What is MRI?

What is MRI? What does MRI mean? Where did it come from? And, how does it work?

MRI is a complex topic to condense into layman terms, or to explain to your everyday patient, however, most of us want to know how it actually works.

We all know an X-Ray can show us solid bones within our muscles, tissue, and skin, but how can it be possible to scan the human body for disease, aging or injury?

A Radiographer can tell you what to do when having an MRI, what you may hear, or feel (the latter, you’ll be pleased to hear is – nothing!) but how long has this technology been about and what is it actually doing to your body?

Firstly, what does MRI mean?

MRI stands for Magnetic Resonance Imaging; a medical technology and technique that uses a powerful magnetic field, along with radio waves to form detailed pictures of the inside of the human body.

Where did it come from?

It is a comparatively modern technology, its beginnings only emerging during the year of 1946, discovered by Edward Purcell and Felix Bloch, who were later awarded the Nobel Prize in 1952. On 3rd July 1977, five long hours after the start of the first MRI test, the first human scan was made.

It was then predominantly used for physical and chemical analysis until in 1971, when Raymond Damadian showed that relaxation times of tissues and tumours were different, motivating scientists to use MRI to study disease – both groundbreaking and certainly the reason as to why you’re reading this article today!

How does it work?

MRI can be used to help diagnose or monitor medical treatment by forming pictures of the anatomy and the physiological processes of the body. Most of the anatomy’s tissues are made up of 70-90% water and the MRI method is based primarily upon sensitivity to the presence and properties of water.

The composition and amount of water in tissue can alter dramatically with disease or injury and MRI is the first to confirm this, highlighting unwanted changes that you can’t see from the outside.

Further to this, MRI detects subtle changes in the magnetism of the nucleus, the tiny entity that lies at the heart of the atom. It probes deeper than X-rays, which interact with the clouds or shells of the electrons that orbit the nucleus.

MRI is a non-invasive tool and painless procedure that lasts 15 to 90 minutes, depending on the size of the area being scanned and the number of images being taken. To avoid the images being blurred, the patient must remain completely still throughout the whole of the scan, similar to when you take a photo without autofocus on…

It can be used to examine almost any part of the body:

  • brain and spinal cord
  • bones and joints
  • breasts
  • heart and blood vessels
  • internal organs, such as the liver, womb or prostate gland

Some MRI scans even involve having an injection of contrast dye, allowing certain tissues and blood vessels to show up more clearly during the MRI procedure.

MRI technology is truly incredible – It’s an inner anatomy scan with no side effects to the patient and a quick and clear way of highlighting or monitoring disease, aging or injury.

Find out how we use MRI technology to transfer energy directly into the cells of the tissue we are treating to stimulate regenerative processes, here.

 

End of National Arthritis Week 2016

This week saw National Arthritis Day. With this in mind we decided to do a blog about Arthritis, more of a fact sheet about the disease compared to the more study orientated blog below this one.

First things first then. What is arthritis? Well there are two main types of arthritis, the inflammatory Rheumatoid Arthritis and the non- inflammatory Osteoarthritis. Arthritis can affect any joint. Before looking into these diseases we need to discuss a healthy joint and how it should work.

A joint is where two or more bones meet. The joints allow the bones to move freely but within limits to prevent injury. The ends of the bones are covered in a tissue called cartilage, this is very smooth and allows the bones to move against each other with very little friction. Surrounding the joint is synovium which produces synovial fluid, this lubricates the joint again reducing friction. The synovium has a tough outer layer called the capsule and it is this capsule along with ligaments that hold the joint in place and prevents the bones moving too much.

Rheumatoid Arthritis –
This is an autoimmune disease that causes inflammation in the joints, specifically the synovium. People who have this disease suffer from joint pain and swelling, there will also be redness and warmth on the surface caused by increased blood flow. The joint hurts for two reasons:
1. Nerve endings are irritated by the chemicals produced  by the inflammation.
2. The capsule itself is being stretched by the swelling in your joint.
Even when the inflammation reduces the capsule remains stretched and can no longer hold the joint properly. This is why the joint can become unstable and move into unnatural positions. Every time you suffer from inflammation of the joint some damage will occur and the joint can be worn away after many repeated inflammations.
Apart from the joint pain and swelling if you suffer from rheumatoid arthritis then your joint may become stiff, you may feel tired, depressed or irritable, you might feel like you have the flu, lose weight or suffer from anaemia.
There is no one way of diagnosing Rheumatoid Arthritis in the early stages. A health professional would diagnose based on your symptoms, x-rays, scans, blood tests and a physical examination. These tests may be carried out numerous times to see how the arthritis is developing.

