Benefit of knee surgery for middle aged or older patients 'inconsequential' says experts...

Over 700,000 knee arthroscopies are carried out in the USA and 150,00 in the UK each year on middle aged and older adults with persistent knee pain, but researchers are saying their findings do not supports arthroscopic surgery as a treatment for middle aged or older persons with painful arthritic knee or torn meniscus. Interventions that include arthroscopy are associated with a small benefit and with harms, and the benefit is markedly smaller then that seen from exercise therapy.

See what the researchers are saying about knee arthroscopies then schedule an appointment to discuss your chronic knee pain or painful arthritis with Dr. Andrew McMarlin. 

Why not use your body to heal itself?

Platelet rich plasma (PRP) is a great way to promote healing within your own body without the use of synthetic medications.

"One component of the blood stream is platelets. Platelets are cell-like particles that are smaller than red or white blood cells. These tiny platelets release a soup of growth factors at the site of injury. The help in the clotting process by sticking to the walls of the damaged blood vessels and plugging the rupture. The most important compound is PDGF or platelet derived growth factor, which causes stem cells (more on those in a minute) to be released from vessel walls and migrate to the site of injury. Physicians are able to take a small amount of a patient's blood, isolate and concentrate the platelets by spinning the blood in a centrifuge, and inject the growth factors they release directly into the injured area, where they promote the body's natural healing response."


How to Find the Right Running Shoe

The injury prevalence in runners is between 19-79% according to various research articlesOf these, 50% are related to the knee.  

Any way you look at it there is a HUGE percentage of runners who are currently suffering with a running related injury.  While the mechanisms of injury are unique to each situation and individual, no one can argue with the fact that having the right footwear can make all the difference to a new or veteran runner trying to avoid being sidelined by an injury. 

Check out the must read article at where Dr. McMarlin and other experts provide you with the ins and outs of picking the right running shoe for you.  Enjoy!

Can antibiotics cure chronic low back pain?

Researchers from the University of Southern Denmark recently found that almost half of the cases of chronic lower back pain they saw could be successfully treated with a three month course of antibiotics.  Several top European neurologists are calling the discovery a "turning point" in low back pain treatment. 

We will have to wait for additional research to replicate these amazing findings but for now, check out the link to this incredible story!     

New study says: Osteoarthritis could be treated with over the counter (OTC) drugs

The center for disease control (CDC) estimates that about 33% of adults over the age of 65 suffer with osteoarthritis pain.  The non-steroidal anti-inflammatory pain reliever celecoxib (known by the popular name Celebrex) is commonly prescribed to treat the associated pain and swelling.  

A recent study including 606 subjects in four different European countries, however, showed the combination of glucosamine and chondroitin to be just as effective as the prescription medication celecoxib in treating the condition.  This is important especially considering NSAID may cause negative side effects in some patients.

Check out the following link for more information on the study and as always, be sure to check with your health care provider to explore all of your options when it comes to osteoarthritis


Golden Nugget Raffle Winners

Below are the winners to the Golden Nugget SUP race.  Please call our office, 843-471-0375, to claim your prize.


Mike Deaton - Gift Card to Half-Moon Outfitters

Marielle Klapp - 3 month membership to 9 Rounds (West Ashley or Mt. Pleasant)

Mimi Franco - 1 month membership to Eco Fitness (Downtown Charleston or Mt. Pleasant)

David Jeffcoat - 2 free games of bowling to Sparians in Mt. Pleasant


Thank you to all who participated and the above Businesses for contributing.  Remember to call Winning Health for all of your musculoskeletal needs!

World Canoe/Kayak Marathon Championship

Press release about Dr. Andy McMarlin:

Local Sports Medicine Doctor Heads to the World Championships, Rises to Challenges and Changes of Role as Olympic Team Physician

Dr. Andy McMarlin of Winning Health Sports Medicine is in Oklahoma City this week as team physician for the USA Canoe & Kayak teams at the 2014 World Marathon Canoe/Kayak Championships. The US is hosting event at the newest US Olympic Team training center, The Oklahoma High Performance Center. 

“It feels great to be able to give back to the teams and to the country,” says Dr. McMarlin, who was the US Olympic pick in the double scull in 1996.  “I was part of that group of athletes for so long that was striving to be on the US Olympic team so it is really exciting to help the young athletes that are coming up.  The athletes have a wonderful energy that is great to be around.”   

Dr. McMarlin, who was formerly a team physician for professional sports teams like DC United Soccer and the Washington Nationals, says that being a physician for Olympic athletes has a number of challenges that doctors don’t encounter when covering pros.  For example, he says that “for pros there are very few things on the banned substance list, but for Olympians even for help with a cold or sinus infection you have to be very aware of the hundreds of different medications that are banned even though they have no performance benefit in most athletes.  Certain medications can be given in competition as long as it’s not such a high dose that will cause an excess of a certain amount in the athletes’ urine.  Just yesterday I was trying to figure out what dosage of a cold medicine wouldn’t result in exceeding that concentration in a kayaker’s urine based on her age, weight, and presumed kidney function and of course there are no clear guidelines on this.  In the pros you don’t have to worry so much about urine tests if you win the game.” 

Dr. McMarlin has covered a number of World Championship competitions before but this is his first time covering the Marathon events for the USA Canoe and Kayak teams.  He says “These are really amazing events. The kayakers and canoeists are racing these incredibly unstable boats for over 19 miles and every couple of miles they have to come to shore, carry their boats out of the water, run as fast as they can with the boats for several hundred yards, and get back into the water to race in the boats again.   I’ve never seen it before and I am very happy to get a chance to see these athletes do their stuff.”

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