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Regenerative Orthopedic Medicine
Regenerative Orthopedic Medicine uses the body’s innate ability to heal itself when it has forgotten how. Injection of growth factors or growth factor stimulants can result in growth of normal cells or tissues, stabilization of joints, and reduction or elimination of pain. Orthobiologic procedures look to correct the biology of the damaged joint or tissue. Most importantly, these procedures improve function of your injured or degenerative tendon, ligament, and/or joint!
What conditions does Regenerative Orthopedic Medicine help?
Lower Extremity
- Plantar fasciitis and fasciosis
- Plantar fibromas
- Morton’s neuroma
- Medial tibial stress syndrome / shin splints
- Turf toe
- Ankle & toe arthritis / osteoarthritis
- Achilles tendinitis and tendinopathy
- Haglund’s deformity
- Patellar tendinitis and tendinopathy
- Meniscal injury
- Knee arthritis / osteoarthritis
- Hamstring tendinitis, strain, tendinopathy
- Hip arthritis / osteoarthritis
Upper Extremity
- Carpal tunnel syndrome
- Trigger finger / thumb
- Hand, finger, and wrist arthritis / osteoarthritis
- Rotator cuff tendinitis, tear, tendinopathy
- Shoulder arthritis / osteoarthritis
- Adhesive capsulitis (frozen shoulder)
- Lateral epicondylitis (tennis elbow)
- Medial epicondylitis (golfer’s elbow)
- Elbow arthritis / osteoarthritis
Spinal
- Back pain and instability
- Neck pain and instability
- Sacroiliac pain and instability
- Spinal arthritis / osteoarthritis / spondylosis
- Facet arthritis
- Degenerative disc disease (DDD)
- Herniated / bulging disc
- Cervical radiculopathy
- Lumbar radiculopathy
Other Conditions
- Ganglion and Baker’s cysts
- Temporomandibular joint disorder (TMJ)
- Nerve entrapments (ie: tarsal tunnel syndrome, sciatica)
- Calcific tendinitis and tendinopathy
- Stress fractures
- Non-union fractures
- Scar tissue pain and restriction
- Pediatric apophysitis injuries
Loose ligaments and degenerative tendons and joints may produce one or more of the following symptoms:
- Significant tenderness to palpation.
- Inability to maintain one position for prolonged periods of time.
- Pain when the joint is first used that is relieved after repeated movement.
- A numbness or pins-and-needles sensation in a specific pattern that doesn’t become more
- sensitive or painful when stroked.
- A sense of looseness or instability in the affected joint(s).
- Local and referred pain. Referred pain is felt some distance away from the injured site.
- Muscle tightness and spasms. Muscles will contract in an attempt to pull the joint back to the correct location or stabilize it to protect it from further damage. If the joint is slightly out of place because of a loose ligament, it may respond to treatment by manipulation, such as Osteopathic Manipulative Treatment (OMT) or chiropractic care. Conditions that respond well to these manipulative treatments but quickly return to a painful condition tend to respond very well to prolotherapy.
- Trigger points or knotted muscles that keep recurring in the same locations or that don’t respond to other treatment. Recurring trigger points may indicate that there is a problem elsewhere in the body that is affecting the muscle(s).
- Arthritic / degenerative joints by stabilizing the joint capsule and surrounding ligaments. This includes arthritis of any joint of the body, most commonly treating arthritis of the: knees, hips, spine, hands, ankles, and TMJ (temporomandibular joint).
Want to learn more about our regenerative orthopedic medicines? Sign up for our monthly webinar HERE!
At Motion is Medicine Dr. Clearfield employs four different types of Regenerative Orthopedic Medicine:
Prolotherapy
Prolotherapy is a type of regenerative orthopedic medicine (ROM) that stimulates the body’s natural healing mechanisms to repair chronically damaged ligaments, tendons, or other structures. The treatment involves injecting the injured area with a safe substance that causes a small amount of local tissue irritation or inflammation. This “good inflammation” triggers the body’s natural repair processes to strengthen the existing tissue and to enhance the growth of new tissue/collagen.
