The Interventional Orthobiologics Blog

Can PRP Help Rheumatoid Arthritis Patients?

I have been very cautious in recommending orthobiologics to patients with rheumatoid arthritis (RA). However, recently I found high-quality data on using PRP in these patients. So what does that say? Does PRP help patients with RA? What is RA and How is It Different than OA? Rheumatoid arthritis (RA) is an inflammatory disease where…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

Artificial Disc Replacement Remains More Hype Than Reality

If you read this blog, you know that I often write about things I experience on a day-to-day basis while seeing patients. This past week a patient came in with a herniated disc in her neck and was offered an artificial disc as a treatment. After a short discussion, she no longer wanted one. What…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