Los mejores ortopedistas del tratamiento de Luxación habitual del hombro — TOP-116 médicos

• Se especializa en el tratamiento de la Luxación Habitual de Hombro con diversos métodos.
• Utiliza reducción cerrada, cirugía y rehabilitación para la estabilización del hombro.
• Práctica internacional en Turquía y California, EE.UU.
• Aclamado por sus técnicas avanzadas de cirugía ortopédica.
• Tiene membresías prestigiosas en sociedades de ortopedia y columna.
• Consulta a los pacientes en línea para obtener una atención conveniente para la dislocación del hombro.
• Dominio del inglés, lo que garantiza una comunicación clara con los pacientes internacionales.

• Se especializa en el tratamiento de la luxación habitual de hombro con métodos avanzados.
• Experto en cirugía artroscópica, reparación de Bankart y procedimientos de estabilización de hombro.
• La formación internacional incluye prácticas ortopédicas en Turquía.
• Altamente valorado para reemplazo de hombro y traumatología deportiva.
• Acreditado en Ortopedia y Traumatología por las Universidades de Estambul.
• Miembro de respetadas asociaciones médicas en ortopedia.
• Consultas disponibles en inglés y turco para atención diversa al paciente.

• El Dr. Gursel Saka se especializa en el tratamiento de la luxación habitual de hombro.
• Utiliza métodos como inmovilización, fisioterapia e intervención quirúrgica.
• Práctica internacional en ortopedia y traumatología.
• Ha realizado cirugías exitosas en columna, traumatología, artroplastia, pelvis-acetábulo.
• Especialista acreditado en ortopedia y traumatología.
• Miembro de destacadas asociaciones médicas de Turquía.
• Habla turco e inglés con fluidez y ofrece consultas en ambos idiomas.

• El Dr. Luis Maria Terricabras Carol está especializado en el tratamiento de la luxación habitual del hombro.
• Utiliza métodos: fisioterapia, estabilización artroscópica, reparación quirúrgica abierta y rehabilitación.
• El Dr. Carol tiene experiencia ejerciendo en instituciones médicas en España y otros países europeos.
• Miembro de la Academia de Ciencias Médicas de Cataluña y Baleares, SECOT, y GETOI.
• Habla español, catalán e inglés, lo que garantiza una comunicación integral con el paciente.

• El Dr. Andrzej Komor se especializa en el tratamiento de la luxación habitual del hombro.
• Experto en procedimientos quirúrgicos de reparación, fisioterapia y estabilización del hombro.
• La experiencia internacional incluye pasantías en Israel, EE. UU., España y Austria.
• Utiliza técnicas avanzadas que involucran terapia con células madre para la restauración de articulaciones.
• Habla inglés y español con fluidez, lo que facilita la comunicación diversa con los pacientes.
• Proporciona consultas en línea para pacientes con dislocaciones de hombro.
• Reconocido por su labor humanitaria en Pakistán e Indonesia con misiones médicas.

• El Dr. Krzesimir Sieczych se especializa en el tratamiento de la luxación habitual de hombro.
• Emplea tratamientos no invasivos como ácido hialurónico e inyecciones de plasma rico en plaquetas.
• Realiza terapia avanzada con Orthokine como alternativa a la cirugía.
• Formado en Varsovia; Experiencia internacional con atletas olímpicos.
• Consulta a pacientes en línea, brindando atención accesible para diversas afecciones.
• Habla inglés y polaco con fluidez, lo que mejora la comunicación con diversos pacientes.
• Tiene un título de especialista en Ortopedia y Traumatología de la Universidad Médica de Varsovia.

Graduate of the Faculty of Medicine at the Medical University of Łódź.

Since 1987, assistant and then senior assistant at the orthopaedic ward in Zgorzelec. From 2003 to 2007, assistant in the orthopaedic ward and head of the hospital in Lubań.

From January 2008, head of the department of orthopaedics and trauma surgery at the Jelenia Góra Regional Hospital. In 2012, orthopaedic surgeon at the KCM Clinic.

For years, Dr Jarosław Mączyński has mainly dealt with the problem of alloplasty [implantation] of large joints - mainly the hip and knee.

He has performed more than 1,500 hip and knee prosthetic procedures both primary and revision, hip capoplasty, joint reconstruction procedures, peri-prosthetic fractures using state-of-the-art implants and revision systems.