Osteoarthritis –
This is again a condition that affects your joints. The cartilage that covers the ends of the bone to allow smooth movement at the joint gradually becomes rough and thin, this leads to the bone thickening. The bone can grow outwards forming osteophytes which are bony spurs. The synovium, which is the tissue that produces synovial fluid thickens and produces more synovial fluid to try to reduce the friction, this leads to swelling. The capsule and ligaments also thicken and contract as they try to stabilise and protect the joint.
When Osteoarthritis develops more severely, the cartilage can become so thin that it doesn’t cover the whole of the bone. This means that the bones will rub against each other and begin to wear away, this can change the shape of the joint.
The main symptoms of Osteoarthritis are pain , usually when moving the joint; stiffness, usually after rest, this will normally wear off as you start moving; swelling may either be soft caused by extra synovial fluid or hard which can be due to osteophytes; poor joint may mean you cannot use it as easily as normal, sometimes even giving way at times; muscles surrounding the joint may become weak.
To diagnose Osteoarthritis a health professional shall perform a physical check on the patient knowing which symptoms to look for. Also, diagnostic devices such as MRI and X-ray will show any degradation of cartilage.
Nothing specifically causes Osteoarthritis but there are many factors that can increase the risk of getting it. Osteoarthritis is more common in people in their 50’s and up although can occur at any age. Women are more likely to suffer especially in the knees and hands. Weight is an important risk factor, being overweight puts more pressure on your joints meaning you are more likely to suffer, especially in the knees. Joint abnormalities that you were born with can lead to an early onset. Some genetic factors can contribute to the likelihood of suffering, there is research currently going on to understand this more. Lifestyle plays a big part, either a very sedentary life or an extremely demanding one can lead to this. Finally, injuries are a major factor. If you have had a major injury or surgery on a joint then you are more than likely to have Osteoarthritis in that joint at some point.

There are a few things that you can do to help manage the pain from arthritis. One of the best ways is to strengthen the muscles around the affected joint(s). This will help with stability, protect the joint and reduce pain. Aerobic exercise is very important too, low impact exercises like swimming and tai chi can be beneficial but understanding which exercises are best for your problem is imperative, see a physiotherapist to find out which.
Reducing pressure on the joints might help, your footwear can help or hinder you here, soft thick soles are your friend. A walking stick when the right size and used correctly can help either short or long term. Slightly changing things around at home and at work to make it less of a strain to get to might be beneficial, maybe even driving an automatic car rather than manual. Knee braces and back supports can be very helpful, getting expert advice to get the right one for you should be taken first. Warmth and/or ice can help, remember to never apply either direct to the skin and only in 10/15minute cycles, i.e. 10mins on, 10 mins off. If you are overweight then losing weight will certainly help you too.

If you suffer from Arthritis in any form them please book an appointment with a health professional who specialises in treating these conditions such as a physiotherapist.

If you would like to know how MBST can be used to treat your Arthritis then please email me at charles@cell-regeneration.co.uk or call 01780 238084.

A look into studies suggesting MBST regenerates cartilage

There have been many studies and clinical trials into Osteoarthritis, Osteoporosis and other degenerative diseases and disorders of the musculoskeletal system and potential methods to try to alleviate the symptoms and even cure the underlying problems. Here I look into some of these studies with a particular focus on the potential use of MBST® for the treatment of patients suffering from Osteoarthritis.

Osteoarthritis (OA) is the main chronic joint disease with symptoms characterized by the destruction of articular cartilage in the joints, mainly knee, hip and hand. We all know that the OA diagnosis is rising significantly due to an ageing population as well as obesity. “Clinicians recognise that the diagnosis of OA is established late in the disease process, maybe too late to expect much help from disease-modifying drugs” (1). This suggests that we need to use other methods to treating OA. Diagnosing something like OA earlier will always be difficult as people put joint pain down to things like old age or it’s come from years of playing sport, sometimes it’s just because people don’t understand the potential severity in the years to come. We also still need better imaging and biochemical marker analyses. So when these problems do increase and they look for treatment, we need to look at other modalities to treat these patients.

Treatment of the pain and subsequent disability as main clinical symptoms of OA is often through the use of physiotherapy, pharmacological treatment (mentioned above) or surgical methods. Joint replacement is often seen as a last resort and the invasiveness leaves a number of contraindications and can occasionally lead to complications. Page et al suggested that physiotherapy “while not to be used as a stand-alone treatment, may be beneficial…although the research is not equivocal, there is sufficient evidence to indicate that physiotherapy interventions can reduce pain and improve function” (2). Again this suggests that we need to find other methods to not just treat the clinical symptoms of OA but to look deeper and see if we can cure the cause.

To make sure that any potential treatments are valid all studies need to be undertaken in double blind, placebo controlled, randomised conditions. In 2006 Kullich et al did a study into MBST® therapy – The effect of MBST®-NuclearResonanceTherapy with a complex 3-dimensional electromagnetic nuclear resonance field on patients with Low Back Pain (3) – to these conditions. During this study of 62 patients with chronic low back pain, were measured using Visual Analogue Scale (VAS) and Roland & Morris Disability Index (RM) at baseline, one week and three months. Each patient in this trial received one hour MBST® treatments for five consecutive days. “pain measurements using the VAS showed a distinct reduction in pain after active MBST® and placebo. The RM total score also improved significantly in both groups, but the improvement in both groups was more distinct in MBST® patients compared to placebo. After three months, the positive effect of MBST® on the RM total score was still significant (p<0.00001) whereas this was not the case for the placebo-treatment.” The large, significant improvements recognised in the MBST® group during the RM-questions were mainly focused around incapacities from low back pain for “sleeping problems, fatigue, bending ability and time required to get dressed” all very important contributions for quality of life. While this study was not scored using any scans the improvements felt by the patients were marked and personally beneficial.

There have been many double-blind, randomized and placebo controlled studies taken place to see the therapeutic effects of NMRT (Nuclear Magnetic Resonance Therapy) on OA on many different joints. Another study that we shall look at here is that of Kullich W and Ausserwinkler M (2008). They looked into the “functional improvement in OA of the hand after treatment with nuclear magnetic resonance. Rhematologia 20: 7-12” (4). In this study they used 70 patients (35 had the treatment, 35 were placebo), undergoing one hour of treatment per day for 9 days. To score the results they used VAS with the survey times at 0 days, 10 days and 180 days. Of the 35 patients in the treatment group, 34 returned after 6 months, one dropout due to change of location, and 25 returned to the placebo group due to the lack of success from the treatment. Kullch and Ausserwinkler deduced that “the treatment resulted in significant improvement in the physical function of the hand after 9 days NMRT which persisted after 6 months. Conversely, these functions deteriorated in the placebo group. Similar results for intensity and frequency of pain.” Again this study shows that MBST can dramatically help sufferers of OA.

