Platelet Rich Plasma

Platelet Rich Plasma (PRP) is a concentrated sample of autologous blood, rich in natural cell and growth factor populations, obtained through centrifugation. This dense portion of blood, more suitable for orthobiologic procedures, stimulates repair cells in targeted areas, enhancing the body’s natural healing processes.

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Another Lower Back Stem Cell Injection Patient Result

Way back when, in 2005/6, when I injected the first patient in the world with stem cells into a damaged low back disc, it was “way out there.” In fact, we had to be under the supervision of an Institutional Review Board just to get it done. How times have changed in 13 short years.…read more

Why Is My Calf Muscle Jumping?

This last week, I saw a patient who had calf muscle jumping. In fact, unlike other cases, which can be subtle, this one was really easy to see, so I took some video and thought I’d share this with you. So what causes calf muscle jumping? Calf Muscle Jumping? The calf muscle is called the gastrocnemius…read more

Does Blood Have Stem Cells? Is PRP a Stem Cell Treatment?

Every once in a while, I come across websites that claim that PRP is a stem cell treatment. While it’s hard to believe in 2017 that physicians are still making this error, given the almost-next-to-near-zero state of regenerative-medicine education for physicians in this field, I’ll believe anything. So is PRP a stem cell treatment? Nope. Let…read more

How to Avoid Discography Side Effects: Biologic Discography

Frankly, until we became the first in the world to inject stem cells into discs, discography never made much sense to me. I would tell patients, “I’m going to poke a hole in your disc to see if there’s a hole in your disc.” However, when we began to see that platelet rich plasma and…read more

FloGraft Freedom Review: A Weak PRP Shot Sold by a Bad Sales Rep?

I periodically get e-mails from medical colleagues asking my opinion on whether an orthobiologics technology is for real or hype. This week I got one from a university-based physician who wanted to know about advertising materials he received for an amniotic fluid called FloGraft. Given that the IOF had tested Flograft and found that it was all…read more

They Were Going to Amputate This Finger Before PRP!

Several months ago a patient I was seeing for another issue showed me the results of her finger-fusion surgery to treat arthritis. As she unwrapped her finger, I was a bit startled by its appearance (left above). It had the classic “mummy finger” dry-gangrene look, and her surgeon wanted to amputate it. She asked about whether…read more

Does Concentrated PRP Hurt or Help Tendon Healing?

If you inject PRP into tendons that is just 3-5 times concentrated (which most systems produce), at least according to one study, you may be poisoning rather than helping tendon cells. Is this true? How is it possible that you get great results injecting tendons with PRP and the in-vitro research says that you shouldn’t…read more

Can’t Put on Socks? Why This Could Be a Bad Sign

On this page: Hip range of motion and why it’s critical Why is it a big deal if you can’t put on socks? What if you don’t have much hip pain? What do I do if I notice this problem? I see patients every day who have lost hip range of motion and can’t put on…read more
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