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Wednesday, June 2, 2010 – Daily News – 5A Is PRP right for shoulder injury? If readers would like to contact Dr. Gott, they may write him through your newspaper or send their mail directly to Dr. Gott c/o United Media, 200 Madison Ave., 4th fl., New York, NY 10016. How- ever, if readers want to request a newsletter, they should write to the Ohio address. DEAR DR. GOTT: I would like your opinion about platelet-rich plasma (PRP). I have an impinge- ment in my shoulder and was told I need surgery. Do you think the PRP is an option? DEAR READER: There is an increasing demand, and rightly so, for the use of autologous (self- donated) blood products that aid the healing process. Blood contains red and white blood cells, platelets and plasma. The platelets are responsible for the pro- duction and revitalization of new connective tissue. Let me briefly discuss PRP, and then I will try to answer your question. During the procedure you are considering, about 30 to 60 millimeters of a patient’s blood are drawn and spun down in a cen- trifuge for 15 minutes. From that draw, between 3 and 6 ccs of PRP become available. The concentrated platelets are then injected into the patient at the site of the injury. The process was first used and documented in 1987 by a physician who performed open -heart surgery. However, it has been only about a year since it has been used in conjunction with sports- related/overuse injuries. Perhaps because tendons get very little blood, injury sites heal slowly. The thought process behind PRP is that concentrated platelets injected into the injury site should speed recovery. A Journal of the Ameri- can Medical Association (Jan. 13, 2010) reported the use of PRP for Achilles tendinopathy and indicated the PRP injection, com- pared to a saline injection, did not result in greater improvement in pain and activity. Keep in mind this report was for chronic Achilles tendinopathy, not shoulder impingement. I state this only because there is little, if any, information regarding the shoulder. The New York Times covered the topic on Jan. 12, 2010, stating the treat- RED BLUFF RED BLUFF Dr. Peter Gott ment has become so popular that patients are willing to pay $1,000 or more out of pocket for PRP — espe- cially after hearing that Tiger Woods had his knee inject- ed and two football players, Troy Pola- malu and Hines Ward, received injections, all with positive reports. Thousands of doc- tors and about 500 hospitals are offering the service today. However, the first rigorous study found that platelet injections are no more effective than saltwa- ter. Again, this report extracted from the JAMA report is related only to acute Achilles tendinopa- thy. In defense of the proce- dure, another study in the American Journal of Sports Medicine due out soon con- cludes that platelet injec- tions may help tennis elbow, but some indicate the study has a design flaw that leads them to question its conclusions. This may be worth watching for final analysis. As you can see, the jury is out on this one, and I am a member of the jury. Thank heavens testing con- tinues. My problem is that PRP is in its infancy and has been used for sports- related injuries for only about a year. I’m not daring enough to be on the cutting edge, nor am I willing to step up to the plate and take a stand. It’s simply too soon for my endorsement. Only you know your physician’s qualifications. Perhaps a second opinion at a large sports-medicine center or teaching hospital is appropriate. Good luck. To provide related infor- mation, I am sending you a copy of my Health Report “An Informed Approach to Surgery.” Other readers who would like a copy should send a self- addressed stamped No. 10 envelope and a $2 check or money order to Newsletter, P.O. Box 167, Wickliffe, OH 44092-0167. Be sure to mention the title or print an order form off my website at www.AskDrGottMD.com. Dr. Peter H. Gott is a retired physician and the author of several books, including “Live Longer, Live Better,” “Dr. Gott’s No Flour, No Sugar Diet” and “Dr. Gott’s No Flour, No Sugar Cookbook,” which are available at most bookstores or online. His website is www.AskDrGottMD.com. D NEWSAILY T H E V O I C E O F T E H A M A C O U N T Y S I N C E 1 8 8 5 Your “Local” Daily Newspaper Since 1885 To Subscribe Call Today! 527-2151 FAX 527-3719 DAILY NEWS — PO BOX 220 545 DIAMOND AVE. RED BLUFF CA 96080 AMERICAN SELF-STORAGE ★★ ★ 64 Mulberry Ave., Red Bluff • 527-1755 • Fully Fenced • Onsite Manager • Well Lit Property website: www.americanselfstorage.biz • RV & Vehicle parking now available LOWEST PRICE GUARANTEED! Call now for rates. Only 300 will be sold …they’re starting to move! could win $10,000 $100 each You Proceeds will go to provide the Fireworks Extravaganza at the First Annual 4th of July Heritage Celebration at the District Fairgrounds in Red Bluff, brought to you by The Red Bluff- Tehama County Chamber of Commerce, Tehama District Fair and the Daily News! Buy your Golden Ticket(s) at: RB-TC Chamber of Commerce Red Bluff Yamaha – Antelope Blvd. Buds Jolly Kone – Antelope Blvd Nu-Way Market – Los Molinos Napa Auto Parts, Corning Tehama D NEWSAILY TEHAMACOUNTY TEHAMACOUNTY Excessive noise dogs new lease holder Dear Annie: My family and I recently moved to a new subdivision, which includes several duplexes crowded