I would like to bring your attention to another major joint affected by OA, the knees. Auerbach B, Melzer C (2003) did a study looking into this in “Prospektive Untersuchung zur Wirksamkeit der MultiBioSignal-Therapie bei der Behandlung der Gonarthrose. Z Orthop Ihre Grenzgeb 141.” (5) They took 60 patients that had been diagnosed with OA, 33 via arthroscopy and 27 from MRI, and applied MBST one hour per day for five days. To check the results they used Lequense index, WOMAC (A,B,C), Lysholm score and VAS to determine success on these sufferers of OA. 59 patients answered these questions before treatment, immediately after treatment, 8 weeks post and finally 6 months post treatment, Auerbach et al used the Wilcoxon test to statistically analyse the results. When using all the mentioned testing methods, 6 month post treatment scores were highly improved on baseline testings. In fact, each test period saw an increase in scores. They concluded that “MBST succeeded for a period of 6 months a significant pain reduction (VAS rest and stress pain, WOMAC part A) an improvement in knee function (WOMAC part C, Lysholm score, Lequense index) and reduction in stiffness (WOMAC part B).

Frobose et al undertook a study to see how MBST could affect cartilage regeneration, in this study they had 14 patients undertaking one hour of MBST on consecutive days for 9 days, with a break for the weekend. MRI’s were taken immediately before the first treatment and 10 weeks post last session to see the structural changes of the cartilage. After the 10 week scan “results clearly show that there is distinct growth in respect to the cartilage structures after the treatment” (6) this is arguably the most important result out of all the studies.

These four studies all concur that MBST NMRT, has improved patient’s quality of life in relation to OA in a variety of joints.

As well as seeing the benefits to patients on a personal level we must also know what is happening at a cellular level to know why this is happening. In 2005 a study was undertaken to see what effect NMR had on cell proliferation, cellular apostosis and the viability of human chondrocyte and osteoblasts. This study by Temiz-Artmann et al lasted 19 days, 9 days having one hour of treatment per day and then a cell count used after 10 further days. The study was undertaken of course in a controlled, double-blind, randomized manner and they used commercially viable human cell lines. After 10 days NMRT “did not induce apostosis or inhibit cell viability but revealed a tendency of an elevated cell proliferation rate” (7). Also, Steinecker-Frohnwiesser et al tells us that NMRT induced changes in the modulation of signal transduction pathways involved in cartilage degeneration, possibly causing the observed pain reduction in clinical trials (8)

Mechanical stress on crystalline structures generates electrical activity, this has been known for decades now. The electrical signals generated by this stress cause the transport of electrical molecules in and out of cartilage structures and have a positive influence on the metabolism of said structure and cause changes. These changes occur due to the collagen structures in cartilage tissue aligning according to the energy lines of the magnetic field (Liu et al, 1996) (9) as well as the stimulation of metabolism causing positive stimulation of nutritional balance and inhibition of cell degradation. We also know that the use of NMR causes augmentation of DNA synthesis in the cartilage of up tp 20% and augmentation of collagen production up to 300% according to Rothschild (10).

Finally, although we know that clinically MBST has been proven to regenerate cartilage we also need to know underlying mechanisms how MBST leads to pain reduction, cell growth and viability of interleukin IL-1ß stimulated chondrocytes. Steinecker-Frohnweiser et al did this research and found that “inhibition caused by IL-1ß was more pronounced in the absence of NMRT stimulation” (11).

There are many more studies that are available on MBST and magnetic resonance for therapeutic use. If you would like to read these or the references used here then please ask us and we will be happy to pass these on. Some papers are only in German but all the ones used here are in English or are quite easy to get an English translation.

References:

  1. 2011 Jun 18;377(9783):2115-26. doi: 10.1016/S0140-6736(11)60243-2. Osteoarthritis: an update with relevance for clinical practice. Bijlsma JW1, Berenbaum F, Lafeber FP.
  2. Int J Rheum Dis. 2011 May;14(2):145-51. doi: 10.1111/j.1756-185X.2011.01612.x. Physiotherapy management of knee osteoarthritis. Page CJ1, Hinman RS, Bennell KL.
  3. Kullich1, H. Schwann2, J. Walcher2, K. Machreich2 2006 Dec.   The effect of MBST®-NuclearResonanceTherapy with a complex 3-dimensional electromagnetic nuclear resonance field on patients with Low Back Pain
  4. Kullich W, Ausserwinkler M (2008) Functional improvement in osteoarthritis of the hand after treatment with uclear magnetic resonance. Orthopädische Praxis; 44: 287-290.
  5. Auerbach B, Melzer C (2003) Prospektive Untersuchung zur Wirksamkeit der MultiBioSignal-Therapie bei der Behandlung der Gonarthrose. Z Orthop Ihre Grenzgeb 141.
  6. Evaluation of the effectiveness of three-dimensional pulsating electromagnetic fields of the MultiBioSignal Therapy (MBST) in respect to the regeneration of cartilage structures Froböse, I1; Eckey, U.1; Reiser, M.2; Glaser, Ch..2; Engelmeier, F.3; Assheuer, J.4; Breitgraf, 5; & Muntermann, A.5
  7. NMR in vitro effects on proliferation, apoptosis, and viability of human chondrocytes and osteoblasts. Temiz-Artmann A1, Linder P, Kayser P, Digel I, Artmann GM, Lücker P.
  8. Steinecker-Frohnwieser B, Weigl L, Höller C, Sipos S, Kullich W, et al. (2009) Influenve of NMR therapy on metabolism of osteosarcoma- and chondrocarcoma cell lines. Bone 44: S295.
  9. Liu, H., Abbott, J., & Bee, J. A. (1996) Pulsed electromagnetic fields influence hyaline cartilage extracellular matrix composition without affecting molecular structure. Cartil., 4: 63-76.
  10. Rothschild, B. (1996) Cartilage as a target organ in arthritis: New approaches. Ther., 22(11): 727-730.
  11. The Influence of Nuclear Magnetic Resonance Therapy (NMRT) and Interleukin IL1-β Stimulation on Cal 78 Chondrosarcoma Cells and C28/I2 Chondrocytes Steinecker-Frohnwieser, Ludwig Boltzmann Institute for Rehabilitation of Internal Diseases, Ludwig Boltzmann Cluster for Rheumatology, Balneology and Rehabilitation, Saalfelden, Austria; scientific lecture at the Scientific Symposium: Microbiome Research / Personalized Medicine, Graz, Austria, 17th – 18th July 2014.*

