Dr. Joshua John-Ram SchacterDr. Joshua Schacter, DO FAAOS, is America’s Holistic Orthopedic Surgeon, with nearly two decades of surgical expertise.

Arthritis: A Living Tissue Problem

6 Jan 2026 · 1 min

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Dr. Joshua John-Ram Schacter (speaker) argues that arthritis should be understood as a living tissue problem rather than merely structural wear-and-tear. He highlights metabolic dysfunction, chronic inflammation, and chronically inflamed small injuries as contributors. He describes an integrative orthopedics approach that targets root causes through lifestyle changes, functional movement and strength, and joint regeneration, which he reports is highly effective.

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And what we found is that, you know, arthritis is really a living tissue problem. It's not just that structural, mechanical thing that we've been taught both as patients and as orthopedic surgeons. There's so much more to the picture than just the structure. Most people sort of think it's inevitable to have this wear and tear, but what's really happening is oftentimes there's metabolic problems, there's issues with chronic inflammation, even small injuries that become chronically inflamed and cause problems in the future. In integrative orthopedics, we're really trying to get to the root of what's going on so that we can make some changes both in lifestyle, functional movement, activity, strength, and then do some regeneration for the joint, and it's incredibly effective.