Click here to schedule an appointment to see if you are a good candidate for prolotherapy.
Platelet Rich Plasma (PRP)
PRP is a well-established injection series and is gaining popularity among high school, collegiate, and professional athletes to more rapidly return them to competition and potentially avoid surgery for certain injuries. World-class athletes such as Tiger Woods, Hines Ward of the
The Pittsburgh Steelers and athletes such as Rafael Nadal have used PRP to treat both acute and chronic injuries with amazing results. In addition, PRP has been found to be beneficial in relieving pain and improving function in people with arthritis. Platelets, a component of blood, are thought to be responsible for the beneficial effect of PRP through the release of various growth factors. These growth factors can aid in the growth of new tissue, new bone, new blood vessels, and many other natural healing properties of your body.
PRP involves removing a small amount of your blood and spinning it down with a special centrifuge to concentrate the growth factors, then injecting those into the area of concern.
Click here to schedule an appointment to see if you are a good candidate for PRP.
Cell Therapy Treatments
Stem cells have several unique abilities! They can transform into other cell types, such as bone, cartilage, muscle, and tendon. They also serve an important part in cell signaling, recruiting other stem cells to the target area, and triggering nearby cells to begin the repair process. Stem cells are showing promising research in treating severe tendon and ligament tears and degeneration as well as more pronounced arthritic joints (moderate to severe).
At Motion is Medicine we have two different types of Cell Therapy Procedures we perform:
Micro-Fragmented Adipose Tissue (MFAT)
MFAT involves harvesting a small amount of adipose tissue (fat) from the lower abdomen, flank, or upper buttock and isolating the stem cells from this tissue. This is performed under local anesthesia (we keep you awake and talking to us, but without any pain!) and can be performed in the safety of our office under sterile conditions. The adipose is then washed and processed, isolating the healing components, and is directly ready for injection into the damaged area.
Bone Marrow Aspirate (BMA)
Bone marrow aspirate is a procedure where a small amount of bone marrow is aspirated from the posterior pelvis. The stem cells acquired are used to signal the healing and potentially the regrowth of the tissue. This is performed under local anesthesia (we keep you awake and talking to us, but without any pain!) and can be performed in the safety of our office under sterile conditions. This process can usually be performed in as little as 15 minutes! The stem cells are directly ready for injection after the aspiration into the damaged area.
Click here to schedule an appointment to see if you are a good candidate for stem cell therapy.
Shockwave Therapy, Extracorporeal (ESWT)
Shockwave therapy, also known as Extracorporeal Shockwave Therapy (ESWT) or Extracorporeal Pulse Activation Technology (EPAT) is a natural and non-invasive treatment that stimulates the body’s natural healing mechanisms to repair both acute and chronically damaged ligaments, tendons, or other structures. The treatment involves using acoustic (sound) pressure waves to the injured area that causes microtrauma to the tissue stimulating the healing response. This positive inflammation triggers the body’s natural repair processes to strengthen the existing tissue and to enhance the growth of new tissue/collagen.
Click here to schedule an appointment to see if you are a good candidate for shockwave therapy.
Platelet Releasate
Platelet rich plasma is a powerful tool using your body’s own growth factors to stimulate the healing process. Platelet releasate takes it a step further, releasing the growth factors from the platelets to have a more profound effect. Platelet Releasate works well to treat irritated or pinched spinal nerves, small tendon or ligament tears, and damaged peripheral nerves.
Alpha-2-Macroglobulin (A2M)
A2M is a protein found in the plasma of your blood. It is a broad-spectrum, multipurpose protease inhibitor. A2M is able to block the proteases that are associated with breaking down cartilage in your joints.
A2M can:
- Mitigate the progression of osteoarthritis
- Reduce the pain caused by osteoarthritis
- Improve joint function
- Promote healing and repair
- Support the restoration of affected joint(s)
- Stop the breakdown of cartilage and prevent cartilage loss