together. We were told it was a quiet area, and when we checked it out, it seemed very pleasant. In fact, our lease states it has to stay quiet. please note that in order to get out of the lease, you will need to file a lawsuit. Decide what it’s worth to you. When we were choos- ing the place, I informed the landlord that I do not like dogs and cannot toler- ate barking. He neglected to tell us that there are several dogs in the other duplexes and let us move in while withholding this information. He refuses to tell the dog owners to put shock collars on their dogs or otherwise keep them quiet. I cannot even go to my mail- box without one of these dogs bark- ing at me. My question is, can we get out of our lease because the landlord lied? This sort of thing has hap- pened to us more than once. Why do some landlords think they have to lie to get people to rent from them? — Peeved in Columbia, Mo. Dear Peeved: Every state is dif- ferent, but in most instances, even if the lease says something about noise, it is not as inclusive as you may believe. If the landlord actual- ly told you that there are no dogs in the neighborhood, you may have grounds to ask a judge to let you out of the lease. But if the landlord made no specific mention of dogs, you are likely stuck. However, Annie’s Mailbox by Kathy Mitchell and Marcy Sugar Dear Annie: Seven years ago, my mother was diag- nosed with scleroderma, an autoimmune connective tis- sue disorder that literally means ‘‘hard skin.’’ Mom first noticed that the skin on her fingers and face was becoming thick and hard. Then her physical appearance began to change. She could no longer make a fist, grasp doorknobs or open jars without assistance. As the disease pro- gressed, she lost the ability to button her clothes or tie her shoes. By the time she was diagnosed, the disease had caused scar tissue to grow on her lungs. She can now walk only short distances and is on disability. June is National Scleroderma Awareness Month. Scleroderma affects more than 300,000 Ameri- cans and is more common in women than men. Its onset is typi- cally between the ages of 25 and 55. The disease affects children, too. There is no known cause or cure, and few treatments are avail- able. In many cases, it can be fatal. My mother joined a support group through the Scleroderma Foundation, and the friends she made there changed her outlook on life. I am proud of the inspiration she has been to others. Every year, the Scleroderma Foundation raises more than $1 million toward find- ing the cause of and cure for this disease. If you could help your readers become aware of the effects of scleroderma, many might receive an earlier diagnosis, and it could save lives. Thank you. — E.C., Boston Dear E.C.: We appreciate the opportunity to mention the Sclero- derma Foundation and the work they do. Interested readers can con- tact them at 1-800-722-HOPE (1- 800-722-4673) (scleroderma.org). Dear Annie: In your reply to ‘‘Frustrated Teen Mom in Omaha,’’ you failed to mention the option of adoption. It is hard enough to adopt a baby with so many young moth- ers keeping the child, so it is doubly important that adoption be men- tioned as an alternative. Thank you. — Minot, N.D. Dear Minot: We recommended Planned Parenthood because coun- selors there will discuss all possi- bilities, including adoption, as well as provide prenatal care. A few readers suggested an exclusively pro-life website, Community Preg- nancy Centers (cpclink.com), which some of our readers may prefer. Annie’s Mailbox is written by Kathy Mitchell and Marcy Sugar, longtime editors of the Ann Landers column. Please e-mail your questions to anniesmailboxcomcast.net, or write to: Annie’s Mailbox, P.O. Box 118190, Chicago, IL 60611. Workshop set for summer math contest Children and their families are invited to a workshop and family game night from 4 to 6 p.m. June 3 at Chrysalis Charter School to learn about KIXE’s Cyber- chase Summer Chal- lenge. Math specialist Alysia Krapfel will conduct the workshop which will include games for fami- lies and kids, a "Movie Madness" segment fea- turing new Cyberchase episodes, snacks and more. The Cyberchase Sum- mer Challenge runs from June1 to July 5. Children in the third through eighth grades will create "math magic" board Field to Fork set The second annual Slow Food Shasta Cascade Field to Fork will be June 26. A fun day in the park for the entire family. Farmer's market, Art, kids hands-on activities. The event is free. Vendor Booth spaces are available for farmers, producers, artists - local products and educational. games and the top entries will be presented at Tur- tle Bay Exploration Park. Prizes include family memberships to Turtle Bay and the Shasta Fam- ily YMCA and Need 2 Speed passes. All participants will be honored at an Aug. 7 awards ceremony at the Schreder Planetarium. Additional workshops will be held June 12, June 16, June 19 and June 24. Complete details and rules will be available at www.kixe.org after June 1. For more information, contact Dawn Suttmoeller at 243-5493 or ready- tolearn@kixe.org. House – Apartment FOR RENT Classified Line Ads June Special! Online re-publication in FREE TOP LISTINGS RENTALS $11 Value on the front page at www.redbluffdailynews.com 60,000 unique visitors monthly Daily News Classified (530) 527-2151 Get your Paid Political Advertisement Golden Ticket