories,

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the latest scientific research,

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and interviews with specialists.

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Hello everyone,

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so today we are going to talk about regenerative medicine.

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As musculoskeletal system clinicians,

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we have long treated the body as just a simple lever and pulley mechanism,

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but when faced with chronic conditions such as stubborn tendinopathies,

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osteoarthritis or ligament injuries,

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the mechanical view shows its limitations.

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Today,

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we are entering the era of so-called regenerative medicine.

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And to understand how to repair living tissue,

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We need to put down the toolbox and embrace a gardener's view.

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Why?

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Because our tissues aren't replaced like car parts.

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They are grown.

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In this episode,

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we're going to explore how,

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for instance,

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PRP,

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shockwave therapy,

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or even laser treatments act as accelerators for your body's natural healing processes.

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I was speaking,

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therefore,

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of a gardener's approach.

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Well,

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we're going to start by preparing the ground by reactivating the inflammatory phase.

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And then we will discuss techniques such as

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prolotherapy or shockwave therapy.

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The primary challenge in musculoskeletal pathology is the inert tissue itself.

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Chronic tendinosis is like soil that has become compact and fibrous where circulation can no longer properly flow.

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The healing process is therefore blocked and this is precisely what explains the chronicity of the pain.

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Well this is where shockwave therapy or prolotherapy come into play.

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In our musculoskeletal garden it's like turning the soil through mechanical impulses,

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which are shock waves or with the aid of a natural

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irritant solution,

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which is prolotherapy,

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we create a controlled micro-inflammation.

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The objective is to turn over the soil.

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We break down the fibrosis and we force the body to recreate vascularization.

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We're not breaking anything,

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we're just waking up the local metabolism.

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This is the crucial step for preparing the ground.

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Without loose and oxygenated soil,

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no regeneration is possible.

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Let's stick to gardening terms,

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and we'll discuss seeds and fertilizer,

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autologous biology.

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In this context,

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we'll be discussing several techniques,

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but essentially stem cells and PRP.

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So,

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once our ground is prepared after digging,

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we need to introduce structural components.

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Here,

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we use what nature has most effective.

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First of all,

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PRP,

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which is relatively well known,

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is our fertilizer.

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We draw blood,

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your blood,

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we concentrate your own platelets that we re-inject,

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ideally under ultrasound guidance so they can release your own growth factors.

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It's a natural and massive chemical signal that will instruct tissues to rebuild.

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Stem cells,

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a relatively recent technique but still much more expensive than PRP,

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are the equivalent of seeds.

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They possess pure repair potential,

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capable of differentiating to restore the quality of cartilage or a tendon.

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This is the very definition of natural medicine.

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We don't introduce any synthetic chemicals.

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We use technology to concentrate your own internal pharmacy and deliver it.

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precisely where the gardener needs it.

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So,

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after the tilling,

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the seeds and fertilizer,

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the sun and water,

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that is to say,

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metabolic optimization.

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For example,

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we'll discuss photobiomodulation,

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also known as laser therapy,

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and pulsed magnetic fields.

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Every growth process demands a tremendous amount of energy.

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At the cellular level,

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this energy is ATP,

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which is produced by your mitochondria.

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Photobiostimulation,

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or high-intensity laser,

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is our sun.

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This light will

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penetrate deep into musculoskeletal tissues to stimulate the energy powerhouses of your cells.

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The other technique,

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pulsed magnetic fields,

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is water.

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They optimize the permeability of cellular membranes,

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facilitating the entry of nutrients and the elimination of metabolic waste products.

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By optimizing this cellular environment,

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we ensure that the fertilizer,

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PRP,

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and seeds,

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for example stem cells,

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have the necessary resources to transform biology at the solid tissue level.

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Finally,

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Once all this gardening has started to take hold,

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we're going to discuss the tutor,

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that is the powerful force of mechanotransduction.

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The primary technique for this is physical exercise or rehabilitation.

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It is therefore a crucial element that every expert in musculoskeletal medicine must place at the very center,

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the tutor.

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We can have the best soil,

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the best fertilizer in the entire world.

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If we allow a plant to grow without proper guidance,

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it will become fragile and quite disorganized.

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In the field of regenerative medicine,

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the crucial guide,

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the key factor,

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is movement.

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This is precisely the fundamental principle known as mechanotransduction.

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Your cells,

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whether in tendons or in bones,

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will only truly strengthen if they are subjected to mechanical stress.

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Targeted physical exercise acts as the tutor that carefully aligns the collagen fibers.

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This is what transforms a chaotic scar into functional and resistant tissue.

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Without a support,

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there is no structure,

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and your involvement is what gives the final direction to the healing process.

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In conclusion,

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treating a musculoskeletal pathology today,

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especially a chronic one,

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means shifting from the role of a repairman to that of an expert gardener with a whole series of tools at their disposal from digging to staking.

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So,

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by combining deep tissue work,

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shockwave therapy,

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PRP treatment,

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laser light and exercise support,

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we offer your body optimal conditions for natural regeneration.

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So,

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observe your structure,

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cultivate your movement and we'll see you very soon for a new episode.

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Join me again very soon for a new episode of the Vertebras and Cobra podcast.

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Meanwhile,

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take care,

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stay active,

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and if you ever have any questions for me,

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please feel free to contact us on the podcast page vertebrainko.com.