Alternatives To Knee Replacement In Miami, FL

4960 Southwest 72nd Avenue, Suite 408 Miami, FL 33155

Knee osteoarthritis (OA) is one of the most common orthopedic conditions. If you are experiencing OA, you understand the pain and discomfort involved and how it can negatively impact your quality of life and enjoyment of daily activities.

Historically, many patients over 40 with knee pain due to osteoarthritis (commonly referred to as arthritis) have been advised to try physical therapy, nonsteroidal anti-inflammatory medications (NSAIDs), hyaluronate or corticosteroid knee injections to reduce pain and inflammation. If these are not helpful, the next recommendation is often arthroscopic knee surgery to repair or remove any damaged cartilage or tissue that may be causing the pain. If the surgery doesn’t deliver the desired results, then total knee joint replacement is usually recommended.

Alternative to knee replacement surgery for osteoarthritis

Numerous studies2 evaluating the results of common orthopedic knee surgeries have shown that these procedures generally don’t work unless the patient is younger than 40 years of age. Even then, successful outcomes are not guaranteed. If this is new information to you, you are not alone. A lot of people don’t know that surgery isn’t always the solution. Read on to learn more about our regenerative medicine alternatives to knee replacement surgery for osteoarthritis.

4960 Southwest 72nd Avenue
Suite 408
Miami, FL 33155

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Doctors

Dan Marin, MD grew up as an athlete in the outdoor sunshine, playing every stick and ball sport possible as a kid. When not doing that he was fishing and diving in the South Florida Paradise.

His fascination with this environment, lead him to high school at MAST Academy where he excelled in Science and Math. In sport, he migrated toward rowing where he was a stand out leader and athlete. He was recruited to row in college, and was a division, 1A varsity collegiate rower at College of the Holy Cross in Worcester, Massachusetts.

His interest in science and the human condition led him to obtain his first degree in Biochemistry and Molecular Biology from the University of Miami, where his lab work focused on protein analysis of intercellular GAP junctions. He wanted to be engaged with humans and science, which drove him to medical school at the University of Miami, where he was accepted and matriculated.

His interest in the surgical and medical side of being a physician led him to a transitional internship at Yale New Haven Hospital.

His interest in sport, biomechanics, and treating “the whole human” led him to residency in Physical Medicine and Rehabilitation at Emory University Hospital in Atlanta, Georgia, where he excelled and was elected Chief by his peers and faculty.

Spending much time as a resident at the world renowned Emory Orthopedic & Spine Center, and being exposed to mentors like Michael Schaufele MD and Kenneth Mautner MD, led him to a fellowship and career focusing on Interventional Spine, Sports and Non-Operative Care. While there he performed and published research in the area of outpatient interventional outcomes and safety.

Eventually, after being a faculty member at the University of South Florida in the Department of Neurosurgery, as well as consulting and in development of the arena of the human component in Motorsport; he and his wife moved back to South Florida where Dr. Marin, began private practice. Here he had the great opportunity to form a clinic based the musculoskeletal model/ chain, of which we all naturally live by. This was the foundation of ProformMD.

Dr Marin believes “deep down, we are all athletes, our cells/ body, want us to exercise, and this is the key to longevity… it’s our job as clinicians to provide the tools and remove obstacles for our patients to meet their goals and live better.” His professional directive has been to build an environment with all the highest quality professionals to accomplish this task.

Dr Marin has said, “When someone suffers an initial injury this can be an obstacle for function for the rest of their life.”

Proform ACTIV, aka ACTIV, was started to address this specific issue. Knowledge of regenerative tissue science and use of Orthobiologics through interventional orthopedic techniques to un impede patients and put them on the path to recovery is the philosophy of this component of the clinic. This is the first step to get back to your “athletic-self” if you have encountered injury, degenerative wear, or overuse. After treatment, focus can then be on getting back into normal motion, and then on raising the performance bar.

