21 hours ago

Are all PRP treatments the same?

MSKDOC Dr Zaid Matti

Not all PRP Created equally. One ☝️ size does not fit it all. I treated a shoulder and knee problems with different PRP preparations today. A colleague of mine asked me why does it take 1.5 hours to do a knee or a shoulder injection like what the guy down the road does. That made me think … View moreNot all PRP Created equally. One ☝️ size does not fit it all. I treated a shoulder and knee problems with different PRP preparations today. A colleague of mine asked me why does it take 1.5 hours to do a knee or a shoulder injection like what the guy down the road does. That made me think about the answer deeply. The answer is Musculoskeletal structures pathologies need different treatment with different Plasma preparations. Treating the Joint as an organ system is more complex than a simple injection that the guy down the road can do. It needs proper planning after understanding the pathology to know what to address and how to address it. Thats not to add the extensive training required to do it under image guidance #regenerativemedicine #prp #plateletrichplasma #orthobiologics #stemcells #stemcelltherapy #musculoskeletal #pain #chronicpain #healing #fitness #advancement #osteoarthritis #sportsinjury #arthritis #ehlosdanlossyndrome #fibromyalgia

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12 days ago

Osteoarthritis and Platelets Rich Plasma

MSKDOC Dr Zaid Matti

Osteoarthritis is like a vicious cycle. The more you leave it the worse it gets and it feed back to more pain . That is called degeneration. The idea behind Regenerative Musckloskeletal medicine in arthritis is not to build a brand new joint or restore how the joint looks like in a reverse time … View moreOsteoarthritis is like a vicious cycle. The more you leave it the worse it gets and it feed back to more pain . That is called degeneration. The idea behind Regenerative Musckloskeletal medicine in arthritis is not to build a brand new joint or restore how the joint looks like in a reverse time line. Whoever tells you that, is likely miss leading you, at least to my humble knowledge. Regenerative Musculoskeletal medicine is meant to stop or slow down the degenerative process. #orthobiologics #mskdoc #musculoskeletal #Regenerativemedicine #Backpain #tendinopathy, #ligamentinjury #Arthritis #Prolotherapy #shoulderpain #kneepain #hippain
#pain #chronicpain #ehlosdanlossyndrome #fibromyalgia #painkillers #injury #sportsinjury #excercise #chronicpainwarrior
#osteoarthritis #lowcarb #diet #kneepain #naturalpainrelief
#prp #plateletrichplasma #healing #advancement

22 days ago

Platelet-rich plasma (PRP)

MSKDOC Dr Zaid Matti

Platelet-rich plasma (PRP)

Platelet-rich plasma injections promote and accelerate the healing process providing significant improvement in the treatment of musculoskeletal injuries.

​ Platelets are small, colourless, disk-shaped cell fragments lacking a nucleus that is found in blood and play … View more
Platelet-rich plasma (PRP)

Platelet-rich plasma injections promote and accelerate the healing process providing significant improvement in the treatment of musculoskeletal injuries.

​ Platelets are small, colourless, disk-shaped cell fragments lacking a nucleus that is found in blood and play an imperative role in clot formation. They also have antimicrobial properties that support healing, infection control and the release of growth factors. These growth factors orchestrate the vital biological processes required for healing. Most importantly, as it relates to healing, platelets also release numerous growth factors, including PDGF, TGF-β, VEGF, and SDF-1α, that have been shown to orchestrate the key biological processes, including angiogenesis, inflammation resolution and tissue regeneration.

Growth factors are necessary to initiate tissue repair at a wound site. Growth factors derived from platelets are responsible for soft tissue repair, bone regeneration, development of new blood vessels and stimulation of the wound healing process. The concentrated platelets we use may help optimise the conditions for healing.

Plasma is the fluid component of blood that contains water, vital proteins, salts, minerals, sugars, fats, hormones and vitamins. Recently, plasma has been found to carry beneficial anti-inflammatory proteins such as Interleukin-1 Receptor Antagonist and Alpha-2-Macroglobulin. These proteins are known to “shut off” mechanisms that lead to degeneration and catabolic inflammation in the body.

The concept behind the clinical use of these blood components is to harness the natural biological ability of a patient’s blood―primarily platelets―which may help optimise the conditions for healing, improve inflammatory response, control infection and promote angiogenesis.