I am not a Physiotherapist. I am not a Doctor, I am not a Scientist. Who I am and why I do what I do.

As MBST becomes more and more known, the comments from people who like to challenge also grow. Most recently comments on me and my capabilities.

Firstly I would like to express how I feel that network marketing companies should not allow their consultants to be allowed to say how they are health professionals, lifestyle coaches or business coaches as these individuals have not studied or at least have experienced enough to claim such titles. Nor do I agree with business coaches who approach businesses to coach and have not had many successful business under their belt. Therefore I am not about to tell you I am a health professional and you should buy medical machinery from me.

What I am to tell you is that I am lucky enough to work with MBST and have done for 5 years seeing its effects on hundreds of patients and I am passionate in knowing that it really is something that health professionals should be considering for the future. Already PEMF is being talked about and MBST’s capabilities blows it out of the water. We already see the science of MBST therapy – MRT working in communicating to a cell through MRI. Once it is understood by the right people the opportunity for the future and quality of life for an individual is exciting.

I am lucky enough to work with some of the best health professionals and scientists in the world, everyone has their own story, everyone has their why.

Mine starts with being a daughter to a Mother who has dedicated her life to her patients through Physiotherapy. From as long as I can remember I would spend my school holidays at my Grandfathers house where my Mother held her first Physiotherapy practice . Then after my Grandfather died Mum set up in our family home, to then today where she is now joining my brother and I in our MBST centre.

I want to state now this is not my attempt of an X factor story…

Physiotherapy and its impact for me as a child made it so my mother was not around as much as others it seemed. Mainly because Mothers’ service was her. The more Patients she saw the more income for us as a family. Especially when my Father was made redundant it was my Mother he looked after us as a family.

It did help that with Mum’s natural desire to care for people she was always and is so upbeat and happy.

I went to a very good school, top 25% in the country good school (not that you could tell from my grammar, punctuation and sentence structure nowadays), then I went on to University thinking I wanted to work in the media. I suppose for me I did not want to be a physio as I lived and breathed it so much as a child that I saw how it can take you away from your family and I didn’t want that for me. I have always wanted to be in a position that I know all I ever wanted was my own company so I could design my life. That thought and feeling was there and it niggled at me for years whilst I worked in corporate world.

I remember when I met the MBST technology for the first time. I came home from university one Christmas and Mum had this massive bed with a dome on it where the dining room table had been pushed back to make space. After the initial what the hell is that?! where are we going to eat Christmas dinner question came. Mum told me about how it was doing things for her patients that she was never able to do. She then progressed to show me letters and cards from patients thanking her, some even calling her an angel that she was able to get them better to a degree was never thought possible. Some even called it a magic machine. When in fact all it is, is science.

That was 2007. Time passed and I grew up going through life experiences. I had a privileged up bringing. We were never rich by any means but my parents worked together to enable Charles and myself to have within reason what we wanted. After university I was an Events manager for the UK’s biggest newspaper group. I enjoyed the job of putting on the events. But after one or two it got tedious and office politics was horrendous. It was the time of the recession and people around me were being redundant. I did not like the whole structure. I felt trapped as how my life seemed to be influenced on a decision of someone else. Instead of throwing in the towel of just 2.5 years of working life and not having any other options I looked to get a job in digital marketing with Europe’s biggest media company. I got the job and spent three years working across 34 diverse brands. Something was always missing and again being dictated to in the corporate world was not for me. I had quite a bit of anxiety. Living for the weekends and holidays over took my life. I spent more money than I could afford….

Then came a turn in life. April 16th 2011. Two friends of mine were shot dead in America and it was all over the world press. Seeing your friends and their families in so much pain over something so dark and mean was incomprehensible. What this did to me after a month being in a state where I did not want to talk to anyone nor did I want life to go back to normal was it made want to  take my own life by the horns.

At this point in life my only certainties were.

1)Mum was a well respected physio had this technology that was bringing to her practice more patients but also more hours.

2) Love, friendship and family is stronger than anything in this world and meant more than anything in this world.

3) Life fucking matters

4) I did not feel the sales of magazines or the listeners in radio made me feel like I was doing something great in my life that had substantial meaning.

