The Interventional Orthobiologics Blog

UC Expanded Stem Cells in Arizona? How the Bernal Decision has Caused the Stem Cell Wild West to Spin Out of Control

In late August of 2022, a much anticipated and COVID-delayed legal decision was handed down on using stromal vascular fraction and FDA approval. IMHO, that local decision has now had wide-reaching, national impacts on the stem cell wild west beyond what any credible attorney would tell you is the law. Let’s dig into this topic…read more

The Fake PRP Files: New Shoulder Rotator Cuff Study

You’ve read here several times that the concentration of PRP matters. Despite that, we continue to see studies that use bad “PRP” kits that don’t produce anything that meets the definition of PRP. A recent study was just published on rotator cuff tears that highlights that problem. Let’s dig in. PRP and Concentration PRP stands…read more

RFA Is Contraindicated in Cases of Spinal Instability

RFA is a technology that destroys nerves that carry pain signals from damaged joints in the back or neck. Despite its widespread use, there’s been an ongoing controversy regarding how it impacts muscular stability in the spine. Hence, it’s reasonable to ask whether RFA should be used when spinal instability is present. Let’s dive into…read more

Can PRP Injected Around Nerves Cause Serious Scar Tissue?

Anyone reading this blog knows I like to write about my daily experience. This week I got a call from a physician acting as an expert witness on a malpractice case against a physician who injected PRP into the scalene muscle. The argument made by the patient’s attorney is that since PRP can be pro-inflammatory,…read more

Blogging from the Caymans Again

I’m back in Grand Cayman, which I do twice a year to treat some of my patients with more advanced culture-expanded mesenchymal stem cells. What’s that about? Let’s dig in. What are Culture Expanded Mesenchymal Stem Cells? I use bone marrow concentrate in the United States, which contains the patient’s mesenchymal stem cells. However, in…read more

Upcoming Clinical Trials for Interventional Orthobiologics

Interventional orthobiologics is a field that’s gaining momentum every day. While legit players right now in the United States are sticking to things that are FDA compliant, like PRP, BMC, and MFat, several FDA clinical trials are winding their way through the system. This morning’s blog focuses on the ones I can find and invites…read more

Umbilical Cord “Stem Cells”, Harry Aldeson, and the Business of Medicine

I’ve blogged several times about an ND in Utah named Harry Adelson. Harry, IMHO, has always pushed the edge of the regenerative medicine space, not in a good way. I was recently forwarded an advertising email sent by his Docere Clinic that caught my attention because it makes the same claim that our lab and…read more

Marrow Cellutions and the Regen Med IQ Test

Regenerative medicine and interventional orthobiologics are interesting because there is no standardized education for these topics in 99% of the residencies or fellowships. This creates an information vacuum that smart sales reps and device manufacturers can manipulate because they’re often where providers get their education. So today, I’ll challenge patients and providers with a Regen…read more