Platelets facilitate healing through the release of many growth factors actively involved in this process. Thus, PRP offers the physician an alternative to popular treatments, such as steroid injections. Such treatments provide short-term relief by masking symptoms such as pain and inflammation that are the result of an injury, rather than addressing the cause of the injury directly through the repair of damaged tissue.

Stem cells are at the core of the tissue regeneration process. They are required to rebuild and repair damaged tissue at an injury site. Platelets release several growth factors, such as SDF-1α, that function to induce migration of stem cells to the damaged tissue during the healing process. PRP provides these growth factors in high concentrations.

The PRP procedure is considered a safe treatment.

A small amount of the patient’s blood is taken, just as a blood test would be performed. The blood is then spun in a centrifuge to separate and concentrate the platelets. We then analyse the PRP solution to make sure our patients are receiving the appropriate cellular concentration and cellular counts for their condition. This plasma highly concentrated with platelets, and other cells are then injected into the site of injury or tissue degeneration under ultrasound guidance with precise, advanced, minimally invasive techniques.

Dr. Matti believes each patient and injury is different. We do not support the use of PRP as a “one size fits all” treatment. This is because PRP utilises your own blood, and this means there are variations between patients. We can individualise PRP treatments depending on the patient and the conditions we are treating. We incorporate ultrasound guidance to inject PRP to the affected areas accurately.

Indications for PRP Injections

Osteoarthritis, usually mild to moderate forms.

Refractory tendinosis, Examples:
– tennis elbow (lateral epicondylitis)
– golfers elbow (medial epicondylitis)
– patellar tendinosis
– Achilles tendinitis
-Plantar fasciitis
-Shoulder pain due and Rotator cuff tears


After Care ​

PRP injections are designed to use platelets to trick your body into thinking that the affected area is injured, therefore triggering a regenerative response from your body. NSAID are hence stopped for 48 hours after the procedure.
Can be painful for up to 1 week, therefore often need regular pain relief.
Rest, ice and elevate limb for 48 hours.
Initially cease all activities for the first week but can resume normal day to day activities.
In the second week, can resume light exercises and progressively build back to normal exercise after 4 weeks.
Most patients see the most benefit, approximately 4-6 weeks post-injection.
PRPPlatelet-rich plasma (PRP)

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25 days ago

Hip Pain

MSKDOC Dr Zaid Matti

The hip joint is a ball and socket joint supported by a capsule, ligaments and very large muscles. hip pain can be debilitating making it difficult to walk, run and jump. When the hip joint loses its stability from its supporting structures from small, micro-injuries, damage to the joint can … View moreThe hip joint is a ball and socket joint supported by a capsule, ligaments and very large muscles. hip pain can be debilitating making it difficult to walk, run and jump. When the hip joint loses its stability from its supporting structures from small, micro-injuries, damage to the joint can occur.

Hip pain is a common complaint that can be caused by a wide variety of problems. The precise location of your hip pain can provide valuable clues about the underlying cause.
Problems within the hip joint itself tend to result in pain on the inside of your hip or your groin. Hip pain on the outside of your hip, upper thigh or outer buttock is usually caused by problems with muscles, ligaments, tendons and other soft tissues that surround your hip joint.

Hip pain can sometimes be caused by diseases and conditions in other areas of your body, such as your lower back. This type of pain is called referred pain

SYMPTOMS OF HIP PAIN

There are many causes of hip pain and this pain can occur anywhere around the joint. Pain can occur on the inside or outside of the hip and it can extend to the thigh, groin and buttocks. Where the pain is situated usually depends on the underlying cause.

-Dull ache
-Groin or buttock pain, which may radiate down the leg
-Pain and discomfort on the outside of the hip with pressure
-Giving way or a painful limp​
-Stiffness and limited range of motion
-A popping noise or locking sensation
-Pain that gets worse with activity

DIAGNOSING YOUR HIP PAIN

​A variety of conditions, injuries and diseases can cause chronic hip pain. A few of the most common ones we see among :

1. Tendinitis – there are many tendons from the buttock and upper thigh that attach around the hip joint
2.Osteorthritis​
3.Trochanteric Bursitis​
4.Hip Fracture
5.Labral Tear
6.Sprains and Strains of the ligaments and muscles around the hip joint

