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November 19, 2024 • 18 mins

Unlock the secrets of regenerative medicine with us on the LMD Podiatry Podcast, as we promise you a fresh perspective on managing those stubborn foot pains, from plantar fasciitis to Achilles tendonitis. Featuring Dr. Lauren Dabakaroff, this episode delves into how cutting-edge treatments like laser therapy, shockwave therapy, and human tissue allograft injections are transforming patient outcomes where traditional methods fall short. You'll hear a compelling case study of a young patient who found relief through regenerative injections, proving that innovation in podiatry is indeed a game-changer.

We're not just exploring treatments; we're sharing a philosophy of care that emphasizes the body's natural ability to heal. Discover how you can manage foot-related conditions such as peripheral neuropathy and chronic ankle sprains without the crutch of surgery or medication. We'll tackle the nuances of insurance coverage for these advanced therapies and discuss the financial realities patients face. Learn about the importance of self-care and preventative routines, especially crucial for individuals like new mothers who juggle caregiving and personal well-being. This episode is packed with insights on holistic health strategies and long-term foot care solutions that go beyond the quick fix.

To learn more, visit: LMDpodiatry.com or contact (954) 680-7133


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Episode Transcript

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Speaker 1 (00:02):
Welcome to the LMD Podiatry Podcast.
Trust us to get back on yourfeet.
Here's your host, Dr LaurenDeBakeroff.

Speaker 2 (00:15):
Hello, hello everyone , and welcome back to another
episode of the LMD PodiatryPodcast.
We have a fun one in store foryou.
Today.
We're going to talk aboutregenerative medicine.
So, Dr Lauren, I myself do notknow much about regenerative
medicine, but I'd say you'resomewhat of an expert in the
field.
So why don't you start off bytelling our listeners a little

(00:37):
bit about what regenerativemedicine is and how it applies
specifically to podiatry?

Speaker 3 (00:45):
So basically, regenerative medicine is
harnessing the body's ability toheal itself.
So a lot of people don'tunderstand why foot pain doesn't
seem to go away.
And in a sense it's reallysimple.
A lot of problems in your bodypain aches.
They actually start at the feetbut nobody rests their feet.

(01:08):
For example, if I broke myfinger or I sprained my wrist or
I did something to my elbow,you stop using it and it goes
away.
But unfortunately with the feetnobody stops using their feet.
People come to me with heelpain, ankle pain and they just
continue to walk.
So it's really hard If you haveany issue with your foot, ankle

(01:31):
, toe, leg et cetera.
It's really hard for the bodyto heal if you continue to use
and abuse those structures.
So that's kind of so is.

Speaker 2 (01:45):
is the issue with the feet primarily a function of
the fact that we're on our feetall day and we're putting a lot
of um you know pressure in thatarea, or does it also have to do
as well with the fact that it'slike blood flow?
It's the extremities right,it's the farthest away blood
flow is important.

Speaker 3 (02:00):
It is a factor for some people, for example, people
that have poor blood flow, likesmokers or diabetics, anyone
with vascular disease, but a lotof things.
Evolutionarily I hate youthrowing that term around, but
we were meant to walk on theground and grass and things like
that, and our feet over theyears, over the millennia, have

(02:24):
been trying to adjust to walkingnow on tile and hardwood floors
and concrete and you knowconcrete and pavement and it's a
really hard adjustment andthat's why we do get frequent
injuries in our feet and ourtoes and our ankles.

Speaker 2 (02:44):
Interesting, so I want to dig in a little bit
further to get a betterunderstanding of this.
So you said regenerativemedicine is essentially anything
that your body kind of uses toheal itself within.
What are some examples of thesetypes of treatments and what
types of conditions do you seein your field where you would
recommend this type of treatmentfor your patients?

Speaker 3 (03:05):
So a couple of treatments that I do.
First off, we start with basicthings like shoe change, custom
orthotics, physical therapy,things like that.
And then if patients have morechronic issues in their feet,
then they need a boost.
They need things like lasertherapy, shockwave therapy.
They need things like lasertherapy, shockwave therapy, stem

(03:27):
cell therapy or the betterproper term for it is human
tissue allograft injections, forexample.
So all those things togetherhelp your foot and your toe and
your ankle heal itself.