5) MBST was a technology that actually worked enabling people to be painfree and more mobile without stressful operations and the shit you get with taking medication.

Mum had always said to me that the reason for her passion about MBST was not only for her patients but she so dearly wished that she had had MBST before her Father, my Grandfather had to have his double knee replacement. After the knee replacements he only had continuous health problems that led to his death. We were having lunch together and talking about life and I said to mum. “You don’t have to work such long hours anymore, people need to know about how MBST can help them on such a larger scale. It should be made available to all and we can do it.”

Our MBST centre was opened just 6 months later. November 2011.

Life throws things at us which yes makes us more determined, gives us action. Why can’t we just action things without the need on being reminded? Change and development is good for us. More things are possible then we first realise but sometimes we really have to be pushed.

Life now. I have had my MBST pilot centre for 5 years and it has touched a lot of peoples lives for the better. The company behind MBST itself is massively growing and winning awards. MBST is growing worldwide and for some reason in the UK it seems a little trickier to be accepted then anywhere else. There are 6 MBST centres in the UK. The technology itself is developing and has a ground breaking future in science and medicine.

What I wish for now is that more and more physios and health professionals see for their own eyes what MBST can bring to their work. To welcome the claims, to read the studies, to ask questions. All I have ever wanted is for MBST to be available for all. At the moment it is my family and the other physios who are passionately working with MBST in the UK leading it forward.I want to create a network across the UK with health professionals trusting the technology more and more on their patients. People themselves deserve other options.

Even if no-one reads this. It feels good for me to write this down. Thank you.

One-year-survey with multicenter data of more than 4,500 patients with degenerative rheumatic diseases treated with MBST

Abstract.
BACKGROUND AND OBJECTIVES: Nuclear magnetic resonance (NMR) has been shown to stimulate repair processes and cartilage and to influence pain signalling. It represents an alternative therapy for patients suffering from osteoarthritis (OA). To prove the clinical success of this new therapeutical method, validated measuring parameters are important that are convincing for pain and function in a one-year-follow-up.
METHODS: During the course of its application over the last 10 years, over 4,500 protocols of a one-year-follow-up have been collected to record the outcome of NMR therapy. This report reflects the outcome of NMR therapy on patients with the following degenerative rheumatic diseases: OA of the knee (n = 2.770), OA of the hip (n = 673), OA of the ankle joint (n = 420) and chronic low back pain (n = 655). Data were collected at baseline, 6–8 weeks and 6 and 12 months following NMR treatment. RESULTS: Pain was reduced significantly 6 weeks after NMR treatment in the cases of all four examined indications and stayed measurably reduced up to 6 and 12 months. The improvements in all three forms of pain (pain on load, pain on motion, pain at rest) following NMR treatment were around 21–50% on average.
CONCLUSIONS: Following therapy with NMR, patients with OA of all four types experienced a distinct improvement in their ability in functional parameters. Overall, the 10 years of a one-year-survey with multicenter data gathered on the effect of NMR therapy on patients verifiably proved its efficacy amongst patients with degenerative rheumatic diseases.

For full study please visit the new MBST UK resource centre. http://www.mbst-therapy.co.uk/document-year/2013/

Why would a PhD student quit to pursue a career in physiotherapy?

Whilst studying Biomedical Materials Science at University I learnt a lot about how various materials can be implanted into the body to help treat many different conditions. One of the main areas I studied was total joint replacements, particularly total hip replacements. During this time I observed a number of hip replacement operations and researched a potential new material for the hip implant to be made from. After graduating in 2015 I went on to start a PhD researching various implant types. However, whilst going into further study I started to become disillusioned with my research and knowing about the problems which implanting materials can cause I wanted to stop patients getting to point at which surgery is needed. I feel studying physiotherapy and going on to be a physiotherapist, will enable me to treat the initial injury to the extent surgery will not be needed. In addition, I have an interest in many sports, so the treatment of sports injury is appealing to me. I am also intrigued by modern technologies such as Magnetic Resonance Therapy (also known as MBST), which enables patients with conditions such as osteoarthritis to make a full recovery without surgery1 and also to aid the recovery of sport injuries.

There are many problems and risks associated with the surgery and having a foreign material implanted into the body. There is no surgery which is completely risk free, so it is important to know the risks before undergoing surgery. Common complications during surgery are infection, bleeding and with anaesthesia2. There are also many problems just associated with implants. Joint replacement implants do not last forever within the body, and will have to be replaced eventually. They have a lifetime of around 15-20 years due to damage sustained by the wear and tear of everyday usage3. Therefore, having a joint replacement at a young age means there is a likelihood of further surgery or even multiple further surgeries. Because the material used has different properties from the surrounding bone, the material often is stronger than the bone. This means the load created by walking and standing etc. is taken more by the implant than the bone. As a result the bone is no longer being loaded so it loses strength4 and because of this the implant may then displace. The implant within a joint replacement may also leach toxic ions5 and wear debris6 can be formed causing necrosis of surrounding tissue, leading to inflammation or displacement. Usually when these complications occur corrective surgery is required.

Despite the problems there are circumstances where the benefits of surgery outweigh the risks. According to the NHS the most common reasons for a hip replacement are osteoarthritis, rheumatoid arthritis and hip fracture7. However, many of these issues are often rushed into surgery, when they may be resolved by using MBST, particularly those with osteoarthritis.

