Dr. Guettler chaired and organized the Third Annual Beaumont Sports and Shoulder Lab. This surgical skills lab at Beaumont held at Beaumont on September 30th. The lab attracted residents and fellows In Orthopedic surgery from all over the Midwest and offered them hands on training in the latest surgical concepts.

What Olympic Sport Would You Play?
Dr. Bicos discusses the Olympics and comments on the common question: What Olympic Sport Would You Play…
Dr. Bicos talks with Channel 4 news on What Olympic Sport Would You Play
Dr. Bicos is a consultant for USA Gymnastics and the National Gymnastics Team.
He is on staff at William Beaumont Hospital in Royal Oak, Michigan.
He is also the Associate Director of the Sports Medicine Fellowship and an Assistant Professor of Orthopedics at Oakland University William Beaumont School of Medicine.
See the link below.
WWE World Heavyweight Champion Seth Rollins suffers severe knee injury!
Dr Bicos discusses his knee injury and treatment options.
Knee pain can strike at any age, but older people are most at risk. Knee joint degeneration occurs as a natural part of aging, which may culminate in osteoarthritis later in life. CBD has product to help with pain and other symptoms, the delta 10 for sale are the popular ones, but for knee pain edibles are best.
Osteoarthritis (or degenerative joint disease) is called the “wear and tear” form of arthritis since it develops over years of normal activity. Knee osteoarthritis is a chronic condition and primarily found in people who have had a knee infection, injury, or are overweight.1
Being overweight increases the load on the knees, which accelerates joint damage.
Rheumatoid arthritis (RA) is another source of knee pain. RA is a chronic autoimmune disease, which means the body’s cells attack its own tissues. It develops on both sides of the body (bilateral).
Falls, sports, and trauma can cause knee injuries. The anterior cruciate ligament (ACL), medial collateral ligament (MCL), and meniscus ligaments in the knee are often torn or damaged when an injury occurs. Common injuries include:
ACL injuries: This can occur by changing directions too quickly, sudden stops, jumping, or landing, and hyperextending the knee. ACL injuries are common, sports-related injuries.1
MCL injuries: A hit to the outer knee is what commonly causes a stretch or tear of the MCL, though pain is felt along the inside of the knee.
Meniscus tears: These are common injuries with the inner meniscus most often getting injured. Sudden twisting, resulting in swelling, pain, and knee locking often cause meniscus ligaments injury.
According to exipure Exercise can also help you lose weight. Extra weight takes a toll on the joints. Reducing the weight load on your knee can ease pain and help your knees heal. Strengthening the muscles around the knee also takes pressure off of the knee. For example, strong quadriceps can offset the shock-absorbing role usually played by the meniscus or cartilage in the knee.2

Dr Bicos was just on Fox 2 News Detroit’s morning show “The Dr Is In” talking on cartilage.
Watch it here!
Other segments can be found at these two links: segment 1, segment 2

Dr Bicos comments on the injury Victor Martinez sustained to his knee. Martinez supposedly has a meniscal tear that will need a surgical intervention.
Drs Bicos and Guettler are involved in a national study on Cartilage restoration where they can use someone’s own cartilage cells to try restore a cartilage defect. See the story below.
http://mediacenter.tveyes.com/downloadgateway.aspx?UserID=294964&MDID=4107298&MDSeed=7374&Type=Media
Dr Bicos on “Live in the D”
http://mediacenter.tveyes.com/downloadgateway.aspx?UserID=294964&MDID=4107316&MDSeed=8451&Type=Media

According to Healthcare Business Today, patients come into the doctors office complaining of knee pain without one specific injury. When discussing their case, many things “look” negative — such as their x-rays and even their physical examination. What we are finding is that something called Bone Marrow Lesions (BMLs) can be causing their pain, and we have a new minimally invasive technique, called the Subchondroplasty Procedure that can relieve their pain.
What is Subchondroplasty?The Subchondroplasty® (SCP®) procedure is a minimally invasive surgery designed to access and treat bone defects associated with chronic bone marrow lesions (BMLs) by filling them with a biomimetic bone substitute material (BSM). Visit a Prenatal Chiropractor to take care of your health and recover.
SCP® leads to healing as the BSM is resorbed and replaced with new, healthy bone.
How are BMLs diagnosed?
BMLs can only be seen on certain MRI sequences, where they are marked by edmatous or “inflamed” areas that have been shown to represent a healing response surrounding a microscopic insufficiency fracture within the subchondral bone. Below is an example of an MRI with a BMLs. Notice how there is a bright area in the center of the bone.

