Regenerative Orthopaedics 

Orthopaedics East & Sports Medicine Center offers natural non-surgical healing therapy for orthopaedic conditions. Orthopedic injuries and arthritis can cause pain and disability. Our goal is to help you return back to doing what you need to do on a daily basis, whether it is work, sports, or just getting around town!

Allowing the body to heal itself can take a long time and surgery is not always the best option. Regenerative Orthopedics uses the latest in science and technology to stimulate and accelerate the healing process. Depending on your age, health, and the severity of your condition, we can offer you stem cell therapy, platelet rich plasma therapy, and other non-operative treatments to get you back to being active.

What is Regenerative Ortho-Biologics?

Biologics is an emerging treatment modality consisting of therapies that use the body’s own tissue and cells to help heal and regenerate.  Treatments like Platelet Rich Plasma (PRP) and Stem Cell Therapy also known as Bone Marrow Concentrate (BMC) are used commonly in the field of medicine for healing and regenerative treatment therapies.

Our practice has physicians specially trained in Advanced Regenerative Orthopedics therapies such as Platelet Rich Plasma (PRP) and Stem Cell Therapy (BMC)

These therapies are often performed as a same day, office-based procedure with minimal downtime. Although success may ultimately depend on the site and severity of the injury as well as understanding there is no “cure” for arthritis, we can often improve pain and function tremendously for years.

Benefits of Regenerative Orthopedics Include:

  • Long-term Joint Pain Relief
  • Speedier Recovery Time
  • Reduced Time away from Athletic or Daily Activities
  • Improved Function
  • Diminished Pain
  • Improved Healing Potential

Treatment Guidelines

 

Conditions that can be Treated with PRP or BMC

  • Soft Tissue Injuries such as Muscle, Tendon and Ligament Injuries
  • Degenerative Conditions such as Arthritis and Tendinosis
  • Non-Union Fractures
  • Poor Tissue and Bone Quality Problems
  • Chronic Non-Healing Conditions

 

Factors that do not seem to affect Outcome

  • Body Mass Index (BMI)
  • Gender
  • Mild or Controlled Diabetes
  • Use of Immunosuppressive Medications

 

 

Factors that can reduce the effectiveness of PRP or BMC and Healing

  • Smoking
  • Diabetes (especially uncontrolled Diabetes)
  • Immuno-Compromised Conditions
  • Having within 6 Weeks of Cortisone Injection

Contra-indications or Cautions with using PRP or BMC

  • Anemia
  • Low Platelet Count
  • Abnormal Platelet Function Diseases
  • Ongoing or Recurrent Infections
  • Undergoing Cancer Treatment
  • Pregnant or Breastfeeding

 

Common Areas of Treatment

  • Knee
    • Patellar Tendinitis
    • Patellar Femoral Syndrome
    • Chondromalacia Patella
    • Partially Torn or Strained Major Ligaments – ACL, LCL, MCL
    • Meniscal Tear
    • Arthritis

 

  • Elbow
    • Tendonitis and Epicondylitis
    • Arthritis

 

 

  • Shoulder
    • Rotator Cuff Tendonitis or Tear
    • Rotator Cuff Impingement Syndrome or Bursitis
    • Bicipital Tendinitis
    • Labral Tears
    • Arthritis

 

  • Ankle/Foot
    • Achilles Tendonitis
    • Plantar Fasciitis
    • Peroneal Tendonitis
    • Arthritis
    • Recurrent Ankle Sprains
  • Hip
    • Iliotibial Band Tendinitis (ITB Syndrome)
    • Pulled Hamstring
    • Psoas Tendonitis or Bursitis
    • Gluteus Medius Tendonitis
    • Greater Trochanteric Bursitis
    • Labrum Tears
    • Piriformis Syndrome
    • Sacroiliac Joint Dysfunction,
    • Arthritis

PRP vs. BMC

PRP contains platelets and growth factors believed to improve the body’s own healing process. BMC contains stem cells that are thought to provide a more self-renewal process. The BMC also does contain a percent of platelets as well – almost like a “PRP Plus” injection.

Choosing which injection is right for you will be a decision between you and your doctor based on your individual case. There are many factors to consider including the condition being treated, medical history, current literature and experience that will help determine which treatment might provide the best outcome.

Is PRP or BMC Right for Me?

If traditional methods have not provided relief, then PRP and BMC Therapy may be the solution. The procedures are less aggressive and less expensive than surgery.  We have provided the following clinical reference sites if you wish to review more research supporting PRP Therapy.

Reference Studies

Arirachakran A, Sukthuayat A et al. “Platelet-rich Plasma versus steroid Injection in lateral epicondylitis: systematic review and network meta-analysis”. Journal of Orthopedics and Traumatology. 2016. Aug 11.

 Halpern B, Chaudhury S et al. “Clinical and MRI Outcomes After Platelet-Rich Plasma Treatment for Knee Osteoarthritis” Clin J Sport Med. 2013;23(3):238-239.

 Meheux CJ, McColloch PC et al. “Efficacy of Intra-articular Platelet-Rich Plasma Injections in Knee Osteoarthritis: A Systemic Review”. Arthroscopy. 2016 Mar:32(3):495-505

Patel, S., Dhillon, M. S., Aggarwal, S., Marwaha, N., & Jain, A. (2013). Treatment With Platelet-Rich Plasma Is More Effective Than Placebo for Knee Osteoarthritis: A Prospective, Double-Blind, Randomized Trial. The American Journal of Sports Medicine, 41(2), 356-364.  Retrieved August 18, 2016.

Cerza, F., Carni, Set et al. (2012). Comparison Between Hyaluronic Acid and Platelet-Rich Plasma, Intra-articular Infiltration in the Treatment of Gonarthrosis. The American Journal of Sports Medicine, 40(12), 2822-2827. Retrieved August 18, 2016.

What is the Cost?

Because PRP and Stem Cell Therapy are not approved by most insurance companies, Orthopaedics East & Sports Medicine Center, Inc. only offers these treatment as self-pay only options.  Payment will be required before the procedure is scheduled.  Our staff will not file a claim with your insurance company.  We do hope in the future that third party payers will begin providing this treatment as a covered service. 

What do I do Before the PRP Injection or BMC Procedure?

Patients should avoid non-steroidal anti-inflammatories (NSAIDs) for 7 days before the procedure.  It is believed that these medications can decrease the effect of the healing process that we are trying to stimulate.

In most cases, patients can drive themselves to and from the procedure. Plans may need to be made to avoid strenuous activities for a few days following the procedure.

STOP the Following Medications:

  • ALL NSAIDs and corticosteroids 7 Days prior to the injection. This includes Motrin, Advil, Aleve, Naproxen, Prescription NSAIDs such as Mobic, Diclofenac, Celebrex, etc.
  • Aspirin 14 days prior to the injection.
  • Anticoagulants – 14 Days prior to the injection, must have clearance from your cardiologist prior to stopping. This includes Coumadin, Plavix, Eliquis, Pradaxa, etc.

Drink plenty of fluids to make sure you are well hydrated for the blood draw and/or procedure.

Eat prior to the procedure when performed in the office and NOT part of a surgical procedure.

Wear comfortable clothing.

 

Quick Fact

Hip fractures occur in one out of every one hundred women over the age of 75.