Full Transcript Introduction: Why Knee Replacement Isnu2019t the Whole Story 0:00 Somebody told you that your knee replacement is just a matter of time. 0:04 Maybe it was your orthopedic surgeon. 0:06 It was a well-meaning friend who just had the surgery done themselves. 0:09 Or maybe it's the radiologist's report that was sitting in your inbox that had words like significant joint space narrowing and advanced degenerative changes. 0:19 And part of you believed it, because why would a doctor say it if it wasn't true? 0:23 Here's what I want you to know before this video is over. 0:26 That story. 0:27 The one where your knee is just worn out and the surgery is the only logical ending? 0:32 It's not the whole story, and in a lot of cases, it's even not even the right story. 0:37 My name is Dr. 0:38 Gayan Puvendran. 0:39 I am a medical doctor, I specialize in sports and regenerative medicine, And for the last 15 years I have helped thousands of golfers conquer their knee 0:47 pain without resorting to surgery. 0:49 Now in this video, I am going to show you exactly what actually works to protect your knee, slow that damage, and in many cases, 0:56 buy yourself years if not a lifetime of golf without having to go under the knife. 1:02 I'm also going to tell you a story of one of my patients whose experience genuinely stopped me in my tracks. 1:08 And by the end of this video, you will also have one specific thing that you can start doing today that changes the environment inside your knee, 1:15 not some day today. 1:17 Now, before we get into it, if you want something that can actually use before your very next round, I have put together a free five minute warmup guide
The Typical Knee Pain Journey and Conventional Treatment 1:25 specifically for golfers with knee pain. 1:27 We call it the Ready for Teoff Guide and you can grab it right now at ReadyForTeoff.com. 1:32 It is free. 1:33 No strings attached. 1:35 Just go get it and come back. 1:36 I'll be right here. 1:37 Here's what the typical story with a patient with knee pain looks like. 1:41 Your knee starts to bother you. 1:42 It's not dramatic, it's just a dull ache after the round. 1:46 Maybe some stiffness in the morning and it takes a few minutes to walk it off. 1:50 You figure, hey, its part of the game, right? 1:52 I'll just push through it. 1:53 So you tape it up where you put a brace on and you pop a couple of ibuprofen and get on with it! 1:58 It's Saturday, right? 1:59 Then, one Saturday it starts getting loud enough that you actually want to do something about it. 2:04 So on Monday, you call the orthopedic surgeon, and you book an appointment. 2:07 You're in the office for two hours waiting. 2:09 He is in and out of your visit in about 10 minutes. 2:12 Do you get an x-ray? 2:13 You get told that have arthritis or osteoarthritis, which just means that the cartilage inside your knee is starting to thin out. 2:21 And you'd get a prescription for physical therapy and get cortisone injection. 2:24 Now, cortisone is a powerful anti-inflammatory drug and that can quiet the pain down fast. 2:30 And it works for a few weeks at least. 2:33 Maybe six weeks, maybe eight weeks. 2:35 You feel like yourself again. 2:36 So then you go play a couple rounds and you feel great and think, oh man, we got this, crisis averted. 2:42 Then it comes back, right? 2:44 You go back in, you get another shot and rinse and repeat and your still doing the exercises that the physical therapist taught you. 2:53 you go back to the surgeon's office and he starts throwing around the word surgery. 2:58 And not just any surgery, he's talking knee replacement. 3:02 They are going to cut out the surfaces of your knee joint and replace them with metal and plastic. 3:10 Is this really where we are right now? 3:12 Now, here is what nobody in that office is going to tell you. 3:16 There is a substantial window, especially if you have real cartilage left where things like regenerative medicine can change your trajectory. 3:25 Now we're not talking about just managing symptoms. 3:28 What we are talking is actually working with your body's own biology to slow the damage and rebuild what is there. 3:35 Nobody tells you this because most conventional orthopedic offices which are operating inside this insurance-driven machine system, 3:44 they don't have those tools. 3:45 They don´t have the time. 3:47 they have what they and what have is anti-inflammatory drugs and cortisone injections and surgery. 3:54 That's not a conspiracy, that's a systemic problem. 3:57 And today, you're going to understand it a little bit more clearly. 4:00 So let's start with the elephant in the room. 4:03 Knee replacement. 4:04 Knee replacement is a real surgery that has real recovery time, which is typically somewhere along three to six months before you were thinking really
Regenerative Medicine Options for Knee Osteoarthritis 4:12 about getting back on the golf course. 4:13 But remember, there are real risks involved too. 4:17 According to multiple published research reviews, approximately one third of the patients who undergo knee replacement surgery may not have needed it at all. 4:25 Their arthritis wasn't severe enough to justify the procedure. 4:29 Now that's not just a Dr. 4:30 Pruvendran fringe opinion. 4:32 That is documented in peer-reviewed literature. 4:35 One in five patients also who got the surgery reported that they were dissatisfied with the results and one in three still have chronic pain after the operation. 4:45 I want to say that again. 4:47 1 in 3 people who had their knee replaced still Now, surgery absolutely has its place. 4:58 If your knee is truly bone on bone, or if your joint has collapsed, Or if you have tried every single conservative option and you've genuinely exhausted 5:07 them all, then sure, Surgery might be the right call. 5:10 I am not here to demonize orthopedic surgeons. 