The doctor is certified in the use of hip, capoplasty and knee implants from all leading companies.

Jarosław Mączyński, MD, performs diagnostic examinations in the field of:

Diagnostic and surgical arthroscopy of the knee joint

Arthroscopy of the knee joint with ACL reconstruction

Hip joint endoprosthesis

• AREAS OF INTEREST
• Trauma surgery
• Arthroplasty
• Sports Injuries
• Ankle surgery
• Arthroscopic joint surgery

• Education and Training:
• Medical Degree: Graduated from Marmara University Faculty of Medicine, where he received comprehensive medical training.
• Specialization in Orthopedics and Traumatology: Completed his residency at Haseki Training and Research Hospital, gaining specialized expertise in orthopedics and traumatology.

• Professional Experience:
• Current Position: Serving as an Orthopedic and Traumatology Specialist at İstinye University Hospital Medical Park Gaziosmanpaşa, Istanbul. This institution is known for its innovative approach to healthcare, combining advanced technology with personalized patient care.
• Clinical Expertise: Dr. Şener has substantial experience in treating various orthopedic conditions, including meniscus tears, joint arthritis, sports injuries, and ankle surgery. He is also proficient in performing advanced surgical procedures such as arthroplasty and arthroscopic surgery.

• Areas of Expertise:
• Trauma Surgery: Skilled in managing and treating traumatic injuries, ensuring optimal recovery and rehabilitation for patients.
• Joint Replacement: Expert in performing joint replacement surgeries, providing relief to patients suffering from severe joint pain and arthritis.
• Sports Injuries: Specialized in diagnosing and treating sports-related injuries, helping athletes return to their peak performance.
• Arthroscopic Surgery: Proficient in minimally invasive arthroscopic procedures, reducing recovery time and improving outcomes for patients with joint issues.

• Competitive Advantages:
• Advanced Surgical Techniques: Utilizes cutting-edge surgical techniques and equipment, ensuring high precision and better patient outcomes.
• Multidisciplinary Approach: Collaborates with a team of specialists to provide comprehensive care, addressing all aspects of a patient's condition.
• Patient-Centered Care: Committed to providing personalized treatment plans tailored to the unique needs of each patient, ensuring the highest level of care and satisfaction.
• Continuous Education: Regularly attends national and international conferences and workshops, staying updated with the latest advancements in orthopedic surgery.

• Achievements and Recognition:
• Patient Satisfaction: Highly rated by patients for his expertise, professionalism, and compassionate care, with numerous positive reviews reflecting his dedication.
• Academic Contributions: Actively involved in teaching and mentoring medical students and residents, contributing to the advancement of orthopedic education.
• Professional Memberships: Member of several prestigious medical societies, reflecting his commitment to maintaining high standards in orthopedic practice.

Education and Specialization:

• Medical Degree: Graduated from a reputable medical school.
• Specialization in Orthopedics and Traumatology: Completed his residency with a focus on advanced orthopedic procedures and trauma care.

Professional Experience:

• Current Position: Orthopedics and Traumatology Specialist at VM Medical Park Pendik Hospital, Istanbul.
• Extensive Experience: Dr. Tuna has significant experience in treating a wide range of orthopedic conditions and performing complex surgical procedures.

Areas of Expertise:

• Arthroscopic Surgery
• Joint Dislocations and Instability
• Ligament Injuries (ACL tears, etc.)
• Ankle and Shoulder Injuries
• Osteoarthritis and Joint Pain
• Minimally Invasive Surgical Techniques
• Trauma and Fracture Management

Research and Publications: Dr. Tuna has contributed to numerous publications in the field of orthopedics, particularly focusing on innovative surgical techniques and patient outcomes.

Professional Memberships:

• Member of the Turkish Orthopedic and Traumatology Association
• Active participant in various orthopedic conferences and workshops to stay updated with the latest advancements in the field.