Additionally, the conditions mentioned above can be misdiagnosed. For example, the diagnosis of hip abnormality can be confusing8. Clinical observation of hip pain is important and should not be replaced by MRI9. This is because a hip abnormality can be found in patients with no hip pain with an MRI. In most circumstances if an abnormality is detected in an MRI then surgery may be advised, leading to unnecessary hip joint surgery. The symptoms of hip pain and spinal stenosis leg pain are very similar with only subtle differences. The use of MRI in this scenario can result in a false positive diagnosis of spinal stenosis, therefore leading to unnecessary back surgery when the problem was with the hip10.

Additionally, patients are often rushed into deciding whether to have surgery or not without having been given the necessary materials to learn from. Therefore, these patients do not know about other options available to them and think that surgery is the only way forward11,12. These two factors combined can lead to a confused patient having the incorrect or unnecessary surgery performed leading to suffering and further problems, which should have been avoided.

In my opinion I think that surgery should be the last option due to the potential issues it causes. Therefore, other avenues for treatments should be explored such as regular physiotherapy and alternative medicine. MBST is a great potential tool for patients to avoid surgery and fully recover.

1) Kullich, W., Overbeck, J., Spiegel, H.U. (2013) One-year-survey with multicenter data of more than 4,500 patients with degenerative rheumatic diseases treated with therapeutic nuclear magnetic resonance, 26(1), 93-104
2) Jennifer Whitlock, RN, MSN, FNP-C. 2016. Understanding the Risks Involved When Having Surgery. [ONLINE] Available at: https://www.verywell.com/understanding-the-risks-involved-when-having-surgery-3156959. [Accessed 19 July 2016].
3) Bonesmart. 2016. Durability of Hip Implants: How Long Do Hip Replacements Last?. [ONLINE] Available at: http://bonesmart.org/hip/durability-of-hip-implants-how-long-do-hip-replacements-last/. [Accessed 19 July 2016].
4) Huiskes R1, Weinans H, van Rietbergen B., (1992), The relationship between stress shielding and bone resorption around total hip stems and the effects of flexible materials. Clin Orthop Relat Res. (274):124-34
5) Valerio Sansone, Davide Pagani, and Marco Melato, (2013) The effects on bone cells of metal ions released from orthopaedic implants. A review Clin Cases Miner Bone Metab. 10(1): 34–40.
6) Ingham, E., Fisher, J. (2000) Biological reactions to wear debris in total joint replacement, Journal of Engineering in Medicine, 214(1), 21-37
7) NHS. 2015. Hip replacement. [ONLINE] Available at: http://www.nhs.uk/Conditions/hip-replacement/Pages/Introduction.aspx. [Accessed 19 July 2016].
8) Marc Darrow MD, JD. 2016. Confused diagnosis: Is it hip or back pain. [ONLINE] Available at: http://prolotherapyinstitute.com/hip-pain-options/misdiagnosed-hip-pain/. [Accessed 19 July 2016].
9) Keeney JA, Nunley RM, Adelani M, Mall N. Magnetic resonance imaging of the hip: poor cost utility for treatment of adult patients with hip pain. Clin Orthop Relat Res. 2014 Mar;472(3):787-92
10) van Zyl AA, (2016) Misdiagnosis of hip pain could lead to unnecessary spinal surgery. SA orthop. j. vol.9 no.4 Pretoria
11) Umapathy, H., Bennell, K., Dickson, C., Dobson, F., Fransen, M., Jones, G., Hunter, D.J. (2015) The Web-Based Osteoarthritis Management Resource My Joint Pain Improves Quality of Care: A Quasi-Experimental Study. J Med Internet Res. 7;17(7)
12) Stacey D, Taljaard M, Dervin G, Tugwell P, O’Connor AM, Pomey MP, Boland L, Beach S, Meltzer D, Hawker G. (2016) Impact of patient decision aids on appropriate and timely access to hip or knee arthroplasty for osteoarthritis: a randomized controlled trial. Osteoarthritis Cartilage. 24(1):99-107.

Sam Evans.

Painkillers bring professional footballer’s career to an early end

“I have taken too many painkillers in my career.”
Former Liverpool and Denmark defender Daniel Agger retired from professional football last month and his explanation for this is very worrying. At just 31, he retires citing health issues due to taking painkillers throughout his career. He told press that he took painkillers for 10 years as a professional footballer, bordering on addiction which led to him blacking out in his final appearance for boyhood club Brondby.
On the team coach en route to what turned out to be his final match, Agger took arthritis pills and a caffeine drink to dull the pain and increase energy levels, he got substituted off less than 30 minutes into the first half and then blacked out and says he remembers nothing of the first half of the game.
Athletes taking painkillers is not a new phenomenon, even Sunday league players I know will take painkillers and anti inflammatorys before they play to dull aches and pains they already have and in case they receive a bad tackle, in their minds this is a good idea. It is not. If you are in pain then there is a reason for that and you need to find out what it is, dulling the pain will increase the risk of further injury and long term use can lead to serious problems in the future. With the stakes in the professional game so high this can go even further.
Agger, who made 232 appearances for Liverpool, summed things up with his experiences upon retirement declaring “I’m done with this circus.” It doesn’t take much effort to realise that the circus he is referring to is that of a culture where taking painkillers is rife. From our position, working with professional athletes who are recovering from injury, we have seen some shocking abuses of painkillers before we start treatment, players who are given strong painkillers before games and at half time to get them through the match with the injury getting worse and the player unable to walk for days between games and no training possible.
This not only potentially leads to shorted careers, as seen here with Daniel Agger, but it can lead to complications later in life as the tissue gets more and more damaged.
Professional athletes and the general public need to be aware of the potential damage caused by masking pain and not seeking out answers of what is causing this pain and then getting that treated. MBST acts by treating the cause of injury and pain at the cellular level. After accurate diagnosis of the problem we can selectively act on that specific tissue in that specific body area to regenerate the cells to solve the problem.