Our first step is to determine what’s causing your hip pain. Hip pain is often complex and frequently involves the lower back and surrounding ligaments, tendons and muscles. It can also occur from asymmetry involving the lower extremity joints such as feet, ankles and knees. We no know that joint dysfunction occurs due to joint instability, which puts strain and pressure on the surrounding structures of a joint. It is no different for the hip joint. We use our advanced skills in musculoskeletal ultrasound to visualise statically and dynamically potential causes of your hip pain.
TREATING YOUR HIP PAIN

The treatment that best suits each patient depends on the nature of the problem. We specialise in using regenerative medicine techniques to treat your hip pain, including:

Prolotherapy treatments involve injecting a solution containing sugar or ozone to boost your body’s healing responses and create new, healthy tissues.

PRP therapy uses powerful cells harvested from the patient’s body to stimulate new cell growth and optimise the repair of damaged tissues.

Ultrasound-guided Injections of Corticosteroid can result in good symptomatic relief in many cases while getting the rehabilitation program with your physical therapist, is another viable option.


Our focus is utilising our treatments and rehabilitation programs towards healing the root cause of your injury or condition without the need for surgery. We don’t believe in a quick fix, one-size fits all approach. Instead, we treat all the structures involved in your condition and enjoy working with our patients to achieve the best outcomes to help them return to normal function and a healthier lifestyle as quickly as possible.

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48 days ago
55 days ago

Telehealth

MSKDOC Dr Zaid Matti

It’s a Telehealth day!
Some of you know me best for my injection treatments but beleive me- Regenerative musculoskeletal Medicine is really about FAR more than just needles and syringes. I always treat the whole person when I see a patient. In fact it’s all the other things we do to make sure … View more
It’s a Telehealth day!
Some of you know me best for my injection treatments but beleive me- Regenerative musculoskeletal Medicine is really about FAR more than just needles and syringes. I always treat the whole person when I see a patient. In fact it’s all the other things we do to make sure you are ready to receive injection therapies that often determine if you will have optimal results.
I know many of you are wondering how to manage your pain at home and I can help with that. You can book a consult with me via Telehealth
to start managing your musculoskeletal problems ...
We can start optimising your health during lockdown period by doing exercise programs that is specifically tailored to your needs and condition.
Managing stress and anxiety also has an important role that can be done via Telehealth virtual consultations
Although I don't like them, medication can you still be useful temporarily manage pain while you get your exercise program going.
#noneedlepainmamagement #noneedleregenerativemedicine #regenerativemedicine #wholehealth #wholepersonregenerativemed #naturopathicmedicine #wholehealth #painfree #telemedicine #MSKDOC and #stayhomedad #corona #virus #nzlockdown #uniteagainstcovid19 #uniteagainstcovid19nz #beatcoronavirus👊👊👊 #covid_19 #lockdown2020 #aucklandnz

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66 days ago

Covid-19 crisis

MSKDOC Dr Zaid Matti

Many patients with Musckloskeltal pain and conditions requiring assessment will have particular concerns during the current and uncertain Covid-19 (Coronavirus) outbreak. We are also aware that our many referrers will find themselves under extreme pressure at this time. Our commitment to patients … View moreMany patients with Musckloskeltal pain and conditions requiring assessment will have particular concerns during the current and uncertain Covid-19 (Coronavirus) outbreak. We are also aware that our many referrers will find themselves under extreme pressure at this time. Our commitment to patients continues and we are now offering the contingency of 'phone in / virtual consultations' so those suffering with Musckloskeltal problems can receive symptomatic guidance remotely.
We have secured approval from ACC and other Major health insurance like Southern cross and NIB for virtual Consults. If you don’t have insurance or ACC, Dr. Matti will conduct consultations at a reduced rate for the period of Covid-19 crisis.
If you would like to contact the practice to discuss a consultation from the comfort & security of your own home then do please contact us at Contact us 0272700100 or email admin@mskdoc.co.nz #corona #virus #beatcoronavirus👊👊👊 #health #welness #coronavirus

66 days ago

Covid-19 crisis – Phone in / virtual consultations

MSKDOC Dr Zaid Matti

Many patients with Musculoskeletal pain and conditions requiring assessment will have particular concerns during the current and uncertain Covid-19 (Coronavirus) outbreak. We are also aware that our many referrers will find themselves under extreme pressure at this time. Zaid’s commitment to … View moreMany patients with Musculoskeletal pain and conditions requiring assessment will have particular concerns during the current and uncertain Covid-19 (Coronavirus) outbreak. We are also aware that our many referrers will find themselves under extreme pressure at this time. Zaid’s commitment to patients continues and we are now offering the contingency of ‘phone in / virtual consultations’ so those suffering with Musckloskeltal problems can receive symptomatic guidance remotely.