Patient Testimonials: Patients frequently commend Dr. Tuna for his expertise, compassionate care, and clear communication. Many patients have reported successful recoveries and high satisfaction with his treatment plans and surgical outcomes​

Education

• (1998-2004), Bachelor's Degree Hacettepe University Faculty of Medicine, Ankara
• (2005-2010), Doctorate / Specialization in Medicine Haydarpaşa Numune Training and Research Hospital

Experience

• 2005-2011, Assistant Doctor Haydarpaşa Numune Training and Research Hospital, Department of Radiology
• 2011-2013, Specialist Doctor Kahramanmaraş Women's and Children's Hospital, Kahramanmaraş Necip Fazıl City Hospital (mandatory service)
• 2013-2022, Specialist Doctor Ministry of Health Fatih Sultan Mehmet Training and Research Hospital, Department of Radiology
• 2022, Associate Professor Ministry of Health Fatih Sultan Mehmet Training and Research Hospital, Department of Radiology

ACADEMIC BACKGROUND

• Medical Doctor graduated from the University of Monterrey
• Specialist in Physical Medicine and Rehabilitation in Mexico City, at the 20 de Noviembre Medical Center, ISSSTE – National Autonomous University of Mexico
• Prolotherapy at the University of Wisconsin
• Professor at the Annual Prolotherapy Course, University of Wisconsin and Hackett Hemwall Foundation
• Former professor of the Traumatology, Orthopedics, and Rehabilitation course at the Tec de Monterrey School of Medicine (ITESM)
• Attendance at National and International Congresses
• Diploma in Cardiac Rehabilitation from the Spanish Society of Rehabilitation
• Diploma in Cardiac Rehabilitation from COMEFYR

CERTIFICATIONS

• Medical Doctor, Registry with the Directorate General of Professions SEP: 432048
• Medical Doctor, Registry with the Ministry of Health: 54924
• Specialist in Physical Medicine and Rehabilitation, DGP, SEP: 4111184
• Certified and Recertified by the Mexican Board of Rehabilitation Medicine A.C. 0147

PROFESSIONAL EXPERIENCE

• Preparatoria Biology Professor, University of Monterrey. Professor and Head of the Department of Anatomy, University of Monterrey (1982-1985). Instructor in Biology, Biophysics, and Physiology
• Founding Director of the Rehabilitation and Special Education Center of the DIF System (15 years)
• Founding Director of the Obispado Rehabilitation Center
• Director of the Hoga Rehabilitation Center
• Director of the Monterrey Physiatric Center
• Director of the Rehabilitation Specialty Centers Fisiomedix (2000) and Rehabilita (2010)
• Practicing specialist in Physical Medicine and Rehabilitation
• Rehabilitation Center at Hospital San José (1995-2015)

SOCIAL ASSISTANCE EXPERIENCE

• Collaborator, advisor, and council member of the Spina Bifida Association of Nuevo León A.B.P. from 1993 to the present (altruistic work)
• Design, organization, and implementation of care for people with disabilities in the Nuevo León DIF System (1985-1990)
• Collaborator with the Think First organization (altruistic work)
• International collaboration with the Hackett Hemwall Foundation, assisting and donating time and knowledge in altruistic medical missions in Guadalajara and Honduras from 2005 to the present
• Prolotherapy brigades from 2002 to the present (over 50)
• Director of the Prolotherapy Institute, academic director

MAIN DISTINCTIONS

• Honorary Mention in Physical Medicine and Rehabilitation Residency, 20 de Noviembre Medical Center. ISSSTE
• Chief Resident – Specialty in Physical Medicine and Rehabilitation. 20 de Noviembre Medical Center. ISSSTE
• Secretary of the Traumatology and Orthopedics Society of Nuevo León
• Founding President of the Mexican College of Rehabilitation Medicine of Nuevo León
• State Delegate of the Mexican Board of Rehabilitation Medicine
• Certified and Recertified by the Mexican Board of Rehabilitation Medicine 0147
• Specialty License No. 4111184
• Member of the American Congress of Rehabilitation Medicine
• Member of the American Association of Cardiopulmonary Rehabilitation
• Member of the American College of Sports Medicine
• Member of the American Association of Orthopedic Medicine
• Member of the College of Physical and Rehabilitation Medicine of Nuevo León
• Member of the Mexican College of Physical and Rehabilitation Medicine
• Hackett Hemwall Foundation
• Institute for Innovative Medicine (Munich, Germany)
• Mexican College of Physical and Rehabilitation Medicine COMEFYR

Work Experience:

• 2011-2014 (Haziran) Kütahya Tavşanlı Doç. Dr. Mustafa Kalemli Hospital

• 2014(Haziran)-2019 ( Haziran) Kütahya Özel Anadolu Hospital

• 2019- 2020 İstanbul Arnavutköy Hosptial

• 2020- 2023 Özel İstanbul Şafak Hospital

• 2024 -halen OrtoCare Clinic

Education:

