Regenerative medicine aims to stimulate healing of damaged tissue so that long term resolution of certain ailments can be achieved. Our physicians feel that this is the future of healthcare, which is why they are driven to learn about new technology and methods of treatment as they are discovered. At this time, we offer Platelet Rich Plasma (PRP) injections with and without A2M, stem-cell injections, as well as percutaneous Tenotomy (including the TENEX procedure). As more treatments develop and are proven to be safe and effective, more options will be available to our patients.
Platelets can be thought of as reservoirs of proteins that are vital to the process of tissue repair and regeneration. Normal blood contains plenty of platelets, so as long as there is adequate blood flow to an injured area, healing can occur. Certain tissue types unfortunately have poor blood supply and do not heal well, so injuries tend to become chronic. Platelet Rich Plasma (PRP) can be used in such injuries to promote healing and restoration of healthy functioning tissue. PRP is obtained by drawing blood from your body, concentrating the platelets and other healing factors, and extracting this concentrated solution. The solution is then injected into the unhealthy tissue to stimulate healing and restoration of normal function. Our physicians perform PRP for arthritis, sports injuries, and various tendon problems.
A2M is a major protein found in blood plasma. When isolated and injected into a joint it inactivates 3 major molecules (proteinases) that degrade cartilage cells. It is the degradation of these cells which contributes to Osteoarthritis. A2M can stop the progression of osteoarthritis by preventing cartilage breakdown and loss, which improves joint function and decreases pain. The Platelet Rich Plasma (PRP) that is injected with A2M reduces inflammation and promotes healing.
Stem cells are unspecialized or undifferentiated cells that have the ability to divide and maintain undifferentiated state. They function to repair/restore damaged tissues. Adult stem cells can be found in all tissues and organs of the body. The highest concentration of these cells can be found in bone marrow and fat. Stem cells can be harvested from bone marrow within the Iliac crest, and fat tissue from the abdominal area or outer thigh. Other sources of stem cells include allograft tissue which is obtained from a purified amniotic source. Stem cell therapy has been shown to be effective in the treatment of pain and has been used to stimulate healing of tendon, ligament and joint pain throughout the body.
Tenotomy is the process of using a needle to stimulate blood flow and healing to an area that is unable to heal properly. Many tendon and ligament disorders tend to linger around for years with intermittent periods of severe pain and weakness, followed by periods of relative improvement. This procedure is often used to treat tendon disorders involving the shoulder, elbow, hip and ankle.
The TENEX procedure incorporates ultrasonic and suctioning functionality into the tenotomy procedure, which results in more efficient and extensive procedural capabilities. The device is particularly useful when there is extensive calcium buildup in the diseased tissue, making it difficult to break down. This treatment can be combined with PRP therapy to maximize tissue healing.