5:13 What I'm here is to make sure you're shown the full menu before you order your meal. 5:18 Because most of the time, that full-menu was never offered. 5:21 Now, what does the science evidence say actually works? 5:26 Well, let's talk about my specialty. 5:28 Let's talking about regenerative medicine. 5:30 Specifically, it's talked about PRP and stem cells. 5:32 These are fancy phrases of using your body's own repair cells to stimulate healing. 5:38 PRP stands for platelet-rich plasma, which here's what that means in plain English. 5:43 We draw a small amount of your blood, we spin it in a centrifuge, basically like a fast blender, and then we concentrate those growth factors and healing 5:53 proteins that are already inside your body. 5:55 So then, you take that concentrated healing and place it directly in the knee joint. 5:59 Your body's own healing machinery, amplified, delivered exactly where the damage is. 6:05 Now stem cells, let's call them healing repair cells. 6:07 They're harvested either from your fat tissue or from you bone marrow. 6:11 This is a small, minimally invasive procedure that's done in the office. 6:14 These cells once they're isolated have the ability to reduce inflammation, to modulate your immune response, and lay the groundwork for tissue repair. 6:24 And this is done ways that cortisone simply cannot do. 6:27 Think about it like this. 6:29 Cortisone quiets the fire. 6:31 Regenerative medicine hires the Fire Department and then starts rebuilding the house. 6:36 It's a huge difference. 6:37 Now here's where this gets even more compelling. 6:40 A 2024 Umbrella meta-analysis, which is basically a study of studies of Studies. 6:46 This is some of the highest level of evidence that we have. 6:49 it reviewed 28 separate meta analysis covering 32,763 patients. 6:53 The conclusion was very clear. 6:57 Both mesenchymal stem cell therapy and PRP were significantly associated with meaningful improvement in knee osteoarthritis outcomes. 7:06 The pain scores went down, the functional scores up. 7:10 These were real, measurable results. 7:12 And specifically on microfat, which is microfragmented autologous fat tissue.
A Patient Case That Changed the Conversation 7:18 Say that five times fast. 7:20 Basically what that just means is we're taking tiny particles of your own fat and rejecting it into the joint. 7:25 This study that was published in the archives of orthopedic and trauma surgery followed 46 patients for four years. 7:31 68% of those patients experienced meaningful lasting improvement. 7:35 Pain scores dropped nearly in half, function scores improved significantly, and these improvements held for 4 years, that matters. 7:44 because the knock-on regenerative medicine always used to be, well, okay, this is really cool, but how long is it going to last? 7:49 I don't know about you, But I think that four years of durable benefit in a majority of patients is not a gimmick. 7:55 That's science, and that's published, And that is real. 7:58 So I do want to honest with you because that the way I operate. 8:01 not every patient response, right? 8:04 The last study was 68% responders. 8:06 Not every knee is the right candidate. 8:08 There's something called synovitis, which is ongoing inflammation inside the joint that can predict a tougher response. 8:15 This is why the protocol matters. 8:17 Which is, why doing this in a place that evaluates your knee properly before they inject anything, this is not optional. 8:24 That is whole game. 8:26 Now, before I give you my one behavior change for today, I want to tell you about somebody. 8:30 His name is not really that important, but what does matter is he's 54 years old. 8:34 He is an anesthesiologist, so he knows medicine from the inside. 8:39 he tried everything for his knee arthritis.He tried physical therapy, he did multiple rounds of cortisone injections, He did platelet-rich plasma or PRP,he 8:48 did Wharton's jelly injections which is another type of cellular product derived from umbilical cord tissue that some people market as stem cells. 8:55 Exosome therapy, he had young plasma, He tried red light therapy. 8:59 He did shockwave. 9:00 he did peptides. 9:02 Tried more treatments than most patients even know exist. 9:06 And nothing held up for a meaningful amount of time. 9:09 So what he next made sense. 9:11 Called his orthopedic surgeon. 9:12 Got on the surgical schedule. 9:14 His knee replacement was booked. 9:16 Had a date. 9:17 Then someone mentioned our clinic. 9:19 Flew in from out of town. 9:20 Was skeptical. 9:22 Completely understandable. 9:24 He kept his surgery on the books because he was genuinely not sure there was anything left to try that would actually work. 9:30 So we sat down, we evaluated his knee properly, We performed our protocol, which in his case was a combination of micro fragmented fat and PRP and bone 9:40 marrow stem cells. 9:41 We combined that with precision injection techniques and a targeted recovery framework. 9:46 Six weeks later, he texts me, He just got off the beach playing beach volleyball with his daughter. 9:52 No brace. 9:53 The man who couldn't walk without a brace was playing Beach volleyball. 9:57 He called me again recently. 10:07 Now, I'm not telling you that story to sell you something. 10:10 I am telling this because that man had more treatments behind him than almost any other patient I'd ever seen. 10:16 And the reason that this worked when the others didn't wasn't magic. 10:20 It was biology done properly. 10:23 The right cells, the right combination, but right joint environment. 10:26 And that brings me to my behavior change for today. 10:30 The one thing I want you to start doing differently after this video is I wanted to treat your diet as an active medication for your knee. 10:38 I don't want to you start that today, this is not a fad diet. 10:43 carnivore or go vegan, I'm not going to recommend a cleanse. 10:47 This is just one shift in your mindset.