(03:47):
When it's gone too far, mostmore of the common conditions
are plantar fasciitis, which isinflammation in the band that
holds up your arch, achillestendonitis, which is the
Achilles tendon.
It's in the back of your leg.
It literally every time you putyour foot down you use it.
You actually use both thefascia and the Achilles tendon
at the same time when you putyour foot down, and a lot of

(04:07):
people have chronic issues inthat area.
And then regenerative medicineusually does come in if we've
exhausted everything outside ofsurgery and patients don't want
to do surgery.
So regenerative medicine is theway to go, basically harnessing
the body's ability to healitself.
If just resting it didn't help,then something in the body is

(04:32):
not letting the body heal andusually that happens with
chronic changes.
For example, I actually had avery young 19-year-old patient
very bad ankle sprain.
Young 19 year old patientsprain, very bad ankle sprain
and the other doctor put him ina boot for a long time and then

(04:53):
he repeated the MRI and theligament in his ankle was still
torn and just by stopping to usethe foot, even though he did
everything he was supposed toand his body was at his age,
with his health level, his bodyshould have healed itself but it
did not.
So that's when you have like achronic ankle sprain that didn't
respond to traditionaltreatment.

(05:14):
That's when regenerativemedicine would take place, when
your body can no longer healitself.
So we supplement it with thingsthat can help heal it.
Heal itself, so we supplementit with things that can help
heal it for.
So in his case, I gave him um arestore gel injection and it's
just a company I use there's somany companies but basically, uh

(05:34):
, it's designed to help theligament remodel itself and go
back to normal and he was ableto have complete recovery and
MRI and the ligament actuallyrestored itself to where it was.
So you know, in combination withdifferent things, I also do a
lot of vitamins and CBD creamsand all these amazing

(06:00):
technologies that exist now tohelp your body heal itself.
So it's not just about.
It always starts with basics.
It always starts with shoes andorthotics and self-care and
putting creams on and justreally taking care of your feet.
Just like women put on allthose, get facials and do Botox,

(06:21):
whatever, it's the same thingwith your feet because your feet
absorb all the shock from yourbody.
So it's really important tokeep the plump protected with
the right shoe, put on the rightcreams and you know, and if you
have pain, that's usually whenyou have to see someone like me
to see what you need to do tohelp your body restore its

(06:42):
regenerative powers, to help youwalk better without pain.

Speaker 2 (06:47):
Interesting.
So, if I understand correctly,it sounds to me like this idea
of regenerative medicine.
It's kind of anything that youuse to promote and stimulate the
body's natural healing ability,whether that's a stem cell
injection or some of the otherthings that you talked about,
anything that again promotes thebody's natural ability to

(07:07):
recover.
That's kind of a in a nutshell,I guess.

Speaker 3 (07:10):
Right, and then I have a bunch of different things
but each person has a differentdiagnosis.
Another example would beperipheral neuropathy.
A lot of diabetics suffer fromsevere leg pain because their
nerves just the diabetes whenyou have too much sugar in your
blood, so the blood kind of sitson all the nerves and it causes

(07:32):
the neuropathy.
The small fibers of the nervesjust don't work anymore.
And then a lot of patients havethis very bad tingling, burning
and numbness in their feet andtheir legs and it's really hard
to recover from that.
And for example, for someonelike them I would use my MLS
laser and it's the only FDAapproved laser that has two

(07:56):
lasers and one that simulatesnerve regeneration and nerve
function and it basically forcesthe cell to generate more
energy so the cell can healitself.
And these patients are so happybecause neurologists and their
endocrinologists are puttingthem on all these drugs that are

(08:18):
not, they're just masking thepain but they're not fixing the
root of the issue.
So when I see a diabetic patient, for someone like them I would
do have pain and nothing'shelping.
I do a combination of vitaminsthat help glycosylate or rebuild
the nerve, regenerate the nerve, together with CBD creams that

