Regenerative Orthopaedics
Regenerative Orthopaedics
Regenerative orthopaedics is a holistic approach to regenerative medicine for the repair of musculoskeletal traumatic injuries and degeneration. Regenerative orthopaedics focuses on encouraging your body’s natural healing ability through non-surgical, minimally invasive procedures. It encourages your body to heal and strengthen damaged areas to restore function.
It involves precise injections into the affected areas to prompt repair by improving blood supply & strengthening the tissues, thereby promoting a natural healing process.
Platelet Rich Plasma
What is platelet rich plasma (PRP)?
PRP is one of a number of regenerative orthopaedics procedures. PRP is plasma with many more platelets than what is typically found in blood. Platelets contain growth factors which are very important in the healing of musculoskeletal tissues. The concentration of platelets can be 5 to 10 times greater than normal. PRP is a treatment option for many non-healing muscle, tendon, and ligament injuries. PRP is also beneficial in the treatment of osteoarthritic joints.
Is PRP the right treatment for me?
Dr. Syal determines if you are a good candidate for PRP injections during your consultation. Though an expert orthopaedic surgeon Dr. Syal uses nonsurgical treatments whenever possible. Patients should consider PRP treatment if they have a painful osteoarthritis or a tendon injury in which conservative management has not provided symptomatic relief. PRP offers a sound alternative treatment with inherently minimal risks, aside from local injection site soreness.
Benefits of PRP treatment includes:
• improvement in symptoms.
• elimination of both pain and traditional treatments such as medications, cortisone injections, or surgery
• dramatic return of function.
How is a PRP procedure done?
Dr. Syal reviews the details of your PRP injection at your consultation, so you know how to prepare for the procedure, what to expect during it, and what happens afterward.
First, Dr. Syal draws your blood into a tube, which is then placed in a centrifuge to separate the platelets. The injured or painful site is cleaned and prepared prior to injection, he injects the PRP directly into the diseased or damaged tissue.
Unless Dr. Syal says otherwise, you should be able to resume your usual activities after your PRP injections. With PRP injections, improvements in pain and function will happen gradually over the coming weeks and months.
Dr. Syal closely monitors your progress with follow-up visits and adjusts your plan as needed. To learn more about PRP injections and how they benefit you, contact regenmd by phone or online today.
Viscosupplementation
Viscosupplementation is a medical procedure during which lubricating fluid is injected into a joint. In this procedure, a gel-like fluid called hyaluronic acid is injected into the affected joint.
In this procedure, hyaluronic acid is injected into the affected joint. Hyaluronic acid is a naturally occurring substance found in the synovial fluid surrounding joints. It acts as a lubricant to enable bones to move smoothly over each other and as a shock absorber for joint loads.
People with osteoarthritis have a lower-than-normal concentration of hyaluronic acid in their joints. The theory is that adding hyaluronic acid to the arthritic joint will facilitate movement and reduce pain.
Knee joint injections are performed by the surgeon in the clinic setting. Shoulder or hip joint injections require image guidance and these are performed by an interventional radiologist in the diagnostic imaging department at the hospital. Whether in the clinic or in the hospital patients are often able to continue on with their day-to-day activities with little to no downtime.
Some patients will not be helped by viscosupplementation. For those who report pain relief with the procedure, it may take several weeks to notice an improvement. How long the effects last varies. Some patients report pain relieving effects for several months following the injections. Although some patients report relief of arthritis symptoms with viscosupplementation, the procedure has never been shown to reverse the arthritic process or re- grow cartilage.
If the injections are effective they may be repeated after a period of time, usually 6 months. Viscosupplementation preparations may also have steroid mixed in the gel preparation syringe. The injections are intended to help return some of the mobility and function to the affected joints.
Viscosupplementation Treatment for Knee Arthritis – OrthoInfo – AAOS
CINGAL
MONOVISC
AUTOLOGOUS PROTEIN SOLUTION
What is an Autologous Treatment?
‘Autologous’ means ‘it comes from you’. By taking a sample of your own blood, your surgeon can process the blood to extract and concentrate certain molecules. “Good” proteins have a therapeutic effect on the osteoarthritis process happening in your knee joint.
nSTRIDE® is the only ‘autologous anti-inflammatory’ treatment currently available. nSTRIDE® works by targeting the inflammation in your knee joint and treating the ‘mechanism of wear’ by using a natural solution sourced from within you.
nSTRIDE® is a novel therapy (from your own body) designed to treat pain and slow the progression of cartilage degradation and destruction in the knee. nSTRIDE® processes your own blood to provide a true novel output. The unique output is injected directly into the knee joint distributing beneficial and good proteins.
nSTRIDE® is a treatment for your knee joint designed to alleviate pain and bring balance back to your inflamed knee by introducing high levels of “good” proteins concentrated from your own blood. These good proteins can block the “bad” proteins which are responsible for the inflammatory condition in your joint. Other “good” proteins can then contribute to the health of your cartilage. In just one treatment, nSTRIDE® can reduce pain in the knee joint, improve joint function and may slow the destruction of cartilage.
The nSTRIDE® Procedure
Dr. Syal reviews the details of your nSTRIDE injection at your consultation, so you know how to prepare for the procedure, what to expect during it, and what happens afterward.
First, Dr. Syal draws your blood into a tube, which is then placed in a centrifuge to separate the platelets and the white blood cells from it. A second centrifuge spin with beads is performed and within 20 minutes blood is processed to make anti-inflammatory proteins.
The injured or painful site is cleaned and prepared prior to injection, he injects the autologous protein solution directly into the joint.
Unless Dr. Syal says otherwise, you should be able to resume your usual activities after your APS injections. With APS injections, improvements in pain and function will happen gradually over the coming weeks and months.
Dr. Syal closely monitors your progress with follow-up visits and adjusts your plan as needed. To learn more about APS injections and how they benefit you, contact regenmd by phone or online today.