We have secured approval from ACC and other Major health insurance like Southern cross and NIB for virtual Consults. If you don’t have insurance or ACC, Dr. Matti will conduct consultations at a reduced rate for the period of Covid-19 crisis.

If you would like to contact the us to discuss a consultation from the comfort & security of your own home then do please contact us at 0272700100 or email admin@mskdoc.co.nz or visit Www.mskdoc.co.nz

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69 days ago

Using anti inflammatory medications for chronic pain

MSKDOC Dr Zaid Matti

As Musculoskeletal physician, I have particular interest in Arthritis, Joint pain, Tendons and sports injures.
Chronic Pain Management with Platelets Rich Plasma is a new modality of treatment that is shown to be safe and effective. Moreover, its steroid free and drug Free therefore there is no … View more
As Musculoskeletal physician, I have particular interest in Arthritis, Joint pain, Tendons and sports injures.
Chronic Pain Management with Platelets Rich Plasma is a new modality of treatment that is shown to be safe and effective. Moreover, its steroid free and drug Free therefore there is no concersn about systemic side effects. In a time where we need our immune system to work in its best shape to fight viruses like #covid-19. We need to reduce the unnecessary use of steroids and non steroidal anti inflammatory Medication NSAIDs.

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74 days ago

About Us

Dr Zaid Matti
Dr Zaid Matti is a Musculoskeletal Medicine Specialist
MBChB, PgDipMSM Otago, PgDipSurgAnat Otago

Fellow of Australasian Faculty of Musculoskeletal Medicine FAFMM
Dr Zaid Matti is a specialist in Musculoskeletal Medicine. He has a particular interest in Regenerative Medicine and… View more
Dr Zaid Matti
Dr Zaid Matti is a Musculoskeletal Medicine Specialist
MBChB, PgDipMSM Otago, PgDipSurgAnat Otago

Fellow of Australasian Faculty of Musculoskeletal Medicine FAFMM
Dr Zaid Matti is a specialist in Musculoskeletal Medicine. He has a particular interest in Regenerative Medicine and Pain Management.

His practice Focus on Ultrasound-guided Platelets Rich Plasma PRP injections/steroids combined with multidisciplinary rehabilitation.

He has been practising Neuromuscular medicine and prolotherapy treatments since he started in general medical practice before specialising in Musculoskeletal Medicine.

Zaid’s journey started with practising medicine in New Zealand over ten years ago. He had his post-graduate training in multiple hospitals across New Zealand. Over the years he completed further post-graduate study and qualifications in sports medicine, surgical anatomy and Musculoskeletal Medicine.

He served multiple orthopaedics surgical posts at many hospitals across New Zealand including Auckland Hospital, Starship Children Hospital, Middlemore hospital, Tauranga hospital, Waikato Hospital and North Shore Hospital.

He moved to the community-based medicine in 2015 when he worked in general practice and urgent care while taking the formal specialty training in Musculoskeletal Medicine.

Zaid is passionate about the principle of Regenerative Musculoskeletal Medicine. This evolving field utilises cellular therapies called orthobiologics combined with precise delivery into musculoskeletal tissue under the guidance of ultrasound or X-Ray. He is a member of Interventional Orthopaedics Foundation, a leading organisation in this field. He is an active participant in the world-leading conferences in that field. He lectured in many international meetings about the principle and use of platelets rich plasma PRP as a cellular therapy for Musculoskeletal conditions. Zaid is an advocate for in promoting ethical research, marketing, and clinical application of orthobiologics. He is an active member of the Orthobiologics Ethics Consortium.

Dr Matti, other clinical interests include interventions in pain management, point of care ultrasound, and acute and chronic musculoskeletal problems in adults, particularly spinal, hip, knee and shoulder pain.

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