do you want to know how to regenerate cartilage I I sure do all right we're going to do a little talk today okay since we are talking with docs and I'm Dr Paul zza Dr Brad we and we're going to be talking about regeneration of cartilage how can I grow new cartilage it's everywhere on the internet okay first of all why would you want to grow a new cartilage because you might have arthritis or you may have had trauma and damaged the cartilage in your joint like your knee or your hip or your shoulder orow like pain and swelling and dysfunction so you want to have a better joint arthritis now a simple Google search will show you hundreds of ways to regenerate your carage some things I can barely pronounce let alone spell all right let's talk about that okay so what is cartilage anyway cartilage is that soft shiny smooth stuff that lives on the end of Bones uh where they make up a joint so say the end of your femur and the top of your tibia will be made of cartilage so that one bone can slide over the other bone smoothly and that's a joint right and when that ORS away that's what arthritis is surgically there are a few ways that we can regenerate cartilage proven proven ways okay right three three ways that are very similar one's called micr fracture one's called drilling one's called abrasion arthroplasty okay so the whole principle of this that you have an area where you have abnormal carage or completely absent carage we want to break up that little area to get some blood flow coming up from underneath so that our bodies can make brand new perfect articular cartilage almost so yeah we disrupt the subc condal bone so the bone underneath the cartilage with one of those three techniques and causes some bleeding and we get fibro cartilage fioc cartilage that doesn't sound like articular carage to me articular cartilage is like Highland cartilage your meniscus is made of cartilage fibro cartilage is different it's a form of scar tissue I tell people it's like your cartilage is like you know the beautiful uh Fairway on a nice golf course and you take a divot out sure and there's your cartilage loss and then it grows back with weeds okay it's green so it's not dirt no it's not dirt it's green it's a little cushiony but it's not the same as grass okay that's kind of the fiber cartilage analogy that I use okay it's almost like almost like carpet if you cut your carpet out and then you have that under the under matat kind underneath your carpet and then you come back and put in a different carpet that of lower grade yeah people will notice okay people will notice okay so that's those are the those are three sort of of the Lesser invasive surgical interventions to regenerate carage and this is part of a field of medicine called regenerative medicine right and sometimes we do this when we perform arthoscopy if there's a very small focal area of bare bone you're your surgeon may have today we performed a micr fracture technique where we penetrated this tiny little area and hopes that we can make it less abnormal okay then the next level of invasiveness of surgical intervention would be something called a Macy or something like that it's a m it's a matrix assisted cartilage implantation technique where we take a bit of your cartilage y take it to the lab grow it expand it okay and then with some sort of Matrix implant it back in your knee okay very complicated sounds complicated it seems to work a majority of the time right again for for very focal areas of arthritis so someone that needs an artificial knee that has a whole condal that's eroded that doesn't really work for this okay yeah focal little areas of of C most of what we're talking about is actually more focal yeah that that's right okay and then get into transplantation after that okay autograph which just means it's a cartilage from your body from another part of your body a part of your knee that you don't use as much and we transplant it to a lesion they we where it's a weightbearing area right or allograph where you get uh cartilage from someone who's deceased and donated their cartilage you can take that and Transplant it in that usually works better if it's a fresh transplant so that's a bit tricky but those are the surgical ways to it's not even regenerating cartilage it's trying to repair damage a plug or a patch almost and the reason is so difficult is because cartilage does not have the potential to heal or regenerate at all cartilage right okay and cartilage is that soft cushy stuff on the end of your bones that make up joints it just doesn't right so imagine if you're like eating a chicken drumstick that shiny smooth stuff on the end of the drumstick like if you want to imagine what cartilage actually looks like that's a good idea that actually is cartilage that's com from a vegan so you can take that to the bank take it to the bank all right so yeah cartet now certain tissues in the body can regenerate and heal you break a bone it'll heal your liver is actually very robust at regeneration yeah don't try this at home but your liver will skin is proba is a largest organ yeah thankfully that one can heal and regenerate yes certain things in the body cannot spinal cord you've all heard of a spinal cord injury it's permanent the spinal cord cannot heal itself or regenerate carage is the same thing right okay if you damage the cartilage in a joint maybe in children it can heal and regenerate but in adults once you pass puberty and you closed your growth plates that cartilage cannot heal or regenerate so so those techniques we talked about those are techniques that have scientific evidence and clinical studies that have proven it and the way that they would measure this is that they do the transplantation and then go on later to either sculpt the near perform an MRI or look at it in some other direct way right this has been measured and proven and it's it's an invasive interv it's not even a generation of your cartilage it's like a transplantation basically or some weird thing let's get to the important part though now with the internet and there's so many things now that I can buy that can grow new carage it's very exciting it's way easier I would just like to take a supplement that grows a new carage do you know what Carl San used to say Paul no Carl San used to say extraordinary claims require extraordinary evidence this is a phrase that he made very popular in the in the field of astrobiology they think that he probably didn't invent the phrase he stole it from one of his contemporaries this guy last named truty who was like a sociologist but yes and I think this applies to this area and so many areas of health and medicine that are on the internet and extraordinary claims are made all the time most of them lacking any evidence let alone extraordinary evidence and now we are not going to slam any particular supplement or any particular uh preparation or naturopathic pill or anything you take in we're not going to slam any particular one we're just going to empower