Diet, Inflammation, and Knee Healing 10:50 Reduce the foods that are actively fueling the inflammation inside your joint. 10:54 Now here's why this matters and I am going give you both sides of the equation. 10:57 If you do end up reducing the inflammatory triggers in you diet, this means processed seed oils, high sugar foods, ultra processed snacks, 11:07 excess alcohol, Well, the inflammatory environment inside your knee joint begins to change. 11:12 The repair cells work better in a low inflammation environment, so PRP works better, microfat works, better your body's own biology gets out of its own 11:21 way and starts doing what it was designed to do. 11:23 Your knee wakes up on a Saturday morning feeling more like a knee joint and less like construction zone. 11:29 Now, if you don't, you can do everything else right. 11:31 You can have the right treatment done by the person like me, the injection, every right exercise. 11:37 But the inflammation keeps undermining the healing. 11:41 It's like trying to bail out a boat with a bucket while the drain is still open. 11:44 The bucket is real. 11:45 the effort is really you're still sweating and getting your workout, but the drainage still opens. 11:49 So you never going to fix the problem. 11:50 The good news is that this is one of the most actionable levers that you have. 11:54 You do not need a prescription for this. 11:56 you don't need to have a procedure for, this you could start at lunch today. 12:00 So just swap the seed oil out for extra virgin olive oil. 12:04 Add one, just one anti-inflammatory food this week. 12:08 Those are things like fatty fish or turmeric, dark leafy greens or walnuts. 12:13 Cut back on the sugar. 12:14 Not permanently, not obsessively, Just meaningfully. 12:17 If you do this consistently, Your knee has a better healing environment and everything else that follows will work better. 12:25 The treatments work, better the exercises work. 12:28 Better and the treatment ends up lasting longer. 12:31 If you don't, well, then the inflammation keeps compounding quietly and though window that you have right now, the window where you still have cartilage 12:39 left to protect, it gets smaller. 12:41 Not dramatically, not overnight, but cartilages not grow back on its own. 12:46 So the time to. 12:47 Protect what you. 12:47 Have is now. 12:49 not after more rounds of cortisone have done more damage. 12:52 I'm not asking you to eat like a monk, I am only asking to treat your knee like the high performance joint it still can be. 13:00 Alright, here is your one thing for today. 13:03 It takes 30 seconds on the first tee and it is one of the best things you can do for your knees before you ask it to absorb a full golf swing. 13:10 This one is called rotation over fixed foot. 13:13 So what you do is you place your club across your hips, you plant one foot firmly on the ground, and you keep that foot completely flat. 13:21 Now, rotate your hip over that fixed left and right in a slow controlled movement. 13:27 Do this 10 reps for each side. 13:29 This directly mimics the load your lead knee takes at impact. 13:33 So what we're doing is we are training the joint to handle rotation with control before we ask it to do it at full speed. 13:40 Remember, keep that foot completely flat.
Golf Warmup Drill: Rotation Over Fixed Foot 13:43 Why does that matter? 13:44 Because the two moments in a golf swing that do the most damage to your knee are the downswing and the follow through. 13:50 This exercise prepares the joint for exactly that and with control, not when you're cold. 13:56 Now, for the complete five-minute routine, don't forget, grab the free Ready for Teoff guide at ReadyForTeoff.com. 14:04 It has illustrated instructions for all six exercises that you can pull up right on your phone right before any round. 14:10 If this video gave you something that did not have before, help me out. 14:15 Share it, not because the algorithm wants you to, but because I promise you, there's somebody in your Saturday group, they're dealing with the same thing 14:22 and they haven't said anything about it yet. 14:24 So forward this, text it. 14:26 Drop it in group chat. 14:27 The guy who is getting quieter on the back nine because his knee won't stop talking to him, he probably needs this more than you do. 14:34 And if you are watching this and you have already been through the cortisone merry-go-round and somebody is starting to throw around that dreaded S word 14:41 or surgery, Book a consultation. 14:43 Not because I need the business, but because you deserve to know what options actually exist before you make a decision that you can't reverse. 14:51 And before, you go, don't forget, grab the free ready for tee off warmup guide at readyforteeoff.com. 14:57 Five minutes before your round. 15:00 That's it. 15:00 Your knee will feel the difference the moment you step onto the first tee. 15:04 I'm Dr. 15:04 Guy in Poovendri. 15:05 Now you know, what most golfers will never find out.
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