Category Archives: Chiropractic

The Day I Finally Got a Cartilage Transplant

Surgeon Performs a Microfracture and Cartilage Transplant

Doctor Jory PatientAfter 18 years of knee pain and two prior knee surgeries I underwent my third knee surgery three days ago at Women’s College Hospital – a state of the art new hospital in Toronto.

What did the surgery consist of?

The anesthesiologists performed a femoral nerve block (to numb my entire leg) and then I went under general anesthetic. When I woke up from the 3-4hr surgery, very groggy, my Surgeon told me the procedure. They created a bone slot in the top of my tibia to receive the donor tissue cartilage/bone graft (lateral meniscal allograft). He also created microfractures ~ouch~ in the lateral femoral condyle (the end of the thigh bone). These tiny holes create bleeding and the blood provides growth factors to help regenerate new cartilage/bone. The surgeon said he was very pleased with the donor tissue quality, size and procedure.

Where does the cartilage come from?

The donor tissue is fresh (harvested within 14 days of the donor’s passing). This particular cartilage is from a tissue bank based in New Jersey. Chronologically the cartilage is one year older then me  but in pristine condition.

Day 1 Recovery 

RICE protocol. Rest, Ice, Compression, Elevation. Pain medication. Lots of sleep. Home made Bone Broth for dinner.  bone broth breakfast of championsWoke up at 4am in intense pain. Desperate for pain relief and already on the recommended narcotics I hooked myself up to the CPM (Continious Passive Motion) machine that I have rented from Remington Medical. This modality flexes your knee passively (without contracting your muscles) to whatever range of motion you specify. This helped me greatly to get over the intense bout of pain. I started at a range of only 10 degrees of flexion and slowly increased it to around 35 degrees. Each night I wear a knee brace locked in at zero degrees extension.

 

Day 2 Recovery

Continous Passive Motion

RICE. CPM 6hrs a day progressing to 40 degrees flexion. More bone broth and smoothies. Started daily glucosamine sulfate for cartilage, Vitamin C and A – connective tissue, and Omega 3 fatty acids for plasma membrane/neuronal myelination and anti-inflammatory properties. Did a little bit of Ultrasound nonthermally above my knee to help break-up swelling. Also sat out in the beautiful sunshine to harness Vitamin D and neurotransmitters.

VitaminD synthesis

Day 3 Recovery

RICE. Bone broth. Wife made a killer chicken soup! CPM progressing to 45 degrees flexion. I had previously purchased an Aircast Cryo Cuff for all my knee icing needs. This way I have an ice pack that stays cold for up to 6 hours. I’m getting ice on it around once or twice every hour or two for 15 minutes. I also tried NMES today (neuromuscular electrical stimulation) to help wake up the Vastus Medialis neurons and fire up the brain/neural pathways (an important thigh muscle for proper patellar tracking). I also sat out in the sun again and let my wound get some fresh air and sunshine. Still waiting for my first bowel movement (a shitty side effect of surgery and pain meds :-() I tried well leg cycling for 5 minutes as studies indicate that if you exercise the ‘good’ side it helps your ‘bad’ side and I figured that might help get things moving 😉

More posts coming soon!

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This post is also featured on The GoodLife Blog.

About

Downtown Toronto Professor, Chiropractor, Sports Therapist, Strength & Conditioning Specialist. I have an immense passion for all things health and fitness! Contact Dr. Jory

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Employee Health Benefits – What You Need to Know

How to Utilize Health Benefits & Improve Your Health As we approach the end of the year many look towards their employee benefit plans to get massage, physio, chiropractic, naturopathy, foot orthotics etc. Some haven’t used benefits all year and others have long since maxed out their coverage. Here is some info to help navigate… Continue Reading

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Downtown Toronto Professor, Chiropractor, Sports Therapist, Strength & Conditioning Specialist. I have an immense passion for all things health and fitness! Contact Dr. Jory

5 Tips to Overcome Injuries

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About

Downtown Toronto Professor, Chiropractor, Sports Therapist, Strength & Conditioning Specialist. I have an immense passion for all things health and fitness! Contact Dr. Jory

3 Common Workout Injuries – Don’t Follow the Herd!

You are working out – fantastic! But … watch out for these injuries.                   After treating patients for almost a decade in health clubs I have noticed certain injuries are more common to those who work out. Here are the top three most common injuries I treat… Continue Reading

About

Downtown Toronto Professor, Chiropractor, Sports Therapist, Strength & Conditioning Specialist. I have an immense passion for all things health and fitness! Contact Dr. Jory

Four Quick Tips to Improve Posture

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Downtown Toronto Professor, Chiropractor, Sports Therapist, Strength & Conditioning Specialist. I have an immense passion for all things health and fitness! Contact Dr. Jory

Lift Light, Shovel Right

How to Shovel Snow Properly Winter has officially begun – although word from Nasa is that 2011 has registered as the 9th hottest year since 1880 after 2010 was the hottest ever recorded. Regardless of the warming trend, people have pulled out their shovels to battle the snow that has fallen in Ontario for the… Continue Reading

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Downtown Toronto Professor, Chiropractor, Sports Therapist, Strength & Conditioning Specialist. I have an immense passion for all things health and fitness! Contact Dr. Jory

GoodLife Health Centres Compliment Your Workouts!

Health Centres – Helping You Achieve Optimal Health and Peak Performance. During the past couple years GoodLife Fitness has been expanding rapidly – opening new clubs and renovating existing ones to add more services. Along with the expansion we have also increased the number of Health Centres to 32. These are the health clinics conveniently located… Continue Reading

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Downtown Toronto Professor, Chiropractor, Sports Therapist, Strength & Conditioning Specialist. I have an immense passion for all things health and fitness! Contact Dr. Jory

What to Expect During the First Chiropractic Appointment

Downtown Toronto Chiropractor Dr. Jory Basso provides a brief description of what you should expect during your first chiropractic appointment. Disclaimer: Dr. Basso doesn’t quite resemble or sound like the actor playing him in this movie. The actor has a much nicer accent! The site used to create the movie is www.xtranormal.com [youtube]http://youtu.be/HWPf0QGTPIg[/youtube] About Downtown… Continue Reading

About

Downtown Toronto Professor, Chiropractor, Sports Therapist, Strength & Conditioning Specialist. I have an immense passion for all things health and fitness! Contact Dr. Jory

How to Treat Low Back Pain

Downtown Toronto Chiropractor Dr. Jory Basso gives you five tips to help with low back pain caused by disc herniations and disc bulges. These strategies can easily be done at home! [youtube]http://youtu.be/dRKPoT2EJvo[/youtube] About Downtown Toronto Professor, Chiropractor, Sports Therapist, Strength & Conditioning Specialist. I have an immense passion for all things health and fitness! Contact… Continue Reading

About

Downtown Toronto Professor, Chiropractor, Sports Therapist, Strength & Conditioning Specialist. I have an immense passion for all things health and fitness! Contact Dr. Jory

Health Care Reform Ontario – Chiropractic Integration

Health care reform has dominated the news recently. Downtown Toronto chiropractor Dr. Jory Basso gives his opinion of health care integration in Ontario. He discusses the province’s Family Health Teams (FHTs) and makes recommendations on how to improve them. [youtube]http://youtu.be/5DZRqc8E8yk[/youtube] About Downtown Toronto Professor, Chiropractor, Sports Therapist, Strength & Conditioning Specialist. I have an immense… Continue Reading

About

Downtown Toronto Professor, Chiropractor, Sports Therapist, Strength & Conditioning Specialist. I have an immense passion for all things health and fitness! Contact Dr. Jory