Blog | Dr Don Buford | Orthopedic Doctor Dallas, TX

Recent Platelet Rich Plasma, PRP, Research For Tennis Elbow -- Better Than Dry Needling.
Posted in: Elbow | Posted on: 10-Jul-2024 | No of views: 818
PRP is a good treatment option for tennis elbow. Research for using platelet rich plasma is over 10 years old.
I think that a single higher dose PRP injection eliminates the need for a second injection for tennis elbow most of the time. High dose would mean a 60cc blood draw and getting the platelet dose definitely above 3.5 billion and more likely up around the 5 billion range in a 3cc-4cc PRP injection. Platelet count in the PRP would be a 1200-1500 depending on the patient's starting platelet count.
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Steroid Shots Into A Joint Are Bad!
Posted on: 30-Jun-2024 | No of views: 817
We have many non-steroid alternatives for joint pain and inflammation:
Laser, Shockwave, Platelet rich plasma, bone marrow concentrate, micro-fat, toradol, cryoneurolysis....all come to mind as treatment options without this documented risk of increasing infection rates or potentially accelerating degenerative changes. Other than the cryoneurolysis....none of these are "destructive" and many have documented long term benefits measured in years!
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Shoulder dislocation, subluxation, or instability? We can help!
Posted on: 30-Jun-2024 | No of views: 203
For this patient the best and most predictable long term outcome was to stabilize the shoulder arthroscopically.
For the majority of our orthopedic patients....we can avoid surgery while getting them back to doing the things they love with less pain! Call us for an in person or telemed consult. Check our bio!
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Is your regenerative medicine doctor good at PRP?
Posted on: 28-Jun-2024 | No of views: 139
s a doctor or patient if the end PRP is the same, would you rather have 30cc or 60cc drawn? 180cc or 60cc? 240cc or 60cc? There are tremendous differences in platelet recovery percentage between PRP kits and homemade protocols. If we only care about the platelet concentration....then the chart below shows one PRP kit's data starting with a whole blood platelet count of 250. The bottom chart shows a more efficient protocol than the top chart....this commercially available kit can create 20x PRP in 2.5cc from a 60cc blood draw! Platelet dose is 12.5 Billion in this example. There are other commercially available kits that would require a blood draw of 180cc (or more!) of blood to get to the same concentration and platelet dose.
The platelet recovery percentage of your system is an important Platelet Rich Plasma metric!
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Happy Father's Day Dad!
Posted on: 16-Jun-2024 | No of views: 1159
Happy Father's Day Dad!
most don't know that towards the end of dad's career in 1975 he had a near total medial menisectomy in Japan. Today it would have been a meniscal repair.... He went on to have a TKR about 19 years ago by the great Dickie Jones, MD in Dallas....still going strong on the original TKR! The other knee has KL4 changes and enough varus to make an arthroplasty surgeon blush BUT dad does great with high dose intra-articular PRP injections every 6-9 months...no downside.
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Do you have a frozen shoulder? We can get you better in about 15 minutes!
Posted in: Shoulder | Posted on: 10-Jun-2024 | No of views: 1087
If you or someone you love has been suffering with a frozen shoulder, we can help!

There are different treatment options depending on pain and loss of motion.

Here is a link to the shoulder manipulation under anesthesia....a procedure that can save patient's many many months of recovery and significantly improve their motion and decrease their pain....in less than 10 minutes!!!!'
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What is the correct PRP dose for tendons and ligaments and muscles?
Posted in: Platelet-Rich Plasma | Posted on: 21-May-2024 | No of views: 3095
PRP Success TIP
For soft tissue pathology, get your PRP dose above 3.5 Billion platelets in a single injection IF you want to get a positive response.
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The Role of Regenerative Health Solutions In Sports Injury Recovery
Posted on: 20-May-2024 | No of views: 436
Scientists are continuously researching new ways to enhance regenerative health solutions for sports injuries. These advancements aim to improve recovery times and overall outcomes for athletes. Potential future developments may include enhanced stem cell therapies, bioengineered tissues tailored for specific injuries, and personalized regenerative treatment plans based on individual needs.
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What is the correct PRP dose for rotator cuff full or partial tears or for knee arthritis?
Posted in: Lectures | Posted on: 13-May-2024 | No of views: 1807
Here is a 15 minute presentation by Don Buford, MD on how doctors should be dosing platelet rich plasma for rotator cuff tears and for knee arthritis for maximal benefit.
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How do you get bone marrow for a regenerative medicine procedure? Answers here!
Posted on: 06-May-2024 | No of views: 1835
CLICK HERE FOR FULL VIDEO

This 8 minute presentation was first given at the Spring AOAO meeting in Las Vegas in 2024.

Don Buford, MD is the founder of Texas Orthobiologics in Dallas, Texas...America's #1 rated Regenerative Medicine and Orthopedic Surgery Clinic. Dr. Buford is past President (2021), and current President-Elect (2025) of The Interventional Orthobiologics Foundation (www.interventionalorthobiologics.org).
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