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Arthritis

Dr. Silberman specializes in the diagnosis and management of orthopedic joint pain and arthritis, lyme disease, degenerative osteoarthritis, rheumatoid arthritis and other rheumatological diseases.  We are now seeing arthritis in 40 year olds and even younger.

A study in Osteoarthritis Cartilage, October 2017, found that patients with knee osteoarthritis who underwent arthroscopic knee surgery with meniscectomy had a three fold increase in the risk for future knee replacement surgery.

Osteoarthritis is chronic disease of cartilage deterioration.  Up until recently the treatment of arthritis has solely been palliative which neither stops the progression of deterioration or replace the worn cartilage.  Platelet Rich
Plasma (PRP)
and Stem Cell Therapy are two of novel treatments performed by Dr. Silberman postulated to stop the degradation and replace the degraded cartilage.

A 2017 article demonstrates how Platelet Rich Plasma (PRP) protects against cartilage degradation in arthritis by 1. Increasing the proliferation of chondrocytes, the only cells located in cartilage, whose job it is to produce and maintain your cartilage, 2. Reversing senescence (deterioration with age) and increasing quiescent cells (non-aging cells that can withstand stress and preserve key functional features), and 3. Significantly decreasing chondrocyte apoptosis (cell death).

Pain management in arthritis may be achieved by Dr. Silberman via viscosupplementation injections (Synvisc, Euflexxa, Orthovisc, Durolane), cortisone injections, prolotherapy, platelet rich plasma, bone marrow aspirate stem cell therapy, topical prescription gels compounded specific to the patient, supplements, oral anti-inflammatory medications, physical therapy, home exercise programs, nutritional guidance, or bracing and strapping.

X-ray and diagnostic ultrasound on site can give rapid diagnosis of arthritis without need for MRI.

Dr. Silberman performs orthopedic injections and aspirations under ultrasound guidance minimizing pain and complications.

Dr. Silberman has repeatedly diagnosed and treated lyme arthritis, lupus, rheumatoid arthritis, gout, celiac disease, gluten sensitivities, and food allergies in many patients who failed diagnosis and treatment by other physicians.

You don't have to be an athlete to be seen at New Jersey Sports Medicine.  
Dr. Silberman specializes in the care of all individuals and orthopedic pain.