▪ 1989-1993 Erzurum High School

▪ 1993-1994 İzmir 60. Yıl High School

▪ 1994-1997 İzmir 60. Yıl High School

▪ 1997-2004 Dokuz Eylül University Medicine Faculty

▪ 2005-2011 Dokuz Eylül Universtiy Orthopaedics and Traumatology Department

Profesional Experience:

• Joint and Cartilage Surgery and Stem Cell treatment

• Sports Medicine and Joint Arthroscopy

• Joint Arhtroplasty (knee- hip-shoulder prothesis)

• Hand Surgery and Microsurgery

• Spinal Surgery

• Traumatolgy

Postgraduate Education:

• 2006 Orthopaedic Trauma Course

• 2008 Monolateral Eksternal Fixator Course

• 2009 Prof. Dr. Rıdvan Ege Han Surgery Course

• 2009 Advanced Orthoapedic Trauma Course

• 2009 Based Arthroscopy Course

• 2010 AO Trauma Course ( Principles in Operative Fracture Treatment)

• 2010 3.Based İntrameduller Nailing Course

• 2011 AO Trauma Course (Advances in Operative Fracture Treatment)

• 2011 2. Advanced İntrameduller Nailing Course

• 2011 XII. Advanced Artrhroscopy Course

• 2012 Ankle Arthroscopy Course

• 2012 Shoulder Artrhroscopy Course

• 2013 AO Trauma Masters Course

• 2013 Knee Arthroplasty and Revision Arthroplasty Course ( Viyana/ Avusturya)

• 2015 Primer and Revision Knee Artrhroplasty Course( Arthroschool Courses)

• 2016 Master Knee Arthroscopy Course ( Acıbadem Univ./ İstanbul )

• 2020 Live lig spinall instrumentation kursu (Medtronic İstanbul)

Congress and Symposiums

• 2002 Eğitim Programı Geliştirme Sempozyumu

• 2004 III. National Medicine Education Congress

• 2017 National Medicine Student Congress

• 2008 8th İnternational Turkish Spine Congress

• 2009 XXI. National Orthopaedy and Traumatology Congress

• 2010 12. National Hand and Upper Extremity Surgery Congress

• 2001 II. National Medicine Education Congress

• 2011 XXII. National Orthopaedy and Traumatology Congress

• 2012 10. ArthroplastyWinter Congress

• 2012 13th European Federation of National Associations of Orthopaedics and Traumatology Congress

• 2012 13. National Hand and Upper Extremity Surgery Congress

• 2013 Osteosynthese İnternational 2013

• 2013 14th European Federation of National Associations of Orthopaedics and Traumatology Congress

• 2014 10th Central European Orthopaedic Congress

• 2014 24. National Orthopaedy and Traumatology Congress

• 2015 25, National Orthopaedy and Traumatology Congress

• 2016 26. National Orthopaedy and Traumatology Congress

• 2017 Eurospine 2017 Congress Ireland

Bibliography:

• 2011 XXII. Ulusal Türk Ortopedi ve Travmatoloji Kongresi Poster Bildirisi (İNTRAMEDULLER

ÇİVİLEME YÖNTEMİ İLE OPERE EDİLEN TİBİA CİSİM KIRIKLI HASTALARIN TAKİBİNDE

KULLANILAN RADYOGRAFİK KAYNAMA SKORLAMA SİSTEMİNİN GÜVENİLİRLİĞİNİN

HASTA KLİNİĞİ İLE DOĞRULANMASI )

• 2013 Osteosynthese İnternational 2013 and İntramedullary Nailing Courses Oral Presentation

(F1.4 Verification of the reliability of the radiographic union score for tibial fractures in

the follow-up of patients with tibia corpus fractures operated via the intramedullary

nailing technique using the patients’ clinical condition. E. Cekic1, E. Alici2,)

• 2014 10th Central European Orthopaedic Congress Oral Presentation ( The Reliability of

Radiographic Union Score).

• Reliability of the Radiographic Union Score for Tibial Fractures Acta Orthop Traumatol Turc

2014;48(5):533-540 doi: 10.3944/AOTT.2014.14.002

• Prediction of tibial nonunion at the 6-week time point Keir A. Ross, Kevin O’Halloran, Renan C.

