Biologic Treatments
The treatment of knee, elbow and other joint pain and the rehabilitation of chronic tendonitis has frustrated patients and practitioners.
There are few treatments that provide reliable relief to patients with these problems, and some treatments such as anti-inflammatories and corticosteroid injections (cortisone) can have negative effects, and often fail to provide sustained relief. Some studies even show that corticosteroids can worsen cartilage damage in joints making patients and practitioners search for other options including biologic treatments.
Biologic treatments include:
Platelet-rich Plasma
A preparation of concentrated plasma that contains platelets, the blood’s clotting cells, that supply growth factors to an injured area. Platelet-rich plasma is created by spinning a patient’s own blood in a centrifuge and isolating the platelets.
Bone Marrow Concentrate
Many people use the term stem cells for this treatment. Bone Marrow Concentrate is obtained from the bone marrow in the pelvis. A centrifuge is used to isolate the mesenchymal stem cells found on blood vessels in the marrow as well as the cells that supply white blood cells to the body (hematopoietic stem cells).
Adipose Stem Cells
Fat tissue (adipose) is prepared using an enzyme wash in this procedure that concentrates the mesenchymal stem cells present on the blood vessels in fat.
Allogenic Stem Cells
This refers to any source of stem cells that is not from the same patient including umbilical cord sources and amnion sources. The use of these sources is in constant evolution due to regulations, and scientific research being done on the effectiveness of these treatments for various diagnoses.
** Please note that Stem Cells are yet to be approved in Canada.