you to critically appraise the marketing tactics of these supplements so let's go through the list of the ones that have really good evidence to show that they can regrow cartilage okay let's start at the beginning number one that's it okay that was we hope you enjoyed our list of supplements that can regrow cartilage there are no supplements or foods that have ever been shown in a rigorous clinical study to regrow your carage that's as of today if you're watching watching this in the future and we're in hologram format or you're watching us because you were one of those people that volunteered to go to Mars right and they figured out there's no way to come back so here you're on Mars 100 years from now watching this okay maybe then but now no and I say it's like this let's say God forbid you have a traumatic amputation of a digit like a thumb or a finger or something horrible we know the compounds that are in there there's cartilage in there there's calcium there's there's a lot of different chemicals that make up your finger you can't take a pill of those chemicals and make your finger grow back no no you can transplant a finger you can do something like that something surgical but there's no supplement that's going to grow your finger back NOP so the same thing goes with cartilage yeah so anytime you see one of those claims that says oh these are the things that are going to grow my cartilage back just think will it grow my finger back no oh that's your test okay that's my test I like it it's a high bar I've said yeah and what you may find is that there are supplements or foods that are going to reduce some of your symptoms potentially from arthritis right maybe reduce your pain reduce your swelling improve your motion so but sometimes when those things happen they then make claims that this is because you're growing new carage and it's just simply not a true statement even with things that we inject that successfully treat people's symptoms of arthritis it is not growing new carage guaranteed leave a comment if you've taken something and someone has told you that's grown your card leave a comment if you taken something that's helped your arthritis leave a comment but there's going to be questions for sure about about stem cells Paul okay let's talk about stem cells stem cells are pury potent cells that exist in your body and what do you mean by plent it means they have the potential to turn into a lot of different types of tissue right they're like a white t-shirt that you're going to tie dye you know what I mean you can make a red shirt you can make a blue shirt you can make a yellow shirt make a pattern shirt cuz if you think of when we were conceived we were just a couple of cells and those are the altimate stem cells because those cells have the potential to turn into everything that becomes you so people are trying to get these stem cells and encourage them to become cartilage right and it's it's possible it is possible to take stem cells in the lab and get a bunch of really really smart people to whine and dine these stem cells to convince them to turn into cartilage which are bodies normally do with a bunch of complicated signaling Pathways to say hey become a liver hey become an arm become the leg but that's what we have to figure out is how to send those signals to those cells so that they listen and do what they're told and the state-ofthe-art now is we can turn that into cartilage but that cartilage still doesn't have the good mechanical properties like your own cartilage as it is as it stands right so they've done this they've successfully grown it put it in the hole it fails yeah yeah exactly I've been part of research teams and I've done that and I've done those experiments and I can tell you right now it's not it's not there yet so but having said that just to give you a little idea of how it's supposed to work can you imagine in what way taking some stem cells from one part of your body or fat cells from one C part and injecting them into a joint will all of a sudden turn into cartilage the chances of that happening are zero and that's why it doesn't happen so stem cells right now do not help right do not grow back your cartilage in right in a joint and and some people there have there have been claims that it can reduce some of your symptoms which potentially is possible let's study it show me the evidence show me show show me the UN long cousin of the stem cell therapy is the PRP Therapy we've done a couple videos on this topic same thing PRP play rich plasma injections that's where they take a bit of your blood spin it down take the platelet rich part inject it back into your joint that will not grow back your cartilage may help your symptoms maybe for a while there's some evidence pointing to that it will not grow back your carage period okay now some viewers going to say well what about MSM that that seems to work have you seen any of those claims no what about I've seen lots of those claims SE no evidence to support those CLS condroitin does that no shark cartilage is that turmeric is that going to grow back no it might reduce some of your symptoms again yeah but it's it's not going to grow back it's not going to grow back the Lost wor out cartilage and this is not an anti cuz people like oh yeah big Pharma blah blah I want you to take your anti-inflammatories no it's not it's got nothing to do with big Pharma it's just we just don't want people to be posed by businesses that are selling stuff that just is not true now there may be a video out there with Paul and Brad the pharmaceutical neutro neutraceutical supplement companies that say that's just those guys are just saying that because they're surgeons of course you're going to say there's only surgical ways to do it that's probably what they're saying right now and you may be saying that sure listen if I had a genie and and it came out and said I'm going to Grant you one wish I would say oh please grow back cartilage sure I'd vote for that even though I'd be out of a job yeah but that just isn't the state of just think if I take this pill will it grow back a finger if it gets cut off no will it grow back my cartilage no right now you know we thought we thought this was an important topic because people who have severe arthritis are are desperate and we just don't want you to spend your money or rest your hope in something that doesn't have a lot of facts based upon it put your hope in the research regenerative regenerative medicine is a huge field yes very excited and the FDA has its own sort of arm now for regenerative it's going to make people mad Health Canada um so there is a lot of research going into it and maybe someday one day when you're watching us in hologram format in your flying car on Jupiter you may see hey remember one of those guys said you couldn't grow carage Who's laughing now there you go so if you like this video please like it subscribe to our Channel and remember you are in charge of your own health see you next time