Castillo, Max Coale, Justin Fowler, Jason W. Nascone, Marcus F. Sciadini, Christopher T. LeBrun,

Theodore T. Manson, Anthony R. Carlini, Josef E. Jolissaint, Robert V. O’Toole*

• Reprodutibilidade do escore radiográfico de consolidac¸ão das fraturas da tíbia (RUST) Fernando

Antonio Silva de Azevedo Filhoa,b,∗, Ricardo Britto Cotiasa, Matheus Lemos Azib e Armando Augusto

de Almeida Teixeiraa

• Does weight-bearing assignment after intramedullary nail placement alter healing of tibial shaft

fractures? D.A. Greenhilla,∗, M. Poormanb, C. Pinkowskib, F.V. Ramseyb, C. Haydela

• Will My Tibial Fracture Heal? Predicting Nonunion at the Time of Definitive Fixation Based on

Commonly Available Variables

Kevin O’Halloran MD, Max Coale BA, Timothy Costales BS,Timothy Zerhusen Jr BS, Renan C. Castillo PhD,

Jason W. Nascone MD,Robert V. O’Toole MD

• Feasibility and Value of Radiographic Union Score Hip Fracture after Treatment with Intramedullary

Nail of Stable Hip Fractures

• Image quality of cone beam computed tomography for evaluation of extremity fractures in the presence

of metalhardware: visual grading characteristics analysis

1GREG M OSGOOD, MD, 2GAURAV K THAWAIT, MD, 2NIMA HAFEZI-NEJAD, MD,

2DELARAM SHAKOOR, MD,1ADAM SHANER, MD, 3JOHN YORKSTON, PhD, 4WOJCIECH B

ZBIJEWSKI, PhD, 4JEFFREY H SIEWERDSEN, PhDand 2SHADPOUR DEMEHRI, MD

• Correlation Between RUST Assessments of Fracture Healing to Structural

and Biomechanical Properties

Margaret E. Cooke,1 Amira I. Hussein,1 Kyle E. Lybrand,1 Alexander Wulff,1 Erin Simmons,1

Jeffrey H. Choi,1 Jody Litrenta,1William M. Ricci,2 Jason W. Nascone,3 Robert V. O’Toole,3 Elise F.

Morgan,4 Louis C. Gerstenfeld,1 Paul Tornetta III1

• EXPLORING PROGNOSTIC FACTORS ASSOCIATED WITH

ADVERSE OUTCOMES IN PATIENTS WITH FRACTURES OF THE

TIBIAL SHAFT

By RAMAN MUNDI, MD, BHSc

A Thesis Submitted to the School of Graduate Studies in Partial Fulfillment of the

Requirements for the Degree Master of Science

McMaster University

• Value of a radiographic score for the assessment of healing of nailed femoral

and tibial shaft fractures: A retrospective preliminary study

Vasiliki Perlepea,⁎, Andrea Ceratoa, Dan Putineanua, Celine Buglib, Guy Heynend,

Patrick Omoumia,c, Bruno Vande Berga

About me

I graduated from Izmir Dokuz Eylul University with the orthopedics branch. After I graduated, I carried out some

studies focusing on especially on

joint and cartilage surgery and stem cells. In this, I worked with many professional and amateur sport clubs. Also,

I worked on joint replacement surgery

for further aged people. Approximately, I achieved 10 thousand people who took knee and hip replacement

surgery from me. I attended to many international conferences about joint and cartilage surgery. Now I start

Ortocare Clinic for orthopedics and health center. In here, I treat my patients using the most advanced

technologies in the world, such as foot health centers, electromagnetic therapy, cryocabin therapy, backup

therapy and stem cell therapy. In our clinic, I continue to my work on non-surgical treatments, especially antiaging

treatment, and to eliminate pain problems in patients. On top of that, I also carry out some post-operative

rehabilitation and medical plates exercises.

El Dr. X ha asistido a programas de capacitación en artroplastia avanzada, displasia de cadera del desarrollo, cirugía espinal básica y avanzada, artroscopia básica, traumatismo básico y capacitación central. Es miembro de la Asociación Médica Turca, el Congreso Internacional de Reconstrucción Articular y la Sociedad Turca de Ortopedia y Traumatología.