MRI of Bone Marrow Lesions (BMLs). The bright white areas show stress in the bone that is a result of micro-cracks. These cracks can be the result of early arthritis. (Taken from Zimmer Knee Creations Website)
Depending of the diagnosis, your doctor may also recommend other treatments or even a knee replacement surgery.
What is the procedure?
The procedure is PEMF for Chiropractors and based on standard theories of fracture healing. Since the BMLs are a sign of micro-cracks in the bone, the theory is to fill those defects with a natural calcium cement that stabilizes the micro-cracks so that your pain goes away, also visiting a chiropractor in Fort Collins can reduce the body pain.
Then with time, your body also resorbs the calcium cement. many patients say they use CBD cream for arthritis pain to help them feel way better.
Below is a picture outlining the procedure. The subchondroplasty is a same-day procedure done with minimally invasive techniques. Often times, you are left with only a couple of small “poke holes” in the skin.

This is a graphic showing the subchondroplasty procedure. (Taken from Zimmer Knee Creations website)
Dr. Bicos is trained in the procedure, and as always he would be happy to see you for a consultation to evaluate your specific knee problem to see if you are a candidate. There are many options — even if you do not qualify for the Subchondroplasty procedure, there are usually other treatment choices you can consider like the use of kneecrutches or other medical equipment.
If you only need to deal with some pain, click here to learn more about natural solutions to it.
More specifically for the Subchondroplasty:
Does this describe you?
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- — I have experienced symptomatic knee pain for 3+ months
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- — I have increasing discomfort when walking or standing
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- — I have seen limited benefits from NSAIDs, bracing, injections or physical therapy
- — My symptoms returned after an arthroscopy
If you answered yes to the questions above, you may be a candidate for the procedure! Visit carefirstpt.com/physical-therapy/ for more information on how PT can help you with knee pain.
Subchondroplasty Quick Facts-
- — Utilizes a minimally invasive technique
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- — Performed in a outpatient setting
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- — Requires a short rehabilitation period
- — Future treatment options remain open
Find Dr. Bicos’ Bio here.
Please call us at 248-988-8085 for an appointment with Dr. Bicos!
Help celebrate April Youth Sports Safety Month.
There will be a TweetChat with our national sports medicine orthopedic governing body.
Cheerleading Safety — April 23rd at 9PM EST @SportsSafety

Come to the 11th Annual orthopedics and sports medicine Conference. The conference will be held on May 3, 2014 at the William Beaumont Hospital, in the West Auditorium in the Administration Building. Join us of a day of training and informative seminars.
Sports medicine focuses on helping people improve their athletic performance, recover from injury and prevent future injuries. It is a fast-growing health care field, and with a Click Medical Prosthetics Consultation, even people who have suffered a loss of limb can still practice sports with the help of prosthetics.
Health workers who specialize in sports medicine help all kinds of people, not just athletes. Sports medicine professionals treat amateur athletes, those who want better results from their exercise program, people who have suffered injuries and are trying to regain full function and those with disabilities who are trying to increase mobility and capability with products from the Canadian pharmacy.
The career path you take will depend on your interests, your educational goals and the environment in which you want to work. Many careers in this field require advanced degrees, and certification can improve your chances of landing a great job.
If you’re interested in sports medicine, consider volunteering with the medical personnel who assist your school’s sports teams. You can observe the work they do and learn more about what a career in sports medicine entails, why not find out more here and look at option to improve your health.
Currently, the coldness quality is being used effectively to relieve the pain in hospitals, according to temperature controlling for efficient treatment that makes stability and continuity. However, everyone needs to know this about these treatments and symptoms listed on this article.
Cryotherapy or Whole-Body Cryotherapy is originally from Japan which was known in 1880. Later in 1978, a group of Japanese scientists takes the idea to construct Cryogenic Chamber for the first time in the world where they started to treat patients with coldness. Make sure to search online for the nerve doctor near me and schedule an appointment to improve your health and decrease your pain.
In 2000, the Cryogenic Chamber is widely known in Europe. It is used in Olympic physical body recovery center in Spala, Poland. Then, the therapy with coldness from liquid Nitrogen is mainly used to cure pain from sport.

