Orthobiologics

Do you live an active lifestyle and have experienced an injury that is causing you pain and limiting your normal daily functioning or physical activity? Do you want to get back to doing what you love without having surgery?

One of our non-operative reparative treatments may be your answer. Non-operative reparative treatments rely on your body’s natural ability to heal itself. Think of all the times your body has experienced a cut, sprain, or even a broken bone. Sometimes your body can mend these injuries on its own. However, there are circumstances such as with trauma or congenital disease, where your body needs assistance.

What are Non-Operative Reparative Treatments?

Non-operative reparative treatments are the use of natural substances such as cells, tissue, blood components, and growth factors that are harnessed to aid in the treatment of musculoskeletal injuries or conditions.

The goal of non-operative reparative treatments is to repair and regenerate tissue or organs that have been damaged, rather than just manage the symptoms. Non-operative reparative treatments may help your body heal injuries and recover faster.

  • Improve mobility and function
  • Regenerate damaged tissue and organs
  • Reduce inflammation and pain

Which conditions are treated using Non-Operative Reparative Treatments?

Non-operative reparative treatments are used to treat a variety of muscle and bone injuries and conditions, including but not limited to:

  • Minor soft tissue tears
  • Tendon injuries
  • Muscle and ligament sprains
  • Arthritis and cartilage injuries
  • Spine facet joint arthritis
  • Plantar fasciitis
  • Degenerative spinal disc disease

Platelet Rich Plasma (PRP)

Platelet rich plasma (PRP) is a concentrate made up of one’s own blood that helps to heal musculoskeletal injuries by promoting tissue repair and healing.  Platelets come from bone marrow and the plasma contains proteins called growth factors.

How does PRP work?
The platelet rich plasma releases the patient’s own healing substances into the damaged tissue that will trigger the body to begin to heal the injured tissue. This process will also help augment healing.
What Conditions are treated with PRP?
Treatable conditions include osteoarthritis, meniscus and labral injuries, tendon and ligament injuries, tendonitis, tendinosis, and joint capsule laxity. Joints treated include the shoulder, elbow, wrist, hand, back, hip, knee, ankle, and foot.
Benefits of PRP
  • Concentrate is made up of patient’s own blood, therefore reducing risk of infection
  • Improves mobility and function
  • Reduces pain and inflammation
  • Promotes the healing process
How is PRP made?
The patient’s own blood is drawn and then “spun down” or centrifuged.  This is done to concentrate the nutrient rich portions of the blood that are most involved in the healing process down to a small amount that will then be injected back into the damaged or injured tissue.
PRP Injection Process
  1. Skin is cleansed and then blood is drawn from patient’s arm, similar to a blood donation procedure
  2. Blood is placed into the centrifuge and spun at a high speed
  3. PRP concentrate is prepared for injection
  4. Ultrasound is sometimes used to look at the injured area
  5. Skin is cleansed and numbed using a local anesthetic
  6. Using ultrasound, a needle is gently guided to the damaged tissue or joint
  7. PRP concentrate is injected into the damaged tissue or joint
  8. The injection area is cleansed and bandaged

This entire process takes 60-90 minutes on average to prepare and inject the PRP.

 

Lipogems

Lipogems is an innovative and next-generation regenerative cell technology that is used to harvest, concentrate, and transfer a patient’s own fat (adipose tissue) for the repair, reconstruction, or replacement of injured or damaged tissue.

How does it work?

The Lipogems device produces a micro-fragmented tissue that is intended for the repair and replacement of damaged or injured tissues.  Fat (adipose tissue) has a high concentration of reparative cells and provides cushion and support to the micro-fragmented tissue, in turn accelerating the healing process to optimize recovery.

What conditions are treated with Lipogems?
Treatable conditions include cartilage injuries, osteoarthritis and tendon and ligament injuries. Joints treated include the shoulder and knee.
Benefits of Lipogems
  • FDA cleared
  • Minimally invasive procedure, performed under a local anesthetic
  • Adipose tissue is known to contain a high concentration of reparative properties unlike other similar tissue, which may lose healing capacity with age
  • Fat tends to stay in the area where it is injected instead of being reabsorbed by the body, allowing the body to maximize the benefits of Lipogems for an extended period of time
How is Lipogems made?
The Lipogems system is used to liposuction fat cells from the patient’s thigh or abdomen after the patient has been prepped with local anesthetic.  The device then rinses and cleans the inflammatory oils and blood from the patient’s harvested fat and maintains the natural and beneficial properties of the fat tissue.

This is not intended to reduce the appearance of body fat in the harvest area.

Lipogems Injection Process
  1. Skin is cleansed and numbed using a local anesthetic
  2. Using a needle, a puncture is made in the skin around the abdomen and a small amount of fat is taken
  3. Fat is processed in the Lipogems device using a sterile saline solution to remove contaminants
  4. Fat is washed, rinsed, and resized into small clusters of tissue
  5. Lipogems processed fat tissue is injected into the treatment site
  6. Fat tissue can be used in multiple treatment sites depending on injuries
  7. The injection area is cleansed and bandaged

 

Bone Marrow Aspirate Concentration (BMAC)

Treatable conditions include lumbar disc disease, meniscus and labral injuries, tendon and ligament injuries, tendonitis, tendinosis, and osteoarthritis. Joints treated include the shoulder, elbow, back, hip, knee, ankle, and foot.

 

Benefits of BMAC
  • Concentration is made of one’s own bone marrow, reducing the risk of infection or rejection
  • Improves mobility and function
  • Reduces pain and inflammation
  • Enhances healing of cartilage and bone
What conditions are treated with BMAC?
Treatable conditions include lumbar disc disease, meniscus and labral injuries, tendon and ligament injuries, tendonitis, tendinosis, and osteoarthritis. Joints treated include the shoulder, elbow, back, hip, knee, ankle, and foot.
How is BMAC made?

Using ultrasound, bone marrow is taken from the back of patient’s pelvic bone or iliac crest.  The bone marrow is then placed into the centrifuge and spun at a high speed, which separates the cells into layers, removes unwanted components, and increases the concentration of reparative marrow cells.

BMAC Injection Process
  1. Using ultrasound, the injection site is identified
  2. Area is cleansed and numbed using a local anesthetic
  3. Using ultrasound, a needle is gently guided to the damaged tissue or joint 4. BMAC is injected into the damaged tissue or joint
  4. The injection area is cleansed and bandaged

This entire process takes two hours on average to prepare and inject the BMAC.

FAQ

Are Non-Operative Reparative Treatments covered by insurance?

Most insurance companies do not cover these treatments. However, we do offer special rates.

What is the age range of patients who can receive non-operative reparative treatment?

These treatments can safely be performed on patients of all ages, if deemed appropriate by your provider.

Can I exercise after these procedures?

Movement is encouraged after the procedure, but vigorous physical activity is not recommended immediately after the procedure. A good rule-of-thumb is that you should not experience pain while exercising. Please discuss specific limitations with your healthcare provider.

Why can I not take anti-inflammatory medicine 1 week before or 4 weeks after my procedure?

These procedures use inflammation to heal so if you block that inflammation, you block the healing process. You can use heat, ice, tens, massage and/or acupuncture to help with any discomfort.

Are there significant risks with these procedures?

There is risk with all procedures, however significant risk is extremely low and rare. Please see Possible Side Effects and Complications – When to Seek Help for more information.

Non-Operative Reparative Treatments Pre-procedure Instructions

Non- Operative Reparative Treatments Post-Procedure Instructions