Dry Needling for Muscle Tension

Dozens of articles are published annually in the USA discussing the remarkable results of Lipogems. The authors of these publications are surgeons who have often been personally trained by Prof. Tremolada in the use of Lipogems technology, which he invented and patented. A notable example is this article by physicians Jay Panchal, Gerard Malanga, and Mitchell Sheinkop, published in the American Journal of Orthopedics and featured in several authoritative online publications. Here is a brief excerpt: Key Study Concepts Knee osteoarthritis is a chronic condition affecting all races, genders, and ages, but predominantly presents in overweight and elderly individuals. Globally, arthritis is considered the fourth leading cause of disability. In both developing and developed countries, knee osteoarthritis can cause significant quality of life decline in individuals over 65 years due to pain and disability. Conservative, non-surgical treatments can be successful in patients with mild to moderate arthritic pain. Lipogems Mechanism of Action in Osteoarthritic Knees The FDA-approved Lipogems device is used to harvest adipose tissue, cleanse it of blood and oil components, and micro-fracture it while maintaining the intact vasculo-stromal niche containing pericytes. This study aimed to evaluate the safety and efficacy of minimally manipulated, micro-fractured autologous adipose tissue in patients with severe refractory knee osteoarthritis. Conclusions The injection of minimally manipulated, micro-fractured autologous adipose tissue represents a safe and effective treatment option for patients with severe refractory osteoarthritis (grade 3 or 4) of the knee. This study demonstrated significant improvements in pain, quality of life, and functionality for at least 12 months in the study cohort. Lipogems intervention may represent a non-surgical treatment option to avoid knee joint replacement in this population. Prof. Tremolada's Commentary "Lipogems is a method now used in over 20 countries with a growing success history of over 36,000 cases. To make its function comprehensible to everyone, I will simply say that it is currently the best technique used for adipose tissue transplantation."

What is posture? Posture can be simply defined as the position of our body in an upright position and can be considered at both static and dynamic levels. Our central nervous system, which manages postural mechanisms, must always be able to: maintain various body districts in position and arranged in space in such a way that there is minimal energy expenditure in counteracting the continuous compression force we are subject to during static and dynamic activities; ensure absence of pain in achieving ideal posture; maintain excellent perception and feedback from receptor structures; manage external forces correctly while preserving function; and guarantee balance and motor control. Incorrect posture directly disturbs static positioning and indirectly affects dynamic movement. When maintained over time, it establishes neural circuits that register incorrect posture as correct (because it becomes habitual), resulting in compensatory bodily adaptations. Through the activity of receptors, endoceptors, and exteroceptors, whose function is to inform the CNS, the body receives information about its position in space. Osteopathic Assessment Medical history combined with physical examination allows the osteopath to identify the patient's primary problem: if the most significant dysfunction is not within osteopathic scope, the patient is referred to the appropriate specialist for the specific condition. Everything related to maintaining optimal functionality falls within osteopathic competence. The osteopath carefully evaluates movement biomechanics, postural patterns, and musculoskeletal compensations to develop a personalized treatment plan. Diego Stancanelli - Osteopath D.O., MCB Massage Therapist, Doctor of Motor Sciences

The human body consists of cells, small functional units tasked with collaborating and performing various functions to ensure proper organism functioning. Every human action produces an 'adaptive' bodily response to the received stimulus, from basic activities like eating, moving, and sleeping, to more complex actions like sports, working, and healing from trauma. The Self-Healing Principle From birth, the human organism possesses all biochemical-physiological prerequisites for self-healing and tissue regeneration following tissue damage. It must first ensure individual growth and subsequently maintain health, being ready to respond to both positive and negative stimuli. Osteopathy incorporates this concept as one of its foundational pillars: through precise assessment of movement, signs, symptoms, and general body signals, it employs techniques on all directly and indirectly accessible tissues to communicate with the nervous system and enable optimal physiological healing conditions. Osteopathic therapy, combined with strengthening/maintenance/neuromotor reprogramming exercises, can modify an individual's posture, optimally aligning body segments for improved general and specific function. Lipogems Sustaining damage during developmental years (0-20 years), when healing factors and regenerative capabilities are at peak efficiency, differs significantly from injury in adult or advanced age, particularly regarding recovery time, healing quality, restorative tissue quality, and healing capacity. Additionally, certain body tissues are poorly vascularized or lack blood vessels entirely, such as articular cartilage, menisci, specific bones like the scaphoid or talus, and ligaments in knees, shoulders, and ankles. This creates conditions where damage to these structures may be irreversible and prone to continuous degeneration. Lipogems technology stimulates natural regenerative processes through autologous mesenchymal cells derived from adipose tissue, enabling affected tissues to regenerate and heal. When is Manual Therapy Combined with Lipogems Indicated? This combination is indicated for degenerative tissue pathologies with progressive prognosis, chronic inflammatory conditions, post-surgical complications, and cases requiring prevention of significant degeneration or improvement of body tissue quality. Primary indicated conditions include: osteoarthritis, meniscal disorders, tendinopathies, calcifications, fibrosis, partial ligament injuries, musculotendinous lesions, impingement (shoulder, hip), arthritis, and TMJ degenerative pathologies. The Synergistic Mechanism Osteopathy addresses dysfunction, restores correct biomechanics and function by interacting with the nervous and proprioceptive systems, effective when target tissues can respond positively and heal. When pathology develops and degenerative factors emerge, Lipogems provides an innovative solution to halt and often reverse this process, enabling even severely damaged tissues with limited healing capacity to regenerate efficiently and systematically. The therapeutic approach is individually tailored, combining osteopathy and Lipogems to achieve and maintain optimal function. The physiological mechanisms underlying healing stimulation are supported by scientific and clinical evidence, while the synergy and efficacy of the combined therapeutic approaches are validated by our clinical experience.