Regenerative medicine applies the advances in neuro-musculoskeletal technology to provide relief of pain and restore function after injuries. Many issues in orthopedic or sports medicine can be diagnosed with ultrasonography and resolved using injections under ultrasound-guidance. Our sonologist uses high-resolution ultrasound to gain the ability to visualize nerves, muscles and tendons of the human anatomy, enabling precise diagnosis. After an accurate diagnosis, the appropriate injectable treatment is applied to the precise location of the body. The procedures may include nerve hydrodissection, prolotherapy, needle tenotomy, or the application of human biologics. Human biologics include, but are not limited to, platelet-rich plasma, stem cell therapy, and placental tissue allograft matrix. The goal of all of these therapies is to enhance the body’s ability to heal itself.
Most people, when faced with the decision between invasive and non-invasive procedures, conclude that needle is preferred over scalpel. Regenerative medicine is not “anti-surgery.” If ultrasound-guided procedures are not going to be the best for a patient, the patient will be directed to the best known provider, whether that be surgeon, physical therapist, chiropractor, pain specialist or neurologist. There is a place for surgery, but an initial consultation and ultrasound diagnosis can often reveal a less-risky option first. Working closely with all the medical providers of the clinic, the regenerative medicine team can further customize the patient’s plan of care to help them reach optimal recovery.
Stellate Ganglion Block
A SGB is a simple procedure that treats conditions resulting from a dysfunctional program in a person’s autonomic nervous system (ANS), typically resulting from extreme stress.
The sympathetic part of the ANS normally prepares our body for emergencies (“fight or flight” response). It controls our heart rate, blood pressure, skin temperature, and the response of our eyes to light.
Pinched nerves cause many common pain issues including sciatica, chronic headaches and carpal tunnel syndrome. Nerve hydrodissection is defined as the application of gentle fluid pressure through the conduit of a needle to open the space around the nerve. The injection of fluid around the circumference of the nerve can separate fascial layers, muscles or adhesions from the nerve with lasting results. The procedure decompresses the nerve and enables the nerve
Platelet-Rich Plasma (PRP) is a type of biologic or cellular medicine. PRP is a concentration of growth factors and stem cells from a person’s own blood that can stimulate regeneration and heal musculoskeletal injuries.
The basic science behind PRP involves platelets from one’s own blood that become activated after injection into a tendon or soft tissue.
The effectiveness of PRP is sometimes enhanced by including additional autologous biologics, such as autologous fibrin glue and Alpha-2-Macroglobulin. Tendon tears heal better when autologous fibrin glue is combined with PRP, as the fibrin can “super-glue” the tendon back together as the PRP stimulates growth and regeneration. The best known regenerative therapy for osteoarthritis is Alpha-2 Macroglobulin, known as A2M.
Stem Cell (Bone Marrow Aspirate Concentrate)
Stem cells are powerful cells, extracted from a patient’s bone marrow, that release growth factors and anti-inflammatory factors that powerfully regenerate injured tissue and/or cartilage. Stem Cells treatments can be the most effective and/or appropriate treatment option for pain and dysfunction from severe osteoarthritis of the knees, hips, shoulders and spine. Patients with severe degeneration who seek an alternative to joint replacement can experience restoration of joint function.
Placental Tissue Matrix Allograft
Placental Tissue Matrix Allograft (PTM) is an injectable medical product that has been proven to control inflammation and pain, support the regenerative process, and reduce scar formation in damaged human tissue. Placental tissues have been used in tens of thousands of procedures in the use over the past two decades. PTM® comes from the placenta of female volunteers from California, donated after their successful C-sections. There are no fetal tissues in the extract.