April 11, 2019

Amniotic Stem Cells Facts vs. Fiction

The search for the “holy grail” is an ongoing quest for human instinct and survival. The hottest topic in the stem cell medical industry is now about amniotic stem cells.

What are amniotic stem cells and what's the power and intrigue about them?

Amniotic stem cells are a mixture of stem cells that can be obtained from the amniotic fluid of a baby fetus in its sac. There are few cells in the amniotic fluid or as some call it “fetal urine.” Though rich in growth factors and certain other anti-inflammatory agents, their regenerative capacity is limited when compared to mesenchymal stem cells.

However, many commercially available amniotic products are being used as regenerative treatments specifically in orthopedics. The use of amniotic stem cells to reverse anti-aging has no scientific or medical backing yet, it is being marketed as a “beauty trend” to combat aging.

Further, the question is being a foreign source to your body, are amniotic products safe and would they be effective in your body?

How does this compare with using your own stem cells to restore and naturally regenerate?

We don’t have definitive answers to these questions yet. The hype around amniotic stem cells can be a dangerous claim. It's often assumed that as you get older your own cells may not be as strong as needed to effectively repair, although there is no scientific basis to that argument.

Currently, stem cell treatments, especially in orthopedics, can help repair and regenerate, but they do not turn the clock back by many years as some may assume.

Sorry no “fountain of youth” yet!

Another reason patients may look toward an outside source is that they are apprehensive about the harvesting process. Though again, harvesting your own cells is a very short minimally invasive procedure and leaves absolutely no footprint or scars.

Some reasons practices may not harvest your own cells can be reasons of convenience, lack of familiarity and experience.

For most of us, it’s easy to pull something out of a prepared vial and inject rather than performing a laborious process of preparing your own cells.

These vials of amniotic fluid/cells become like “shelf products” and are used as an as-needed basis with no real evidence of their efficacy and very little understanding of the potential risks involved. Right now, there are more questions than answers when it comes to amniotic products, hopefully, in time we will learn more about them.

A more effective and promising, non-surgical treatment is regenerative cell therapy. Regenerative cell therapy or “stem cell therapy” in mainstream terms, utilize your own regenerative cells to heal and restore your damaged ligaments, cartilage or menisci, whether it’s a knee, shoulder, hip or any painful joint in your body. Give your body a chance to heal itself naturally with your own cells rather than rely on an outside source.

To learn more about regenerative treatments for your knee, shoulder or hip, call 949-734-9696 to request additional information or to learn more schedule an initial 1:1 evaluation.


Based in Newport Beach, CA, the Goswami Clinic is an innovative sports medicine clinic lead by Dr. Gaurav Goswami who treats sports injury, joint pain, arthritis, declining performance and more.

Known for his non-conventional methods, Dr. Goswami specializes in Regenerative Sports Medicine providing advanced minimally invasive, non-surgical treatments to athletes of all ages and levels with the goal of returning them to optimal performance.





March 18, 2019

Stem Cell Therapy for Knee Pain vs Invasive Surgery

Like everything else, the more/longer we use something, the faster it wears down—even our bodies! Our knees and other joints are particularly sensitive to this wear and tear. As the knee “wears out” you’ll find it harder to run, walk, bend or even put weight on your knees. As the pain gets worse, your doctor may start talking to you about knee replacement surgery...

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February 4, 2019

Injury Recovery: What You Need to Know to Heal Quicker

Let’s not sugarcoat this: you got hurt. Maybe it was your fault. Perhaps you let your pride get the better of you, and you agreed to play tackle football with the teenagers in the neighborhood after one of them called you “old.”

Maybe it was an honest accident and wasn’t your fault at all. What matters today isn’t how you got hurt, but what you do to recover from that injury.

Before you say “eh, it’s nothing. I’m fine” and try to go about your day like usual . . . stop!

Pushing through the pain is only admirable when women are giving birth or when an actor pretends to be a superhero in a movie. In real life, pushing through—aka ignoring—the pain could exacerbate your injury and make things worse. You might even cause permanent damage!

What You Need to Know for a Healthy Recovery

The most important thing you need to know for a healthy recovery is that every injury is unique because every person is unique. So even if your sister-in-law had this exact same injury last year, what worked for her might not work for you.

This is why it is important to see a doctor and get your injury checked out. Your doctor can help you put together a plan that will work for you.

What Are Your Treatment Options?

When it comes to joint and muscle-based injuries, there are three basic options:

1.  Ignore it and do nothing

We’ve already talked about this a little bit. Pretending that you didn’t get hurt is only temporarily good for your ego. That said, there are some injuries in which time and taking it easy is the only thing you can do.

Sprains are a good example of this.

Even if you’re pretty sure this is going to be the way to go, you should confirm with your doctor.

