That's good man, it's always nice to shut the docs up and leave them guessing
Ouch.
The problem is in our country it is so easy to have a lawsuit brought against you as a physician. Most ortho docs i know would be open to the idea of using something like IGF to heal soft tissue injuries. Its hard because physicians are usually walking on eggshells. Personally i find it fascinating that people on here are swearing by IGF to heal injuries and i'm sure most others would too.
In the ortho world i think you would find that most are open to the use of different chemicals to heal the body and make patients better. After all that is the goal. I posted recently on new clinical applications of anabolics being used on elderly hip fx patients. We just have to understand that it all takes time until it becomes a proven option.
currently i use AGF (autologous (blood derived) growth factor in certain surgeries (open rotator cuff repairs, achilles tendon repair, OATS procedures in the knee for articular cartilage repair).
A variety of growth factors have been found to play a role in wound healing, including blood-platelet-derived growth factor (PDGF), epidermal growth factor, fibroblast growth factors, transforming growth factors, and insulin-like growth factor. Topically applied blood autologous platelet-derived growth factors have been most extensively investigated for clinical use in wound healing. For example, platelets are a rich source of PDGFs, transforming growth factors (which function as a mitogen for fibroblasts, smooth muscle cells, and osteoblasts) and vascular endothelial growth factors. Autologous platelet concentrate suspended in plasma, also known as platelet-rich plasma (PRP) or buffy coat, can be prepared from samples of centrifuged autologous blood. Exposure to a solution of thrombin and calcium chloride results in the polymerization of fibrin from fibrinogen, creating a platelet gel. The platelet gel can then be applied to wounds or may be used as an adjunct to surgery to promote hemostasis and accelerate healing. Activated platelets then degranulate, releasing the various growth factors.
Sooo...give the docs some credit..except for the old crotchety ones who are no longer open to new ideas..but give it time to be studied and proven (so it holds up in a lawsuit really....) and i think you will see it used more often...
