Regenerative Therapy

Relief from Joint, Muscle and Ligament Pain

Direct Orthopedic Care (DOC) offers 7-day-a week access to Board-certified, Fellowship trained orthopedic and pain management physicians.

Besides offering immediate care for acute injuries, we offer the most comprehensive options available for the relief of chronic and debilitating pain. Key among these are Regenerative Medicine Orthobiologics that utilize your body’s own natural healing power.

From serious athletes to weekend warriors to those experiencing arthritis pain from aging, DOC has helped thousands relieve musculoskeletal pain and return to an active lifestyle.

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Why Choose Doc?

Open 7 Days a Week
Board-certified Orthopedic Physicians
Board-certified Pain Management Physicians
Board-certified Orthopedic PA's and NP's
Comprehensive orthobiologico solutions

Areas of the Body that Benefit from Regenerative Solutions

Ankle Arm and Elbow Arthritis and Joint Foot Hand and Wrist Hip Knee Leg Neck and Spine Shoulder

How Regenerative Medicine Helps Your Body

Regenerative Medicine Orthobiologic therapies, also sometimes called orthobiologics, use biological tissues found in the human body, such as blood platelets, or bone marrow aspirate concentrate (BMAC).

Generally, injuries to musculoskeletal tissue have a relatively poor ability to heal on their own. Regenerative orthopedics may improve pain and discomfort of the musculoskeletal system and enhance the healing of orthopedic conditions.

Orthobiologics can be used to treat degenerative conditions such as certain forms of arthritis, as well as injuries and traumas. Regenerative medicine may help some patients avoid orthopedic surgery completely. Conditions commonly treated with regenerative medicine include:

Regenerative Medicine Orthobiologics may also help shorten and improve the healing process following orthopedic surgeries, such as ACL reconstruction or other ligament surgeries, and meniscus repair.

FAQ's

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What is Platelet Therapy?

Platelet Therapy utilizes concentrated growth factors, from your body’s own blood, that can stimulate aggressive healing when injected into an injured (or degenerated) part of your body. The normal concentration of platelets circulating in our blood is 200,000 per microliter. Current evidence suggests that platelet count in Platelet Rich Plasma should be near or exceed 1,000,000 platelets per microliter which is a concentration of 5x.

What conditions does it treat?

These injections can treat a variety of conditions. Including: Tendonitis & partial-thickness tears: Rotator cuff/shoulder, biceps, golfers’/tennis elbow; patellar (knee); achilles and plantar fasciitis. Osteoarthritis: Hip, knee; ankle, elbow, shoulder, wrist and symptomatic articular cartilage injury.

Are these treatment options FDA approved and safe?

Currently, these procedures are not FDA approved. Although the equipment used to produce the injections themselves have been cleared by the FDA, this procedure is considered ‘investigational’ and has not been officially approved by the FDA for most uses. Since Platelet therapies utilize substances derived from one's own blood, it is not considered a drug.

Are there any potential side effects?

All of these treatment options are very safe, with minimal-to-no known side effects documented. Patients do often experience some temporary soreness at the site of injection.

How successful are these options at treating my problem?

Results vary from patient to patient. To date, there are over 30 level 1 studies published in numerous medical journals showing that platelet therapies are a better treatment option than steroid or hyaluronic acid injection for knee osteoarthritis. These therapies have now been used and studied for virtually every joint tendon, ligament injury in orthopedics.

What happens after the injection in the office?

Most patients will have some soreness after the injection that should decrease rapidly. Patients should not take aspirin or other NSAID medications after the procedure because they may block the effect of injection. Patients can use Tylenol and other pain medications that don't block the inflammatory process. Patients should refrain from significant physical activity or sports activities for a week after the procedure. Patients are re-evaluated often after the procedure to make sure their recovery process is proceeding according to plan.

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What is Bone Marrow Aspirate Concentrate (BMAC) Treatment?

BMAC is a concentrate of regenerative cells obtained from your own bone marrow. Bone marrow is the soft, spongy tissue that is found in the center of bones, including your hip or pelvic bone. Bone marrow is the section of the body where blood is generated. The cells from BMAC are specialized cells that are known to replicate themselves into various types of tissues and help to speed up the healing process by boosting the body’s natural healing abilities and promote tissue growth.

What are some conditions that can respond well to Bone Marrow Aspirate Concentrate (BMAC) Treatment?

Some of the indications for BMAC include:

Osteoarthritis of the joints
Improve wound healing
Improve tendon healing
Treat fractures of the bones
Delay progression of the disease, such as arthritis
Treat cartilage injuries

What is the Procedure to Harvest Bone Marrow Aspirate Concentrate (BMAC)?

In general, the BMAC treatment procedure involves the following:

The skin over the injection site is sterilized and numbed with a local anesthetic.
A suction syringe attached to a long needle is inserted into the back of your hip bone.
The bone marrow is suctioned out through a small needle puncture in the bone.
The collected bone marrow sample is transferred to the centrifuge for processing.
The sample undergoes a thorough processing and bone marrow aspirate concentrate with specialized cells are obtained.
The concentrate is collected into a sterile syringe.
The concentrate is then injected into the affected area under ultrasound guidance.
The whole procedure takes about 2 hours to complete and you can go home the same day.

The number of BMAC treatments required depends on the degree of the injury and will be decided by your surgeon.

Post-Procedure Care and Instructions

Congratulations on receiving your Regenerative Medicine procedure. Here are Post Care Instructions for you to follow. If you have further questions, please contact your provider.