(08:40):
help with pain around themuscles related to the nerves,
and the third part of that wouldbe the laser, and the laser
actually helps kind of wake upand the nerve and improve the
nerve function.
So so I actually like to putthat in the regenerative
category as well, because he'sthis person with peripheral
neuropathy has had and you know,he it's it's completely chronic

(09:05):
, severe pain, walking and goingto sleep at night, severe pain
in their legs for years and andwhen you actually activate
healing, when you give the bodywhat it means, then it can heal
itself, whereas the traditionalWestern medicine is just like oh
, take a pill take a pill, it'llstop your pain that's the

(09:25):
symptom, but not fix the problemright, it's not.
Not that I'm again.
I I went to traditional medicalschool.
Like I believe in that, itdefinitely helps.
But when someone doesn't wantto take pills anymore and they
know it's not fixing the problem, so that's where I like to
think outside the box and that'show I got into the whole realm

(09:46):
of trying to help people fixeverything from the inside.
Obviously, each diagnosisdifferent, like, like I said,
peripheral neuropathy, anklesprain, plantar fasciitis,
achilles tendon, tendonitis.
Those are common things that Isee, but these things are
completely debilitating topeople.
People don't, they can't runlike they used to.
They have pain.

(10:07):
Patients are getting obesebecause they have so much foot
pain and they're not.
It's the.
The issue is not getting fixed.
So this is like these thingsthat I talk about to patients
are great ways to avoid theoperating room and to use your
body's healing abilities and toenhance them.
You can walk and be pain freeand live a limit free, limitless

(10:33):
life and just do whatever youwant without pain.
And that's where that's kind oflike what I've been focusing on
with my patients lately andI've been having a lot of
success.
I actually, you know, mypatients are really happy
sending other people um, nottrying to gloat or anything, no,
you're good it's actuallyworking and I'm I'm like that's

(10:56):
fantastic.
I kind of hate medicare for likenot paying for these things.
You know things like that.
But it's just like some peoplejust want something else.
Some people don't want atraditional steroid injection,
or they don't want another Advilor another ibuprofen.
They want to know how, the whythe body's not healing.
And and I figure it out withdiagnostics and based on

(11:20):
everybody's different diagnosiswe treat it, we get the body to
help it heal itself.

Speaker 2 (11:26):
I find myself having these conversations about
preventative care more and more,whether it's with you or
whether it's with a buddy ofmine who's a dentist.
It all goes back to I say thisall the time take care of
yourself, creating daily habits.
The reason why people are soquick to take medication is
because it's a quick fix and welive in a fast-paced society

(11:48):
where we're looking for instantgratification and doing the work
required to be healthy and toprevent all this stuff from
happening in the first place isdifficult and arduous for folks
so quick.
To slap a bandaid on theseproblems.
But it doesn't reallyultimately fix anything and
obviously there's a time andplace for medications are useful
, but to take pills every day,just to mask a problem that's

(12:10):
not solving anything.

Speaker 3 (12:12):
I actually had a patient this morning mom with a
baby, her feet are killing herand you know I gave her the
traditional steroid injectionsand she felt a little better.
And I saw her at the follow-uptoday and like I was looking at
her and I'm like, girl, you needa break.
Like she, you know she holdsher baby and breastfeeds this

(12:32):
baby and her feet are killingher and I'm like you can't walk
barefoot, sit and feed your baby.
You know you got to take careof your feet.
You know, do some home physicaltherapy, like I had a whole
chat with her about like doingEpsom salt soaks and resting
your feet and not walkingbarefoot.
And I was like when, when she,when the baby's asleep, you got
to take care of yourself,because nobody's going to take

(12:52):
care of you.
You don't take care of yourself.
I was like just create yourroutine soak your feet,
moisturize, ice your heels,whatever you need to do to get
rid of the pain, cause your body, your you know, obviously she's
a breastfeeding mom, so, likeher, her body's still changing,
so that's why, you know, I'm not.

(13:13):
I think the basic treatmentshould help her move along and
get the body to heal itself, butit's just a matter of time, and
it was just you know everybody,just you got to take care of
yourself because nobody else isgoing to take care of you.

Speaker 2 (13:26):
Nobody else is going to do it for you.

