Blog

Why do patient reviews matter?
Posted on: 15-Oct-2024 | No. of views: 666
15-20 years ago most new patients came from other clinician referrals and other patient referrals.

With the rise of the internet and doctor review sites.....along with the increasing cost of insurance and rising deductibles...things have been changing over the last 15 years.
Now, most common referral source listed by our new patients at Texas Orthobiologics is the insurance company website (searching for local in network docs) and then online patient review sites (to see who is highly ranked) like doctor.com, healthgrades.com, vitals.com, usnews.com, trustpilot.com, google.com, and even yelp(ugh!).
So, like it or not, we have to care about reviews if we want to take care of patients..'
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Using Ultrasound Instead Of MRI To Diagnose Meniscal Tears In The Office!
Posted on: 09-Oct-2024 | No. of views: 1717
This brief presentation shows how we can use ultrasound in the office to diagnose a meniscus tear and avoid the time and expense of a MRI scan. It is faster and cheaper for the patient and allows us to have a diagnosis and treatment plan at the very 1st office visit! No fighting with insurance companies for pre-authorization either! Not every tear and not all knee pathology can be seen with ultrasound so there is still a need for MRI scans....but when we can use ultrasound....everybody loves it!
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Exosomes are still currently illegal to use in humans in the USA!
Posted in: Exosomes! |Posted on: 02-Oct-2024 | No. of views: 1212
...still haven't gotten then message about exosomes being an unapproved drug in the USA yet?

Patients, avoid any clinic or doctor who tells you they can legally do exosome treatments in the USA right now. Unless they are part of a FDA approved study ....odds are they are not telling you the truth....ask for their FDA documentation and drug approval letter(s).

Doctors, if you are in a gambling mood and look good in an orange prison jumpsuit....and are looking to stock your shelves....here is one outfit STILL selling exosomes as recently as yesterday.
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Can You Inject Fat Into A Knee To Make Arthritis Symptoms Better For A Year? Yes!
Posted in: Adipose Injections |Tags: regenerative medicine, stem cells, adipose, orthobiologics, knee arthritis, knee pain |Posted on: 30-Sep-2024 | No. of views: 528
*MFAT (microfat) injection for knee osteoarthritis? Yes....the clinical evidence is only growing!*

The best part? This is a way to use adipose tissue in the USA that is compliant with the FDA regulations.
This RCT published 9/5/2024 in Arthroscopy divided knee osteoarthritis patients into a MFAT group, a steroid group, and a normal saline group.

75 patients total followed for one year. The MFAT group was significantly better than the other groups at every time point and out to one year.

The steroid group had max benefit at 2 weeks which quickly returned to baseline.

The two most prominent companies with adipose solutions in the USA right now are Lipogems and JointTechLabs.
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How to make shoulder surgery (rotator cuff repair) better with regenerative medicine (PRP - platelet rich plasma)
Posted on: 27-Sep-2024 | No. of views: 1346
*Can you do an intra-osseous orthobiologic injection with just an 18g needle?*
Of course you can. Location matters....here is a video documented 18g injection into the greater tuberosity right after a rotator cuff repair....no power needed, takes 2.54 seconds! And...no 11g hole in the bone.....don't do that.
You can use the same technique for the femoral condyles and tibial plateaus, especially if there are small cortical breaks visualized on ultrasound...aim for those! Pro tip" If you are putting in 10cc volume....getting the needle perfectly in the center of a bone marrow lesion is not critical to clinical success...10cc spreads pretty quickly throughout the space....promis
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This is why we test ALL PRP at Texas Orthobiologics....so we know what dose we are giving!
Posted on: 23-Sep-2024 | No. of views: 721
Regenerative Medicine Clinics should know the dose of any drugs they give to patients....including platelet rich plasma! At Texas Orthobiologics we test every dose
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2024 FDA Regulation of Regenerative Medicine Products
Posted on: 25-Aug-2024 | No. of views: 2828
*2024 FDA Untitled Letters and what it means for Orthobiologics*

In 2024, there have been 5 Untitled Letters sent out for regulatory noncompliance with biologics. Untitled letters typically give the company or person a chance to correct the variance before any further FDA regulatory action and clearly show the current FDA regulatory stances on various orthobiologics.
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Stem Cell Injection For Anterior Cruciate Ligament (ACL) Tear? Yes...9 years later
Posted on: 19-Aug-2024 | No. of views: 1686
Here is 9 year followup from one of the youngest patients I have treated with bone marrow concentrate for a partial ACL tear.
He also had a displaced medial meniscus tear that needed to be repaired so I did that surgically.

After several discussions, the parents, the patient (he was 14 years old) and I all agreed to inject the ACL with BMC.

We were hoping to avoid ACL reconstruction and the potential future arthritic changes that often occur after that surgery, especially when done in a 14 year old
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Regenerative Medicine Road Trip To The University Of Alabama - Birmingham
Posted on: 19-Aug-2024 | No. of views: 501
Join us on September 10, 2024, as we welcome Don Buford, MD, from Texas Orthobiologics, and hosted by Amit Momaya, for a Grand Rounds lecture to discuss "Evidence Based Orthobiologics From A-Z."
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Does Your Regenerative Medicine Clinic Give You Actual Data On Your PRP or Stem Cell Injection?
Posted in: Platelet-Rich Plasma, Regenerative Medicine |Posted on: 05-Aug-2024 | No. of views: 1463
At Texas Orthobiologics we use a hematology machine to quantify the PRP doses and concentrations we are giving patients. We have an abundance of high level clinical data giving us dosing parameters (from hematology machines) for various orthopedic conditions. It isn't perfect but it is the best we can do in the office at the point of care. Likewise, getting a cell counter so we can determine a total nucleated cell count for a bone marrow concentrate(BMC) procedures make sense. But TNCC also has limitations.....TNCC doesn't directly correlate with the actual MSC or HSC count....but it is a good proxy same day metric for quantifying BMC procedures
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