Dr Marin remains passionate everyday about making his patients the best musculoskeletal version of themselves science, technology and training can provide.

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Dr. William J. Bonner was born and raised in the suburbs of Philadelphia, PA. He attended Georgetown University in Washington, DC where he earned a Bachelor of Arts in Physics with a minor in Mathematics. After college, he earned his Doctor of Medicine from Temple University School of Medicine in Philadelphia, PA. He completed an internship in Internal Medicine at Cooper University Hospital in Camden, NJ, and subsequently he completed Physical Medicine and Rehabilitation residency at the Temple University Hospital and Moss Rehab program in Philadelphia, PA where he was elected Chief Resident during his final year of training. Following residency, he pursued a fellowship in Spine, Sports, and Musculoskeletal Medicine at the University of Pennsylvania in Philadelphia, PA. Dr. Bonner is board certified in Physical Medicine and Rehabilitation by the American Board of Physical Medicine and Rehabilitation. He is also board certified in Pain Medicine by the American Board of Pain Medicine.

In his practice, he provides comprehensive, interventional spine and musculoskeletal care. He performs ultrasound-guided and fluoroscopically-guided interventional procedures for various causes of pain. He has taken a special interest in the exercise-based rehabilitation of spine and musculoskeletal injuries and uses his knowledge of these methods to provide patients with long term solutions to their ailments.

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Areas Treated

Cervical Spine (Not Upper Cervical or CCI)*, Elbow, Foot & Ankle, Hand & Wrist, Hip, Knee, Lumbar Spine, Shoulder, Thoracic Spine

*This provider is NOT authorized by Regenexx to treat the C0-C1 or C1-C2 levels of the neck or CCI (craniocervical instability).

How Does Regenexx Work For Knee Osteoarthritis?

At Regenexx, we invented a new approach to orthopedic care we call Interventional Orthopedics. This minimally invasive alternative to knee surgery uses ultrasound-guided technology to precisely inject your own bone marrow concentrate — which contains stem cells — directly where it’s needed in the joint.

The cells in your bone marrow concentrate work at the site of your injury to promote your body’s natural healing abilities and avoid surgery.

During appointments, Regenexx physicians examine your body in motion and often use Ultrasound to observe the inner workings of the joint in real time. This gives them a much more accurate picture of what’s contributing to your pain, how function is affected, and ultimately, the root cause of the problem. 

Once you’ve been evaluated, your physician will customize a treatment plan based on your specific needs. Our treatments include:

Regenexx-SD: A patented protocol using bone marrow concentrate that contains stem cells

Regenexx SCP: A proprietary formulation of platelet-rich plasma (PRP) that’s more concentrated than what a basic bedside centrifuge machine can produce

Regenexx-PL: Platelet lysate, which is a highly specialized derivative of platelet-rich plasma (PRP)

See how Regenexx helped Stephanie with her chronic pain from knee osteoarthritis.

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Note: Like all medical procedures, Regenexx procedures have a success and failure rate. Not all patients will experience the same results.

 

Below are the outcomes of two patients who had Regenexx procedures done for knee osteoarthritis. Scroll the arrow to the right to see the MRI of the knee joint before the Regenexx treatment — the white/ lighter area indicates damage. Scroll to the left to see the MRI of the knee joint after the Regenexx treatment.

Patient 1 MRI: 51 years old

Patient 2 MRI: 46 years old

Patient 1: The patient was unable to return to many activities after unsuccessful microfracture surgery. As a result, underwent percutaneous, autologous, mesenchymal stem cell implant, after which they were able to return to their daily activities.

Patient 2: The patient had unsuccessful arthroscopic debridement surgery, where a large 3 cm. by 4 cm. osteochondral defect on the medial femur was discovered. The patient was then treated with percutaneously implanted autologous mesenchymal stem cells 1.5 years after surgery. The patient was able to return to full functional activities.

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