Speaker 3 (13:28):
I really love those tips and tricks when it comes to
, you know, people with chronicpain and debilitating foot pain
or ankle pain or things likethat.

Speaker 2 (13:37):
Yeah, the human body has an unbelievable capacity to
heal itself.
I mean, the power is reallywithin.
Just creating those dailyhabits and really having the
right mindset around what you'redoing pays unbelievable
dividends.
And it's tough, but once youget in the routine of doing
these things, it becomes a loteasier, for sure.

(13:58):
One other thing I wanted to askyou before we wrap up what
about insurance?
I know that some of theseregenerative treatments, such as
stem cells, things like that,are sometimes difficult to
access financially.
Are these things typicallycovered under traditional
insurance plans?
Are those things that yourpatients often have to come out
of pocket for?
How does that work for you withyour practice?

Speaker 3 (14:18):
So I try to help my patients as much as I can.
I do work with a company calledModernizing Medical Solution.
I forgot their name.
Anyways, the point is there area few huge, so I hate to call
it stem cells, but it's called.
It's human tissue allograft, soit's.

(14:39):
It sells Wharton's jelly, orcells harvested for the
umbilical cord of a baby.
And I do have like one or twocompanies that I use that they
do insurance authorizations forpatients and it's like 50-50,.
You know that I do anauthorization, sometimes it's

(15:00):
covered, sometimes not.
So there's like one or twoinsurances that it is covered
for, but for most insurancesit's not covered, and I
basically keep these, theseinjections in my in a freezer in
my office and they're ready togo.
If I do it the traditionalinsurance authorization way, it
has to go through like a verytedious, like four to six week

(15:23):
insurance authorization process.

Speaker 2 (15:27):
It sounds like it sounds like the pharmaceutical
companies don't want people toget healed.
That's what I'm hearing here.

Speaker 3 (15:32):
I mean it's cut Like.
In certain situations it willbe covered.
But you can't just do it rightaway.
You know, what I'm saying, butmost of the time patients pay
out of pocket for this.
Like the insurance will coverdiagnostics.
It will cover the visit,consultation with me, diagnostic
imaging, x-rays, ultrasounds,mris if I order it, physical

(15:53):
therapy if you need it.
But it won't cover the actualmedicine itself, the actual what
I'm injecting, and it doesn'tcover the laser either.
But we have amazing treatmentpackages.
We actually have.
You know, we have a sale goingon 15% off for the month of
November, 50% off.

Speaker 2 (16:13):
You hear that every month.
I mean 15.
Sorry, 15, 15, not 50.
Strike that.
Strike it from the record.

Speaker 3 (16:21):
Yeah, so and we take care first.
We do payment plans whateverthe patients need.
Unfortunately, I hate that.
Whatever the patients need.
Unfortunately, I hate that andthat's why I'm in the
regenerative field, because Igot sick of insurance companies
dictating our care, what you canand can't do for you.

Speaker 2 (16:38):
You want to be able to do what you believe is going
to be the best outcome for yourpatient, regardless of whether
insurance coverage Listen why isacupuncture still not covered
by insurance?
Even though it's amazing.

Speaker 3 (16:48):
I love acupuncture.
It helps me.
It's great.
But why it's not covered, Idon't know.

Speaker 2 (16:54):
Shout out to Crystal Dehay from Deep Roots.

Speaker 3 (16:58):
My favorite acupuncturist.

Speaker 2 (16:59):
She's the best.
She's the best.
All right, cool, let's wrap itup there.
Anyone out there, if you'relistening to this and you are
having issues with your feet andgo get, go see Dr Lauren.
She is a tremendous asset forour community, doing great
things.
She has a wealth of knowledgeand she is there to help or
answer any questions that youhave.
And remember, take care ofyourself.
We only got this one life tolive.

(17:21):
Let's live it right.
Everyone, take care and we'llcatch you next time on the next
episode of the LMD PodiatryPodcast.

Speaker 1 (17:29):
Bye next time on the next episode of the LMD podiatry
podcast.
Bye, thank you for listening tothe LMD podiatry podcast.
For more information, visitlmdpodiatrycom.
That's lmdpodiatrycom, or call954-680-7133.
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