If you are masking pain with painkillers then please look to do something about it now and find out the root cause of the problem and we can help you. Call us on 01780238084 and let us help you be pain free without medication.

Hip replacements on the rise for under 60’s

Over the last few weeks a couple of news stories have come out that have caught my eye regarding hip transplants. One I view as good and progressive, to an extent, and one that I do not. We’ll start with the good story!
Edith Varley of Leicestershire, turned 104 in December then just 2 weeks later she undertook a full hip replacement operation. The new Guinness World Record holder, taking over from 102 year old John Randall, said she was “delighted with the success of the surgery and so grateful to Mr Power and his team”. This is a lovely story as the surgery that was undertook has been a fantastic success that allows Mrs Varley to have a greater quality of life, as she said the pain before had been dreadful for a long time. It also shows the advancement in surgical and anaesthetic techniques allowing this to be performed successfully and safely.
While this story itself is a great success it highlights that a large number of people cannot undergo these operations due to ill health. A hip replacement is a major operation and a patient must be fit and well enough for the operation to go ahead. Mrs Varley’s family were actually told that there are people in their 60’s who are not as fit as her. If these people are not fit enough to have a replacement then they are facing decades of pain and suffering with such a reduction in their quality of life.
For these people and millions of others, there is an answer though. MBST. While we haven’t yet treated a centenarian, the oldest has been 95 so far, we do treat a number of patients who have been told by their consultant that they are in too ill health to undergo the procedure required to alleviate their pain. As MBST is non-invasive people can undertake the treatment without the need for anaesthetic or medication. We see a lot of patients come to us as they have been told they cannot have a replacement joint because of their health or age and have undergone MBST to wonderful results being mobile and pain free again.
The next story is rather different and focuses on another side of the age spectrum and the alarming number of younger people having joint replacements, again focusing on hips.
The NHS released figures showing that the number of hip replacement operations on people under the age of 60 has increased by a massive 76%!
The statistics were taken from 2004-05 and 2014-15 and the 10 year old numbers show us that there were 10,145 hip replacements in England were as in 2014-15 there were 17,883.
There seem to be two main reasons for this huge rise in numbers, one seems to be technological advancements, where replacements in the past were only expected to last around 15 years, new technology suggests they may last longer, this leads doctors being more confident that the replacements will last around 20 years and the second replacement (can only do this once) should see the patient through for a much longer time than previous. The lifetime of a replacement does always depend of course on the recipient and how they look after themselves and the joint. Do not get me wrong, joint replacements on the whole are successful and really do improve the quality of life for most patients that undergo them, just are they always the right option at this time for this patient.
The other suggestion is that people are less willing to wait. In the world today people just want things done now, while there are people that are still being turned away as they don’t require the procedure for now, if they get offered it they seem more willing to do so. Whether or not these people fully understand the risks involved in the short or long term is unknown from this study.
Other suggestions too have been made, such as maybe osteoporosis is becoming more common in younger people, although studies would be required to investigate this. Also, having a joint replacement isn’t seen as a taboo as it may have done in the past.
There are mounting concerns around this trend of younger people having replacements aside from the risks that might occur to the individual having a new hip. One of which is extra financial strain on the NHS, each hip replacement costs the NHS £10,000 so in 2014/15 the NHS spent £1,788,300 directly on hip replacements for people under 60 years of age, not including after care. Also, there are a finite number of prosthetics available, with rising numbers of under 60’s undertaking joint replacements and the aging population and also the available number of surgical hours, demand will overtake supply. There is no sign currently on these numbers dwindling, luckily there is a solution.
MBST has been proven to stimulate regrowth of cartilage, negating the need for osteoarthritis related joint replacements in many cases. While sometimes surgery is necessary, many patients would benefit from MBST to non-invasively, side effect and pain freely return to their chosen lifestyle without the need for any recovery time or surgery. All of our patients who work, don’t require any time off work which for self-employed people especially, but not exclusively is imperative, they also continue to or return very quickly to their chosen hobbies and sports.
If you or anyone you know is considering a joint replacement, maybe they could look for an alternative and undertake MBST instead for all joint conditions and many more.
Call 01780238084 or email charles@cell-regeneration.co.uk

National Osteoporosis Day. Facts, figures and information about Osteoporosis

50% of women over the age of 50 will suffer from fractures related to Osteoporosis. 50%! 1 in 5 men, 20%, over the age of 50 will also suffer from Osteoporosis related fractures. Currently, according to the National Osteoporosis Society, an Osteoporotic fracture in over 50’s occurs every 2 minutes in the UK.

So, what actually is Osteoporosis then? Literally it means “porous bone”, to fully understand this we need to know more about the makeup of bone itself:

Bone is made up of an outer shell called the cortical bone and an inner mesh of trabecular bone. This inner mesh looks a bit like a honeycomb. Bone is alive and is constantly changing. Bone ages and becomes worn, this worn born is then broken down by Osteoclasts. This broken down bone is replaced by cells called Osteoblasts. This is called bone turnover and is constantly happening. In a child this turnover for the whole body is completed in 2 years. In adults this takes between 7 and 10 years. When we get older, typically around the mid 30′s this production of Osteoblasts slows down meaning bone gets broken down but not rebuilt, leading to less bone mass and eventually Osteoporosis. This speeds up even more for women following menopause.

