Regenerative Medicine

Regenerative medicine focuses on the development of non-surgical therapies and conservative treatment options for patients with musculoskeletal injuries. Regenerative medicine treatments are injections of naturally-occuring biological substances that stimulate tissue repair and regeneration at the site of injury.

Therapies Offered at TPMG

Stem cells can be guided into becoming specific cells that can be used to regenerate and repair diseased or damaged tissues in people. Stem cells help to trigger other stem cells and repair cells living in the surrounding tissue to become activated in the healing process or “turn on”. It is believed that stem cells work by reprogramming and restoring the healthy pro-growth and low inflammatory environment of a damaged area. The only viable way to get stem cells is from the patient’s own body. This is often done by harvesting bone marrow from the back of the hip bone, which is then distilled into bone marrow aspirate concentrate (BMAC) for injection. Ultrasound guidance is used to inject the BMAC solution at the site of the damaged joint or tissue for precision and accuracy. Patients are also given an anesthetic to minimize discomfort at the site of injection.

– Osteoarthritis
– Rotator cuff tears
– Patellar tendonitis
– Achilles tendonitis
– Plantar fasciitis
– Trochanteric tendonitis

Q: Am I a good candidate for stem cell therapy?
A: We typically recommend BMAC for younger and healthier patients. As we age, the amount of these cells diminish.

Q: Are there risks with BMAC?
A: Mild to moderate swelling, soreness, and bruising at the harvest site may occur. These symptoms typically go away after a few days or a week.

Q: Downtime for this procedure?
A: Patients require 2 – 3 days of rest with possible immobilization after this procedure. During recovery, your activity with be limited, but only for a short period of time.

Q: How often will I need this treatment?
A: BMAC is meant to be a long-term fix. For patients with arthritis, a repeat procedure may be required, as there is no cure for arthritis. The frequency of treatments all depends on the patient’s injury, lifestyle, and health.

Q: Is BMAC covered by my insurance?
A: BMAC is not covered by insurance. Our staff can provide you with a pricing guide for this procedure.

Platelet-rich plasma (PRP) is a high concentration of platelets, which are injected into a joint or damaged tissue. Platelets are blood cells which contain healing proteins to accelerate healing to a specific area. The process uses the patient’s own blood cells through a blood draw and is prepared using a centrifuge. This process yields a higher concentration of platelets about 5-7 times greater than normal blood. Next, an ultrasound is used to identify the affected area. The skin is cleaned, and a numbing agent is injected following the PRP injection. The ultrasound guided injection allows for great precision and accuracy.

– Joint arthritis
– Rotator cuff injuries
– Tennis elbow or golfer’s elbow
– Achilles tendonitis, patellar tendonitis, and plantar fasciitis
– Back and neck arthritis
– Chronic ligament and tendon injuries

Q: Are PRP injections painful?
A: Patients typically have mild discomfort. PRP works to stimulate healing, discomfort is a sign that the treatment is working as it should. Your physician may prescribe you a medication to help alleviate discomfort.

Q: How many injections will I need?
A: The number of injections depends on the injury. Most soft-tissue injuries respond in one treatment. For osteoarthritis patients, a series of three injections each spaced a month apart has shown to yield the best results.

Q: Will the results last?
A: Unlike cortisone, PRP is intended to fix and correct the problem. For arthritis, there is no “cure”. However, PRP is an excellent option to relieve and improve pain and function. For PRP injections, a yearly booster is suggested to keep your joints operating at their best.

Q: How long until I see results?
A: The results are gradual. Typically, patients will notice a difference in pain level within a few weeks to a few months.

Q: Is this covered by insurance?
A: Not all insurances cover PRP injections. Please check with your insurance carriers. TRICARE does offer coverage for those diagnosed with chronic knee osteoarthritis and lateral epicondylitis (tennis elbow). Click here for more information regarding TRICARE.

Prolotherapy promotes the body’s natural healing ability to repair damaged tendons, ligaments, and joints. When an injury occurs in a ligament or tendon, your body naturally heals with inflammation, which results in new collagen forming, strengthening and stabilizing the joint. However, sometimes are bodies are unable to perform this function fully, which may result in pain, numbness, joint instability, or muscle spasms. Prolotherapy is a safe and effective way to induce inflammation causing our body to begin the healing process. The procedure is performed through ultrasound guidance to ensure precision and accuracy.

