Platelet Rich Plasma

The Bench Scientist False Dilemma

Credit: Shutterstock I’ve blogged a few times about the widening rift between a handful of media-savvy bench scientists and physicians who use regenerative medicine techniques to help patients avoid invasive orthopedic surgery. This past few weeks we’ve seen several unscientific things in the news and in bench science blogs about PRP and Bone Marrow Concentrate.…read more

How Many Patients Get PRP vs. BMC?

A big question I get from patients is should I get PRP or a Bone Marrow Concentrate procedure? This morning we’ll go over data from our treatment registry that shows what tens of thousands of patients have gotten since 2005. Let’s dig in. PRP vs BMC PRP stands for platelet-rich plasma. That’s concentrated blood platelets…read more

How to Interpret the Different Trajectories of Ligament Healing

We can now help many ligament injuries heal through precise injections rather than surgery. Most patients do great, but some are left trying to read the tea leaves of their recovery pattern to see how this impacts their future. So let’s review most of the possible outcomes and learn from them. My Ligament Healing History…read more

PRP Again Beats Steroid and Hyaluronic Acid Shots

PRP for the treatment of knee osteoarthritis has more evidence to support it than knee replacements, but the old guard is having a tough time accepting this new reality. A recent study in an old guard orthopedic journal could change some minds. Let’s review. Definitions Before I begin, we need to define some things: Corticosteroid…read more

Platelet Raisins: Can You Add Prolotherapy and PRP Together?

Many new patients tell me that they’ve gotten a combination of Prolotherapy plus PRP from another clinic. Today we’ll explore why it’s generally a bad practice to add Prolotherapy solution to PRP. Why? Because it makes damaged platelet raisins. To understand that, we’ll learn some basic physical chemistry. Let’s dig in. Defining Terms What Is…read more

Are The New AAOS Guidelines Science Based?

The American Academy of Orthopedic Surgeons recently published knee osteoarthritis guidelines that caught my attention. Instead of adding PRP to their knee arthritis treatment guidelines, which would be an evidence-based thing to do in 2021, the AAOS seems to have avoided all evidence and doubled down on the practice of injecting harmful steroids into knees!…read more

How Does Orthopedic Surgery Stack Up to Interventional Orthopedics?

As I have shown a few times, orthopedic surgery has an embarrassingly poor evidence base. I recently covered a new study that helped confirm this issue a few weeks ago and I have since performed a deep dive to compare how Interventional Orthopedics stacks up. Let’s dive in. The Old Gaurd versus the New Kid…read more

Add a Nurse, Make Big Bucks

A key lynchpin in the ongoing chiropractic stem cell scam is the nurse practitioner. Without them, most of these scams couldn’t exist. So let’s explore this phenomenon of how nurses ended up facilitating unethical chiropractors in violating FDA guidelines and scamming patients. Let’s dig in. What is a Nurse Practitioner? One of the things I…read more