What is Non-Surgical Joint Repair?
Non-Surgical Orthopedic procedures for chronic pain, injury and arthritis, influence your body’s natural healing response to regain mobility quickly and without invasive surgery. These regenerative treatments eliminate the need for opioids and other potentially addictive pharmaceuticals. Even when other healthcare providers have exhausted all options, even if they have tried physical therapy, or other injections therapies, such as cortisone, but have not seen the results, Now there is hope for you! These Regenerative Medicine treatments at PMHC are making a huge impact with patients just like you. Even if you have been told you need surgery, it’s not too late, there is a good possibility that you could avoid such surgical procedures. Yes, there are logical times when surgery is the correct option, but it should be the last option.
Experience PMHC’s award-winning care, our unique approach focuses on innovation, optimization and integrative treatments that have propelled PMHC in redefining healthcare.
The Regenerative Lifestyle
There is a preparation phase for regenerative treatments. Experienced regenerative physicians share a common philosophy which focuses on nutrition, stress management, movement exercises, and functional medicine. Inflammation can be triggered by a poor diet, stress, improper movement patterns, by genetics, by an imbalance of hormones, or by an insufficient digestive response. If these areas of inflammation are addressed first, then the success rate increases significantly. In some cases, regenerative treatments are not even needed once the inflammation is controlled. Managing these lifestyle habits are important to the overall regenerative response.
Patient John Tells About His Shoulder Procedure
Regenerative Medicine or Cell Therapy
PRP, Prolotherapy and Amniotic Fluid is the power-cell behind the regeneration of tissue and uses healthy growth factors as a building block in an attempt to mimic other damaged cells located in the joint. Dr. Molina saw the promising effects of what PRP and Amnitotic Fluids could do to promote healing and repair and decided to offer this non-invasive procedure. Though these procedures cannot guarantee results for all, there have been many studies done that are proving the results are effective and worthy of practicing. The research is continuing to explode as many leading experts are seeing incredible results with these procedures. PMHC continues to strive in pioneering the field of Regenerative Medicine. As you can see, there are many success stories that have poured out of this clinic over the past 10-years.
Non-surgical treatments have been shown to be effective modalities for patients who:
• are restricted from performing common tasks due to stiff joints and pain
• suffer from chronic pain on a daily basis
• are trying to return to a sport quickly following an acute injury
• have recent or past acute injuries and are looking for quick recovery
• have failed to get results from other treatment options offered
• are exploring alternative options to surgery
• want to move better and feel better
You May Benefit From Orthopedic Regenerative Therapy If You Have:
- Avascular Necrosis
- Bone Loss
- Cartilage Defects
- Degenerative Joint Changes,
- Disc-related Back Pain
- Meniscus Tears
- Non-Union Fractures
PRP or Platelet Rich Plasma Treatments
Platelet Rich Plasma (PRP) injections are used for the repair of chronic degenerative joints, ligaments and tendon injuries. This new technology is changing the way doctors and sports physicians treat injury, pain and aging. Conditions treated include: chronic overuse injuries to the ankles, knee and shoulders; arthritic joints; chronic back and spine arthritis and pain; degenerative disc disease. More specific injuries include; tennis elbow, carpal tunnel syndrome, knee ligament tears, shin splints, partial thickness rotator cuff tears, plantar fasciitis, Achilles tendonitis ,and IT band syndrome can be effectively treated with PRP. PRP is blood plasma with concentrated platelets. The concentrated platelets found in PRP contain huge reservoirs of bioactive proteins, including growth factors that are vital to initiate and accelerate tissue repair and regeneration. These bioactive proteins initiate connective tissue healing: bone, tendon and ligament regeneration and repair, promote development of new blood vessels and stimulate the wound healing process resulting in new collagen formation. PRP is often combined with ultrasound to guide the injections to the specific pathologic tissue or joint.
Platelet Rich Plasma Has Been Helpful In Treating:
- Tendonitis / Tendonosis
- Lower Back Pain
- Chronic Sprains and Strains
- Osteoarthritis Pain
- Rotator Cuff Partial Tears
- Neck Pain
- Whiplash Injuries
- Plantar Fasciitis
What is Platelet Rich Plasma (PRP)?
The PRP is a blood product concentration of the growth factors and other healing cells from the patient’s own blood.
What is the therapeutic mechanism of Platelet Rich Plasma Apheresis?
The apheresis process separates the autologous blood into platelet rich plasma (PRP) and platelet poor plasma (PPP). The PPP is manually drawn off to leave PRP. This produces a product available for injection back into the patient. Included in the procedure are the venipuncture, preparation of the blood and centrifuge / separation / mixing / activation processes. This is needed to obtain a solution to stimulate the body to re-initiate the healing inflammatory processes.