One of the big problems with Osteoporosis is that is rarely diagnosed before damage has been caused and is known as a silent disease. 1 out of 5 female sufferers don’t receive diagnosis until they have received at least 3 fractures.

Osteoporosis delivers a huge cost at the personal level, 30% of women who suffer a hip fracture will die within a year. 10% of women over 55 who enter hospital with an OP fracture die while being an in-patient, this is around 6,000 women. There is also a huge financial cost. We know that the NHS is struggling financially and OP related fractures cost a lot to fix. The estimated cost to the NHS, for hip fractures alone, is currently at £2billion per year, or £5million per day. Estimates suggest that the number of hip fractures will rise by 100% over the next 35 years

As I explained earlier, age and gender is a huge contributing factor to having Osteoporosis, there are other factors that can make you more or less at risk: Women who have had their ovaries removed will be higher risk. If you have been on steroids for more than 3 months this will increase the chances of developing OP. Genetics is a factor to consider, has anyone in your family history suffered from Osteoporosis? Heavy/long term drinkers and smokers – the toxins in these prevent your body from being able to mineralise bone. People with eating disorders such as bulimia and anorexia are likely to develop OP. This can be a serious problem with young people. Exercise is very important to help prevent OP developing, especially body weight exercises.

So, what can we do to help ourselves not develop or at least delay and reduce the effects of Osteoporosis? We can’t change our genetics, or health problems but there are things we can do: We can reduce the amount we of alcohol we drink and quit smoking, this will not only help with OP but health and bank accounts too. Reducing alcohol intake also reduces the chances of falling which can lead to a break. My last point above regarding people at high risk ended with lack of exercise. Body weight exercises are important as they exert pressure and helps them become and remain stronger. Running, dancing, aerobics or less intense exercises such as walking and Tai-Chi are great ways to do this. Try for at least half an hour a day. Cycling and swimming while not weight bearing are still good exercises to undertake. As always, consult a doctor before beginning any new exercise program.
Diet is extremely important to make sure we are getting the correct minerals to create and maintain healthy, strong bone. Eating plenty of leafy green vegetables such as kale, spinach and broccoli, swede, almonds, fortified milks, tahini and tofu are great, healthy ways to get calcium into your diet which is important for bone growth. To make the calcium worthwhile we need Vitamin D, the best source of Vit D is from the Sun. If you don’t get enough sunlight then supplements can help as can increasing the amounts of fortified cereals and plan milks.

Current drugs just slow down the breakdown of old, worn bone. So while the bone density is decreasing at a slower rate, the bone that is left is of poor quality.

If you would like to know more information about Osteoporosis and how we can increase your bone density then please contact me at charles@cell-regeneration.co.uk or call 01780 238084.

How can you incorporate MBST into your clinic?

mbst cart study pics

MBST is available privately for healthcare professionals within the UK. Currently, leasing contracts are available for the devices.

MBST fits in with a professional practice as it requires the correct diagnosis by the health professional, in some circumstances scans MRI,X-Ray or DEXA scans are required.

MBST uses Magnetic Resonance Therapy in order to communicate to the hydrogen protons just in the same way as MRI scanners. However, with MBST we are adding a third magnetic field which, using Larmor frequency, allows us to transfer energy to the correct tissue. The frequency alters due to which tissue we are trying to communicate to. With MBST we can currently treat cartilage, bone, ligaments, tendons and muscles. For further details of how MBST regenerates cells please view here http://mbsttherapy.co.uk/index.php/2015/08/12/how-does-mbst-regenerate-cells-a-basic-understanding/

MBST allows us to regenerate cartilage for the treatment of cartilage tears and osteoarthritis. For a report on a number of clinical trials and studies on MBST with cartilage please see- http://mbsttherapy.co.uk/index.php/2015/05/13/a-look-into-studies-suggesting-mbst-regenerates-cartilage/

MBST also increases bone density. This means that it is great for speeding up recovery times for fractures and is also used as a treatment for osteoporosis. For a report on a number of clinical trials and studies on MBST with bone please see- http://mbsttherapy.co.uk/index.php/2015/07/28/a-look-into-studies-suggesting-mbst-increases-bone-density/

MBST is the only treatment currently on the market which works at the cellular level http://mbsttherapy.co.uk/index.php/2015/09/01/mbst-the-only-treatment-working-at-the-cellular-level/

An assessment must be undertaken prior to MBST treatment. Then a course of MBST is carried out. There are elements of after care required for each individual as everybody reacts differently in regards to how quickly the treatment works for them.

Seeing the patients after 3 weeks, then 6 weeks, then 3 months and then 6 months after treatment allows for us to see progress and adjust any aftercare and exercises to achieve the best end result possible. MBST is not a miracle cure (else there would be a queue outside of my door) it takes time and cooperation with the patient. I tell all patients not to expect anything drastic for 10 weeks. A lot will see improvements (especially if it is a reaction to injury) even within the treatment time, often these improvements are reduction in pain and stiffness. Those with long standing problems of the hips for example might sometimes take a longer time to see the benefits. One lady took 8 months to feel consistently good every single day. Everybody has different recovery rates.

MBST allows you to do a job further then you have ever been able to before by working at the cellular level. Giving your patients a non invasive therapy which will lead to pain relief and increase in mobility like never before.

If you would like to be considered for MBST in your health centre whilst we widen the MBST network within the UK like the rest of Europe has. Then please get in touch. Liz@cell-regeneration.co.uk 01780238084