What is nStride?
nStride APS is a novel therapy that is designed to treat pain and slow the progression of cartilage degradation in the knee. nStride APS processes your own blood to provide a true novel output. The output is injected directly into the knee joint distributing beneficial and good proteins. These “good” proteins block and slow the degradation of cartilage treating the underlying cause of OA pain.
How does it work?
In an osteoarthritic knee, inflammatory cytokines (“bad” proteins) outnumber anti-inflammatory cytokines (“good” proteins) causing an imbalance resulting in knee pain and cartilage degeneration.
Inflammatory proteins attack the cartilage. These “bad” proteins must be stopped simultaneously to decrease pain and slow cartilage degeneration.
The nStride APS therapy introduces high levels of “good” proteins designed to overwhelm and block the inflammatory cytokines.
While balance is being restored to the knee, anabolic (building) growth factors are also introduced for beneficial cartilage health.
Who is a good candidate for nStride?
nStride can be a good option for those who have mild to moderate arthritis and are not yet surgical candidates or who wish to put off or avoid surgery altogether by reducing their pain and preserving the integrity of remaining cartilage.
What is the injection process?
- When you come in for your appointment the practitioner will go over your consent form, explain the procedure and answer any questions you may have.
- We will draw 60 cc’s of blood from your arm to prepare the nStride APS.
- The sample is placed in a centrifuge and spun to separate the “good” proteins and anti-inflammatory properties from the rest of the blood components. This process will take several minutes.
- The practitioner will then position you on the table and the injection site will be cleaned.
- Using ultrasound guidance, the nStride APS will be injected using a sterile needle.
- Depending on the area, you may be required to wait in the clinic for up to 30 minutes after your injection.
What can I expect after my injection?
If you received an injection into a joint (Knee, Hip, Shoulder…) experiencing a sensation that your joint is full or warm is totally normal. Some tenderness and aching in the following days are to be expected. Occasionally the joint will swell quite a lot. Call us if this happens so that we can ask you some questions about the swelling.
When can I expect results and how long will they last?
Results tend to improve slowly over several months. Pain relief may be expected after one to two weeks and patients may expect to see benefits for up to 24 months. More severe conditions may not benefit for as long as other conditions
Can nStride be combined with other types of injections?
Yes. Often, a patient may wish to combine their nStride treatment with an HA injection. It is important to note that nStride APS therapy cannot be combined with any injection options that contain cortisone as this inhibits the efficacy of your injection.
How long before I can return to exercise after my injection?
Generally, there is very little down time following an nStride injection. It is recommended that you keep to light activity for the first 14 days after a treatment and slowly work your way back up to full activity.
Let pain be your guide. A gentle ache is okay. A sharp pain that causes you to limp or cheat in your movements is usually a pain to be avoided.
How many nStride injections are required?
Clinical studies have demonstrated the efficacy of just one nStride injection.