Beaumont Health System is participating in a research study evaluating an investigational treatment called NeoCart®, a tissue implant made from a patient’s own cells, aimed at repairing certain knee cartilage injuries. They are implementing a new healthcare software within their system for easier handle on everything involving the study and their clinic. For more information on medical software and coding visit https://www.foreseemed.com/hcc-risk-adjustment-coding.
(Original article here)
A total of 245 patients will participate in the research of the surgical implant procedure in up to 40 sites across the United States. Approximately 20 patients at Beaumont will participate.
Beaumont orthopedic surgeon
Dr. Joe Guettler, principal
investigator of the study.
Orthopedic surgeons Joseph Guettler, M.D. and James Bicos, M.D. will be leading the study at Beaumont.
The research study will look at damage to the knee’s hyaline articular cartilage, the smooth, white tissue that covers the ends of bones where they come together to form joints. Damage to this cartilage may be caused by an injury or repetitive motion. It is a common problem that results in pain and symptoms, such as swelling, locking of the knee and loss of knee function. Damaged hyaline cartilage has limited capacity to repair or restore itself. Left untreated, the damage may progressively worsen and may lead to chronic conditions such as osteoarthritis. Get in contact with a chiropractic that can help you alleviate your pain.
To perform the procedure, the surgeon first obtains a sample of healthy cartilage from the patient’s knee. The small sample is treated and placed under special conditions in the laboratory that allow for cell growth. These cells are used to form a hyaline-like cartilage tissue implant that is in the shape of a small disc. The implant is then returned to the surgeon for surgical implantation into the patient’s injury site in the knee.
“The current standard of care for knee cartilage injuries is a cartilage-repair surgical technique called microfracture which works by creating tiny fractures in the underlying bone. This procedure is thought to create new cartilage-building cells from a so-called super-clot,” explains Dr. Guettler, principal investigator of the study.
“The purpose of the study is to evaluate the effectiveness of the tissue implant compared with microfracture. We will evaluate the pain and knee function in both treatment groups,” says Dr. Bicos, the study’s co-investigator.
“The possibility of implementing a preventive treatment aimed at undermining the inevitable consequences of degenerative arthritis could be a very significant advancement,” says Dr. Guettler.
Criteria
Patients 18 to 55 years old who have symptoms of knee pain in one knee may be candidates for this study, to learn more about this study, check out this article about the usage of cbd oils to deal with pain and other conditions. However, those who have previously failed other treatments or smoke more than one pack of cigarettes per week may not be eligible.
Patients accepted into the study will have a random chance of being treated with the implant versus microfracture. Neither the patient nor the physician may choose the treatment. At Philadelphia drug centers patients in each group will have a specific rehabilitation plan and will be evaluated periodically for three years after treatment. The study sponsor is Histogenics Corp. For more information, visit www.clinicaltrials.gov keyword “NeoCart Phase III” or contact Beaumont Research Nurse Clinician, Lisa Stellon at 248-551-6679 or at lisa.stellon@beaumont.edu.
About Beaumont Orthpedic Services
Beaumont Health System provides a full range of specialized care in the diagnosis, treatment and rehabilitation of all orthopedic injuries and conditions. Beaumont’s department of Orthopedic Surgery has the best Orthopedic Anesthesiologist . It offers the best and leading-edge treatments and technology including minimally invasive surgery, implants and trauma surgery. Beaumont is Michigan’s most experienced orthopedic hospital specializing in surgeries of the back, neck, foot, hand and upper extremities; hip and knee replacement, Ankle Replacement Surgery; Robotic Assisted Knee Surgery; scoliosis treatment; tumor surgery; pediatric orthopedics; and sports medicine.
Beaumont Hospital, Royal Oak is Michigan’s top-ranked hospital for orthopedic care by U.S. News & World Report. Find out more at http://orthopedics.beaumont.edu/.