How is PRP administered?
It is injected percutaneously (through the skin) into the intra-articular space and into tendon and ligament tissues. A peppering technique with the needle is used to prepare the tissue to accept the injected PRP thus using a percutaneous tenotomy procedure. The mechanism is by placing a high concentration of the patient’s own growth hormone and other healing cells in the PRP into tissue irritated by the tenotomy needling technique. The tissue is stimulated to heal itself in a manner similar to post injury without stretching the ligament tendon or joint capsule.
What tissue types are appropriate for treatment with PRP? How many injections are needed?
Chronically injured tendons(s), ligament(s), joint capsule and articular surfaces are often very positively impacted by treatment. Often a patient will receive 20-40 deep injections using the tenotomy technique described above. In addition, there are a corresponding number of superficial and deep anesthetic injections done to help alleviate the intense sensations from the tenotomy needling. Total injections may range from 40 to 80 when the deep therapeutic injections and anesthetic numbing injections are totaled.
What is the recommended frequency of treatment for PRP?
3-5 injection visits are typically anticipated. Some patients with minor issues may not require as many injections, while others with more extensive issues may require more than this average. The frequency is every 4-6 weeks ideally. Prior to initiating PRP injections, an office exam is performed and possibly imaging tests (x-rays, musculoskeletal ultrasound, CT, MRI) may be needed or reviewed if the patient already has had them performed.
What is the expected length of treatment for PRP?
Typically it is 4-5 months, but could be longer in certain cases.
What are the objective signs of successful PRP treatment?
Decreased pain, decreased use of pain medications, increased functional activities should be seen as the patient improves. So the driving question today is what are the positive benefits of Platelet Rich Plasma (PRP) injections for you? Benefits include improving the collagen content of the ligaments, capsular tissues at the cervical facets, and improving the health of the facet joints in the neck. How is this helpful? Collagen acts as a tissue reinforcement making the tissue tougher and able to withstand more force through the structure. This allows higher levels of functional activity with less pain. Cervical instability would therefore be improved by helping to stabilize the ligaments further. While there is no cure for osteoarthritis, PRP treatment of instability should help decrease the excess motion at each vertebral segment thus decreasing the amount of irritation of the facet joints. This slows the arthritis process and should make flares of the tissue less frequent. Ultimately it treats the cause of the pain and is not just covering it up. In essence, rejuvenation from the inside out.Typically it is 4-5 months, but could be longer in certain cases.
This procedure uses a concentrated dextrose solution that is injected into the arthritic or degenerated tissue. It then acts as a stimulant to initiate the healing cascade. The body will take over and send the healing cells and continue the regenerative process. It has been used safely for years without significant risks and well showing well-studied benefits and success.
How is prolotherapy administered?
An osmotic solution containing dextrose, nutrients, and lidocaine is injected. This injection generates an osmotic signal around the injection sites, which induces the healing cascade to begin (local inflammation is the beginning of the healing process) and signals the body to regenerate tissue.
What is the recommended frequency of treatment for Protherapy?
At Phoenix Men’s Health Center, we recommend 1-3 treatments of dextrose prolotherapy.
What is the expected length of treatment for Prolotherapy?
The expected length of treatment is 3-6 weeks’ time period. Improvement is usually seen within days to weeks with the first treatment showing greatest improvement. There may be minor stiffness or soreness after treatment that will go away in a few days. Prolotherapy has been proven to relieve chronic pain that other conventional therapies have not been successful on and improve your quality of life that had been impacted by pain.
The healing process is a complex series of natural processes within the body. Multiple growth factors play a key role in this respect as they initiate and regulate the repair of damaged tissue. Each growth factor released has a specific role in the cellular process that promotes healing and tissue growth. They initiate proliferation of muscle, bone, ligaments, tendons, and cartilage cells and promote matrix formation to create a stronger cartilage, tendon, bone, and ligament.
- Contains a high concentration of stem cells.
- Contains no steroids. Instead they rely on naturally occurring anti-inflammatory agents such as cytokines.
- Contains hyaluronic acid which lubricates the joints and promotes healing. Hyaluronic acid is the main component of Synvisc and Hyalgan that are commonly used today in injections of knee joints. Unfortunately they do not work very well by themselves.
- Contains more than 10 times the concentration of growth factors than platelet rich plasma that stimulates cellular growth and healing of bone, muscle, cartilage, ligaments, and tendons
Michelle Shares Her Patient Story
Comparison of Non-Surgical Joint Repair Procedures
Type of Injury
Strength of Treatment