2. Surgery

For tears and certain types of joint injuries, repairing the injured tissues and cartilage with surgery is often the go-to. Most of these surgeries add a few weeks or even months onto your recovery time frame.

While it’s normal to feel freaked out when your doctor tells you that you are likely going to need surgery, know that this isn’t always the only option available to you.

3. Regenerative medicine

Regenerative medicine is a newer technique in which a doctor uses stem cell therapy, sometimes in conjunction with a process called PRP. These processes use your body’s own stem cells and platelets to help “jump start” your body’s ability to repair itself.

There are pros and cons for each of these treatment options. Let’s break them down.

Doing Nothing: Well, it's certainly cheaper—at least in the beginning. And it can make you look super tough, which might help you earn some street cred.

On the downside, though, you will probably just exacerbate the injury, which means it will be harder to fix and the recovery process will be longer and more complicated (and likely more painful).

Surgery: This type of treatment is painful and has a long recovery time. It's also the riskiest as even surgeries deemed routine carry some risk of complications. Even during recovery, surgery carries with it a risk of infection and other post-op complications (like blood clots). Still, for certain injuries, it's the medically sound choice.

Regenerative Medicine: This treatment offers the shortest and simplest recovery process. Patients are often able to walk out of the clinic the same day as their treatments and report a notable improvement in just a few weeks. And because the procedure consists of injections, there aren’t any surgical complications to worry about.

Will You Need Rehab?

Probably. Rehabilitation and physical therapy are a good idea for joint and muscle injuries, especially for those that require medical intervention. This is something that many people forget to consider when evaluating their treatment options.

Working with professionals to rehabilitate your body after these injuries is of critical importance. In addition to helping ensure that your injury heals properly, your rehab will help build up your body’s strength and endurance, which can help prevent the injury from recurring.

Diet & Exercise

What you eat while in recovery will play a direct role in the recovery itself. It’s true! In fact, you likely already know this. It’s why you drink Gatorade and chow down on a protein bar after you finish a workout—you want to replace your electrolytes and give your muscles a shot of protein to kick-start the healing process.

When you are recovering from an injury, it is important to eat foods that will help speed up that process. And no, Doritos do not count.

Aim for foods that are rich in Omega-3s, antioxidants, Vitamins A and C and protein. Reduce your intake of carbs and fatty foods.

And remember: just because someone told that you need to rest and take it easy, doesn’t mean that you need to be completely still (unless your doctor says so).

Low impact exercise like yoga and Pilates are good ways to keep your body fit while you recover. Even if you’re laid up on the couch, there are stretches and movements you can do, that don’t require standing and can be done while keeping your injured area immobile.


keep joints healthy


Despite what you might have read on social media, there is more to self-care than simply pampering yourself and giving yourself excuses to indulge. Self-care is also about doing what you need to do to make sure that you stay healthy, physically, emotionally and mentally.

Good examples of self-care include:

  • Making sure to get enough sleep at night
  • Taking your vitamins
  • Maintaining personal hygiene: daily bathing, teeth brushing, skincare, etc.
  • Spending time with people you care about and enjoy
  • Taking time to yourself when you need it

Remember: every injury is unique. Get your injury checked out by a doctor and create a treatment and recovery plan together.

Ask your doctor to recommend some diet and exercise tips so you can stay active even while you’re taking it easy. And make sure you talk to your doctor about how you are doing mentally and emotionally as well as physically—especially if your injury is severe. They can help you with these things.

Don’t self-diagnose. And remember: Google is not a doctor and shouldn’t be consulted instead of an actual human.

December 4, 2018

Plantar Fasciitis: How To Treat This Terrible Heel Pain

Everybody experiences foot pain from time to time. Our feet ache after standing or walking around for long periods of time. They hurt if we wear the wrong shoes. Usually, foot pain is caused by external circumstances (high heels, we’re looking at you!) but sometimes, like with plantar fasciitis, it is an internal issue.

What Is Plantar Fasciitis?

The Plantar Fascia is a thick band of tissue that runs along the bottom of your foot and connects your toes to your heel bone. It acts sort of like a shock absorber and a support for your foot’s arch.

When the plantar fascia gets inflamed (or somehow torn) that inflammation (or injury) is called plantar fasciitis. In other words: plantar fasciitis is medical speak for heel pain.

What Causes Plantar Fasciitis?

This is going to sound weird, but typically plantar fasciitis is caused by the overworking of your foot (or feet). The condition, for example, is common in runners and in people who spend a lot of time on their feet.

It is important to understand, though, that “use” doesn’t necessarily mean frequent running, standing, or walking, so don’t use this as an excuse to spend all day every day on the couch!

Other factors like age, the structure, and mechanics of your feet, your weight and even your job functions can figure into your plantar fasciitis.