Personal Information

Name Surname : Serdar TOKER
Place of Birth - Year :    Istanbul - 1972
Academic Title : Assoc. Dr.
Foreign Language : English

Education

Ege University Faculty of Medicine - Graduation
Sisli Etfal Training and Research Hospital - Specialised
Work Experience

1998 - 2003 Sisli Etfal Training and Research Hospital
2003 - 2004 Kars State Hospital
2004 - 2006 Erzurum Regional Training and Research Hospital
2006 - 2009 Dumlupınar University Faculty of Medicine, Department of Orthopaedics and Traumatology 
2009 - 2010 Research Fellow. Colorado University Denver Healt Centre Rocky Mountain Regional Trauma Centre Department of Orthopaedics and Hand Surgery
2010 - 2016 Necmettin Erbakan University Department of Orthopaedics and Traumatology. Head of Hand Surgery Department
Courses - Seminars and Certificates Received

2013 FESSH (Federation of European Societies for Surgery of the Hand) European Diploma
2015 RMCD Microsurgery Course Course Chair
2015 National Turkish Orthopaedics and Traumatology Congress Speaker
2015 RMCD Congress Speaker
2014 National Turkish Orthopaedics and Traumatology Congress Speaker
2013 - 2014 Rıdvan Ege Hand Surgery Course Instructor
2013 RMCD Microsurgery Course Instructor
2013 RMCD Congress Session Chair
2012 Shoulder Elbow Surgery Course Instructor
2012 Subspeciality Diploma in Hand Surgery
2011 RMCD Microsurgery Course
2009 Ankle Arthroscopy Course
2008 Knee Arthroscopy Course
2005 Ilizarov Applications Course

HOMO HOMINI MEDICUS. Eclectic surgeon, specialist in orthopedics and traumatology, pioneer of endoscopic surgery, radio-guided and minimally invasive robotics of the spine and small and large joints (knee, hip, foot, shoulder, elbow and wrist). He combines surgery with regenerative medicine, which he was the first to launch in Italy and Europe, with the use of FSV cells (Stromal Vascular Fraction, particularly rich in stem cells). Adolfo Panfili boasts a prestigious scientific and sporting curriculum of international importance, as well as being an expert in homeopathy, homotoxicology, phytotherapy, acupuncture and BEST chiropractic. Expressly commissioned by his teacher, Prof. Linus Pauling (multiple Nobel Prize winner), inventor of Orthomolecular medicine, he founded AIMO, (International Association of Orthomolecular Medicine), revisiting this science and merging it with other super-specialist branches, including regenerative medicine , aimed at restoring and repairing cartilage, bone and joint structures, vertebral discs, ligaments, tendons, etc.

Prof Adolfo Panfili, orthopedic surgeon with a very long CV of international standing. He is president of AIMO, the International Association of Orthomolecular Medicine of which he is the founder. He was a student of the double Nobel Prize winner Linus Pauling, inventor of Orthomolecular medicine. Prof Panfili has revisited and expanded this science by merging it with other sciences and techniques including the use of Stromal Vascular Fraction.

– He is Deputy Rector for International Relations as well as Dean of the Master's Faculty of Orthomolecular Sciences at the Popolare University of Milan;

– He is the first to have carried out minimally invasive robotic surgery in orthopedics in Italy with the Mazor system;

– He is Trainer and Proctor of Dtrax, a minimally invasive posterior cervical fusion and distraction system;

– He is the Director of various High Technology Minimally Invasive Spinal Surgery Centers accredited with the NHS and otherwise;

– He is the founder and director of the first Italian Center for Minimally Invasive Robotic Spine Surgery and one of the most eminent members of robotic surgery at the “International Academy for Robotic Spine Surgery”;

Prof. Panfili has been treating vertebrae, posture and nutrition in close synergy since the beginning of his thirty-year professional activity, both from a surgical and manipulative point of view, being among other things the first orthopedist in Europe to graduate in Best Chiropractic with Prof. Ted Morter, one of the best chiropractors in the world, of whom he was the best European student.

– He is currently a pioneer in the use and application of the Stromal Vascular Fraction in the field of well-being, anti-aging and longevity, with particular reference to orthopaedics, the spine and cervical, the aspect of cartilage damage for prevention of degenerative diseases of the hips, knees and intervertebral discs.