Platelet Rich Plasma

Identifying a Quality Clinic for Orthobiologics

I’m back to these simple messages that can be digested quickly. This morning the focus is on how to identify a clinic that is delivering high-quality orthobiologics versus one that’s likely a scam. This is a real problem, as in my experience, only about 1 in 100 clinics offering PRP, exosomes, stem cells, or other…read more

Advanced Ankle Treatment with Orthobiologics

Like everything else I have posted with these treatment infographics, if you or somebody you know is considering a PRP or stem cell procedure for their ankle, please make sure the clinic can do all of these injections in all of these areas. What percentage of clinics have these qualifications? Less than 1 in 100…read more

Should You Get an SI Fusion?

SI joint fusion is all the rage right now. My last in-depth update on this topic was in 2019 and 2020. My conclusion back then was to ask why we were fusing the SI joint when we can easily treat lax ligaments through injection with far fewer complications. However, since then SI joint fusion has…read more

Getting Your Shoulder Injected

Regrettably, 90% of “stem cell” procedures involving the shoulder only place cells into muscle trigger points without guidance. That’s very incomplete care and usually a rip-off for the patient. So what should be injected? The joints using ultrasound or fluoroscopy Any bone sites with swelling using fluoroscopy Tendons using ultrasound guidance Ligaments using ultrasound Labrum…read more

What Does an Advanced Knee Treatment with Orthobiologics Look Like?

All too often these days, someone with knee pain ends up at a clinic where they blindly inject something into the joint. However, real advanced orthobiologics care using PRP or stem cells involves placing these substances precisely in various parts of the knee. Let’s review of few of those spots: Intra-articular or inside the joint…read more

What Constitutes a Real Orthobiologics Spine Treatment?

There are a huge number of clinics out there claiming to offer advanced orthobiologics spine treatment. However, most of these clinics aren’t doing that, but instead injecting ligaments and muscle trigger points. Why would someone get this kind of simple treatment and not get all of the other myriad structures in their spine that can…read more

PRP Is an Exosome Treatment

Exosomes are all the rage these days. The problem is that exosomes are yet another fake treatment as most of the products being used are just amniotic fluid thrown into a centrifuge. What is amniotic fluid? Mostly baby urine. We also have very little evidence that these exosome products do anything for anybody. Compare that…read more

How Much Blood Should Be Drawn to Make PRP?

We often see patients who tell us they had a PRP shot that didn’t work. When I ask how much blood was drawn, they tell me a few tubes, which isn’t enough to make a high-quality PRP. Hence, these patients never had real PRP, but dilute plasma containing some platelets. Why does this happen? The…read more