– Osteoarthritis
– Rotator cuff tears
– Patellar tendonitis
– Achilles tendonitis
– Plantar fasciitis
– Trochanteric tendonitis

Q: Are the injections painful?
A: Tiny injections of numbing medicine are administered prior to the dextrose, which provides pain relief during the procedure. Some patients do experience irritation 24 – 48 hours after the injection. However, the pain will gradually decrease as healing occurs.

Q: How many treatments will I need?
A: Typically, prolotherapy requires 3 – 6 treatments occurring every 2 – 4 weeks. This number varies from patient-to-patient dependent on the injury.

Q: When will I start seeing results?
A: Results are normally seen by the third treatment. This is a gradual process, which may take several weeks to month before improvement is seen.

Q: What are the risks of prolotherapy?
A: Complications are rare and prolotherapy is well-tolerated by most patients. A patient consent form will be given to you prior to the injection, which includes a list of possible risks.

Q: Is this covered by insurance?
A: Prolotherapy is not covered by insurance. Our staff can provide you with a pricing guide for this procedure.

TenJet is a need-like device used to treat tendinosis. The device uses pressurized saline to selectively removes diseased tendon tissue while sparing healthy tissue. The minimally invasive procedure can be performed in an outpatient setting, which aims to accomplish similar goals of traditional surgery. By utilizing ultrasound imaging, the physician can make a small incision and see real-time imaging of the diseased tissue.

– Tennis or golfer’s elbow
– Jumpers knee
– Achilles tendinitis
– Calcifications (shoulder, knee, elbow, hamstring, or hip)
– Plantar fasciitis
Q: Will I feel pain during the procedure?
A: You may feel some discomfort at the start of the procedure, while anesthetic is administered. Post treatment, you may feel soreness in the treated area.

Q: How long will it take to recover?
A: Typically, you should experience pain relief within three months of treatment. This may vary from patient to patient.

Q: Will I need stitches after treatment?
A: Since this is a minimally invasive procedure, stitches are not needed.

Q: Is this covered by insurance?
A: Most insurance companies provide reimbursement for tenotomy procedures. Check with your insurance provider for more details.

The MFAT procedure is a minimally-invasive operation involving harvesting a small amount of fat cells from your abdomen using a device which suctions small amounts of these cells from tiny incisions in the skin of your belly, flank, and part of your glutes. The cells contain valuable reparative stem cells that can help your body heal itself. Once these cells are extracted, ultrasound technology identifies areas of your body that require repair and those regions are injected with the collected cells to help the healing process.

– Trochanteric tendonitis
– Rotator cuff tears
– Patelllar tendonitis
– Achilles tendonitis
– Plantar fasciitis

Q: How long does the MFAT procedure take?
A: This procedure usually takes 1-1.5 hours including preparation and after care.

Q: Will this procedure hurt?
A: Patients are typically injected with a numbing agent which dulls most sensation. Some patients report feeling pressure during the anesthetic and harvesting portion of the procedure.

Q: Who should have this procedure?
A: Stem cells from adipose tissue do not weaken over time, which makes them ideal for some cases. Patients with moderate to severe arthritis or those over 60 are ideal candidates for this procedure because the fat provides a cushioning and support for arthritic areas.

Q: What are the risks/complications associated with MFAT?
A: Patients could experience mild swelling, soreness, and bruising at the site for a few days to a week. The procedure carries the same amount of risk involved with other minimally invasive surgeries, which could lead to other complications. All patients will be informed of the potential risks. While rare, these risks will be listed in a consent form prior to the procedure

Q: How long will it take to recover?
A: Typically, initial recovery should only last a week.

Q: How often will I need the MFAT procedure?
A: The MFAT procedure is meant to act as a long-term solution for most patients, however the frequency of the procedure is dependent on the severity of the condition, the patient’s health, and other treatment. This treatment should be paired with a healthy lifestyle including regular exercise, an anti-inflammatory diet, bracing, and other forms of treatment including PRP. No patient is the same, so your treatment will vary based on your unique needs.

Q: Is MFAT covered by my insurance?
A: MFAT is not covered by insurance, however our staff will offer a pricing guide for the procedure.

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