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Disclaimer
I am not a doctor. This site is about my situation with osteoarthritis and how I have dealt with it. My hope is that the lessons I have learned might be useful to others. However, everyone's situation and possible treatments are different. If you think that you have osteoarthritis, please see a doctor.
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I have Osteoarthritis? What is Osteoarthritis?
Welcome to the site. I created this site to provide information and support to anyone dealing with osteoarthritis of the knee. My name is Dylan. In May of 2007, I went to an orthopedist to get my knee looked at. It had been swelling whenever I did anything physical (i.e. hiking) and I had no idea what was going on with it. I had had arthroscopy and microfracture surgery on my other knee more than 10 years ago (I am 37, by the way) to heal from a cartilage tear, and I suspected that I was looking at a similar situation in 2007. Anyway, I went on down to the orthopedist, got a prescription for an MRI and an X-Ray, went and had them done, and then brought them to my specialist. What transpired then is as follows (Orthopedist = "O", Dylan = "D"):
O: Basically, you have the worst case of osteoarthritis I've ever seen for someone your age. D: What does that mean? O: It means that you no longer have any cartilage between the bones in your knee in the lateral compartment, which is causing everything in your knee to become irritated and swollen and is limiting mobility and strength. D: Uh. Wow. What does that mean? What is a "lateral compartment?" O: "Lateral Compartment" refers to the outer half of your knee. Practically, what It basically means you can't play basketball, play football, go water skiing, or any of the other things you might like to do.
After further conversations with the doctor, it appeared to me that I was totally, totally screwed. It's true that I had transformed into a bit of a desk jockey - I started a company and, with three kids, didn't really have a lot of time to keep myself in shape. However, I had always held out hope that I would be able to get into physical stuff when my small-child parenting days were over. Now, it seemed, I wouldn't be able to do that. It seemed that I was being told that I had to commence being old much sooner than I was ready to ("You can play golf and swim!" exclaimed the orthopedist).
My osteoarthritis diagnosis ruled my life for about three months. I didn't do anything really physical. I stopped wrestling around with my kids. I stopped practicing music three nights a week. At the end of this three month period, I was really bummed out. I decided that I didn't care if I had to get knee replacement surgery when I was 45 - I was going to have fun and try my hardest to do the things that I loved. So I set out to learn more about controlling my condition.
Next chapter =>
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Wacky Stuff that I have Been Paying Attention To today
- - - Update: I had a call in to the guys over at ISTO Technologies (the guys doing DeNovo ET, see below) and I had a VP call me back and leave a voicemail on my cellphone. So, I will have a conversation with him and let everyone know what he says. - - - When I was diagnosed with Osteoarthritis, I spent weeks scouring the Web looking for medical solutions. I found some really interesting stuff about cartilage that is engineered by culturing human cartilage cells (called "chondrocytes") using stem cells and applying them to a framework. This is part of a branch of the medical sciences called "Tissue Engineering." Here is a scientific study document on the subject: Cool article from ScienceDirectI know of a couple biotech companies that are attempting this. One, ISTO Technologies, signed a deal with Zimmer Holdings for distibution and is in clinical trials. The product is called "DeNovo ET." This is really cool stuff. In theory, once this is commonplace and tested out, you'd be able to graft strips of brand new cartilage, cultured from one's own cells, onto the areas of the knee where cartilage has degraded. Imagine having 16-year-old knees! It's really exciting, but prolly won't be in the mainstream for a few years. No biggie - I can hold out. I'll be doing gymnastics when I'm 50, ha ha. More links: ISTO/ZIMMER press releaseISTO Web Site
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