How Do You Know If You Have Plantar Fasciitis?

The biggest symptom of plantar fasciitis is the pain. But not all painful feet suffer from plantar fasciitis. This condition typically presents in the mornings or after you’ve been off your feet or have been standing still for a while. When you stand up or start walking again, you’ll feel a sort of stabbing pain through your foot. Once you start walking you might be able to “walk it off”, but the pain doesn’t ever truly disappear.

What’s The Prognosis For A Plantar Fasciitis Patient?

Good! Great, even! While plantar fasciitis hurts, it can be treated and, you can recover from it. Until now with or without treatment it has a tendency to linger on with periods of quiescence and exacerbation. Overall, it certainly interferes with the quality of your daily life.

My Foot Hurts! What Do I Do?

First, don’t panic. Not all foot pain is the result of an inflamed or torn plantar fascia. Sometimes our feet just get sore.

If you notice that the pain is particularly bad or if it keeps coming back, you need to make an appointment with your doctor. Your doctor will do an exam and you’ll likely have to have some imaging tests done before an official diagnosis can be made.

The Diagnosis Is Official. Now What?

Treatment and recovery are going to depend primarily on how severe your plantar fasciitis has become. If your pain is mild and you are still getting around okay, you might be told to wear a brace or special orthotics and you’ll be able to get some pain relief using ibuprofen and other over the counter anti-inflammatories.

If the injury/inflammation is severe, you might need medical treatment and possibly even surgery to correct the issue. Before you panic, though, you should know that surgery for plantar fasciitis is very uncommon and rarely solves the problem. Most of the time injections like steroids will be recommended. While these may provide temporary relief, with repeated injections their efficacy decreases.

Are There Alternatives?

Since traditional treatments have had less than satisfying outcomes, it is always a good idea to explore newer options. There is a treatment called Platelet-Rich Plasma Therapy (PRP). This is where your doctor takes a sample of your blood and removes its red and white cells. This leaves behind a plasma that is rich in platelets. This plasma is then injected at the site of injury...in this case, your heels.

PRP contains almost 10 different agents that help your body respond to injury and promote repair. It also acts as an anti-inflammatory, which will help to relieve your pain. You can think of it as your body’s own version of Advil!

Why Consider PRP For Plantar Fasciitis?

Unlike steroids which can cause damage at the cellular level, PRP is completely natural and uses your body’s own materials so there’s no risk of side-effects. Plus, it is faster and far less invasive than surgery. And, unlike traditional treatments, PRP rarely needs to be repeated.

When prepared correctly, one injection is usually enough. It is important to know that not all PRP treatments are the same. Besides the method used to prepare PRP, there are several factors that the practitioner must consider, like platelet count, your health, etc. If you’re considering PRP, you may want to meet with a specialist who can help you figure out whether it is your best option.

Frequently Asked Questions

Q: Can I exercise with plantar fasciitis?

Yes! But it might hurt, so you’ll need to give your feet some extra care.

Q: Can I run with plantar fasciitis?

Yes, though you might have to shorten your run and/or run at a slower pace. You may also need to wear special shoes.

Q: Can massage help plantar fasciitis?

There’s no scientific evidence proving that massage is an effective treatment but if it eases your pain, go for it.

Q: Can plantar fasciitis be seen on an X-ray?

No, but your doctor will usually order one anyway to rule out other problems like bone spurs. An ultrasound or MRI can be more helpful.

Q: Can plantar fasciitis cause leg pain?

Yes. Sometimes the pain radiates upward. Also, problems with the Achilles tendon can lead to plantar fasciitis.

Q: Can you cure plantar fasciitis?

Sort of. There are tools and techniques you can use to alleviate the pain and keep it from returning so it can certainly feel like it.

Q: Can plantar fasciitis cause knee pain?

No. If you are experiencing knee pain, something else is going on there (though you might still have plantar fasciitis). Call your doctor ASAP so you can determine the cause of your pain.

Q: Do compression socks help plantar fasciitis?

Yes, they certainly can alleviate your pain. Compression socks can improve blood flow, which helps speed up recovery.

Q: How long does plantar fasciitis last?

This is going to depend on the severity of your inflammation or injury and your commitment to your treatment plan. Sometimes relief is seen in as little as a week or two. More severe issues can take 6 weeks or so.

If you’ve been dealing with foot pain (especially heel pain that presents in the morning), book a free evaluation to find out if PRP is right for you.

Or call 949-734-9696 to request additional information.

February 7, 2018

Ibuprofen: Helpful or Harmful?

What is the Real Solution to Joint Pain? Many people are not aware of the dangers of ibuprofen, overuse of ibuprofen as pain killers can lead to some unhealthy problems that can greatly put you at risk for unforeseen health issues.

Read more


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Newport Beach, CA USA 92660



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