I Tommy Tucker 746. A cold front in July I think it's everybody's attention the second one they're saying of the month which is extremely rare although it's not going to be colder. Hot not -- Schumer added 10% chance for showers -- highs around 91 today in the same thing. For tomorrow's so wild that gets everybody's attention I think for a tremendous amount of people. They be talking about anything yeah I'm gonna go away -- A way to stop knee pain what my -- supper and -- do you do that. And got my attention that we. Spend some time and is passed along doctor denied Dasa joins us right now north of repeated surgeon. At the LSU Health Sciences Center school of medicine in new loans and doctoral pronounce your name correctly but. -- no -- -- but tell me on beat it tell me first off I guess in terms of numbers on the of this and funny or not but. It seems like almost more people suffer with knee pain then don't. You're right and you know one of the challenges we're facing kind of as a specialty and and -- here. Is as you can imagine that huge growing volume of patients without -- real problems and Wilcox had a knee pain right now. You know right now we're doing over 600000. Replacement the year in the US let alone. You know all the other -- be giving them and things like that and in one of the research study shows that projected to be over 3.5. Million by 23. He can imagine. We've got a huge amount of volume and as orthopedic surgeons and especially we're not going to be capable of handling that commencement appalling and so. I think bloody invasion that's going right now is that basically address that now means that kind of heading our way. And you know one of the things that people. Really are beginning to feel he would have played it when you have the -- what you feel at some stiffness when you sit for awhile. -- troubling denounced Ayers may have some swelling. In general light -- means certain that he taken that head violently and things like that and what people it's what I think -- or certain realizes. But honestly have to put up with that. You know there's -- consequences with taking a lot of these medications he can get ulcers high blood pressure on blood -- that's an issue. A lot of a lot of sacks and quite frankly right now we don't have them any treatment strategies from the pain in the arthritis so I think that's what is so much interest in the because we just don't have too many options and so. Yet the technologies can now like that's what kind of -- I think it'll it'll catch on and people pay attention. Why is it because of agent baby boomers but why why so many knee issues. Well so part of it part of we don't know for sure so he can explain some of it by. Increased medical problems like diabetes obesity he explains part of the increase -- population increase so we can probably -- Spleen about a third to a half for the growth in this area. By those two reasons but the other portions we just don't have a good explanation part of it maybe people are just not willing to accept. You know being sedentary and I think when we were younger -- the -- and parents. They probably at the pain they'd just tone it down and and just back off and went from the activities -- you know some mild or patients they call they traveled to bring kids. And they're just simply not willing to hang it up if you will and so I think there's some punches. Saying that a contributing to this to this growth in and interest -- any -- and quite frankly muscles killed in general. Yelling it's the procedure in a moment but any anything to be says any case to be made that we all beat our needs. To death jog on concrete -- seventies and eighties. Well I mean so if you look there's upset that right to keep your weight down -- I'll be your blood pressure diabetes. All the things are important to trade -- I think what is actually some studies have shown the -- you run in the culture you're at the last likely you're to develop arthritis out because you're keeping weight down. You know having all these other medical problems and Serena hugged it deteriorated. So you know it's kind of this meaning that. In so actually I would encourage people to stay healthy stay active. In whatever that is much that you do that and develop diabetes obesity and heart attack. Let me take a break here for traffic that we come back and we talk about the actual procedure itself and from a patient's standpoint do do they feel anything that field nothing in terms of numbness and how long does that last night given on the node -- doctor. And no -- seductive and -- an orthopedist with the LSU Health Sciences Center a -- obviously talking about. A new procedure alleviate need pain right now 751 -- in traffic in that -- Robinson Tommy -- 756. A lot of ground to cover here so let's get to it with doctor Vinod. Does -- issue health orthopedic surgeon new technique to reduce new paints a doctor you're injecting one reasons often in the -- howdy do. So basically. Is the device where you take and nitrous oxide. And -- assigned -- which is company based at California. Treated that way into the ninety stocks one it through to the tip of the -- And the -- simply just get cold but it. And so that you remember when we were kids grow up you -- fallen at and swallowing your parents were put my cube on your arm and you feel better. -- -- with that concept that needle you know we basically go through the skin. Now we know went in terms are we go through the skin and that it'll get so called mystery of them actually. In the treatment humans it insisted that if you come in contact with an -- the -- turned off. Now I would think his own analysts are compliments to your body's gonna melt the ice cube and but it is a metaphor. Yeah out about it well it's continuously delivering Nicole and I keep continues to form. And that's not just at one time thing so that I keep form and then once you come in contact and percent down. And depending on where you get an -- that's how long it takes for to regroup regenerate back to its original position. Thanks very getting -- with three needles only one time you go on back every how long that -- and confused so basically we we know and runs in a certain region around and there's a couple or so we're targeting the oldest. Pick one for example it runs between the kneecap and Lucian -- And so we know in that region and it varies -- -- person -- person but in general we know within what -- fortified in your area. We know that there is -- traverse. And so we take those needles basically work through that area and as soon as you feel you feel most locations will feel the sensation. I'm burning tingling sensation telling us that the nervous shutting down and since we got that we stop. And basically quite literally I've had patients come in with a walker and leave almost in effect and lines. Should get out of medicine and get in the state he. Listened before -- go. On the insurance does not cover this for the man at the current time correct that. Right and so part of the problem is that technology so new it's you know as with most things -- -- to take a while to catch on. So I think as the experience grows and then people start asking for a by the insurance companies will have no choice but to -- in the -- You know so many problems a year bout with prescription narcotics in the abuse of -- people let. You know sometimes elderly patients -- deal because it deals -- mind etc. This just seems like -- a remarkable innovation and could help a lot of people on the insurance companies I would think would go along with -- because a lot cheaper than any transplant at. -- -- -- actually along those lines. I've been working with -- and they've been great partner helping to develop that. We've been using this treatment. Pre -- currently before the knee replacement and so we found it we've actually cut down on the amount of narcotic used pain medications after the knee replacement. Which in turn out to recover faster makes it easier to therapy you know and so on and so forth so. The potential for -- it is is remarkable in that department and he eventually -- sciences companies can work on others that they did not appreciate.