Apoptosis is the process of programmed cell death. The process is controlled by a variety of factors both within and outside of cells. High dose steroids have been demonstrated to create cell death in muscles, bones, cartilage and ligaments. High dose steroids are commonly used to treat a variety of painful conditions which include rotator cuff tears, lateral epicondylitis, patellar and Achilles tendonitis, pes anersine bursitis, lumbar facet dysfunction and sciatica.
At the Centeno-Schultz Clinic we acknowledge the negative effect of high dose steroids. Our aim is to identify the source of a patient’s pain and provide a therapy which will attempt to repair the damaged tissue. Our treatments are not aimed at advancing the degenerative process or triggering apoptosis. Accordingly we use only very small doses of steroids when necesary and have a large number of regenerative therapies which promote healing: prolotherapy, platelet rich plasma (PRP), Regenexx SCP, Regenexx AD and Regenexx SD.