This interesting 2023 Delphi paper on the "state of the art" with PRP (platelet rich plasma) just got published in the journal "Arthroscopy...."
Have a look! 35 clinicians answering 7 PRP questions.... I was honored to be part of the time led by Eoghan Hurley!
Are you interested in PRP?
Did you know that all PRP is not the same?!
Don Buford , founder of Texas Orthobiologics, was a co-author on a 2023 paper titled "Angiogenesis and tissue repair depend on platelet dosing and bioformulation strategies following orthobiological platelet rich plasma procedures. A narrative review" The paper is open access and can be downloaded here:
https://www.preprints.org/manuscript/202306.0745/v1
I am currently a freshman serving a 3 year term on the AANA Board of Directors (AANA Website)
We just finished our summer meeting at the amazing Hythe Hotel in Vail.
What a fantastic group!
AANA is filled with so many talented and kind and humble people that happen to be orthopedic surgeons!
Many thanks to the executive team for putting together a fantastic Board of Directors weekend.
JT Tokish, MD, current president, is continuing to innovate and push the organization into the future!
With so many innovators in one room, I always learn something. It only helps our Texas Orthobiologics patients....we hear things "hot of the press" and even some ideas in "pre-production"!
At Texas Orthobiologics , we test every patient's blood and their PRP so we know what we are dosing patients with. Every doctor treating patients with a drug should know the dose of the drug they are giving to the patient, right? Yet, we know that very few clinics in Dallas, Frisco, McKinney, Plano, Southlake, or Fort Worth actually have the machine necessary to be able to determine PRP dosing. A patient's response is determined in part by the PRP dose so if we don't know one huge piece of the puzzle, how are we supposed to counsel our patients?
For a patient presenting with a frozen shoulder and 50% or more loss of motion in any plane....I have found that an early manipulation under anesthesia is the best option to get someone back to health ASAP. The patient gets about 15 min of propofol anesthesia and a LMA. In 5 minutes or less a gentle MUA is done and full (or nearly full) motion is restored in all planes.
Patient spends about 1 hour total in the facility and goes home with immediate 50% (ish) improvement in motion. They get the remainder back over the next 1-3 months in therapy depending on their starting point. For most their pain is considerably better once the thickened joint capsule is ruptured in the MUA.
With 25 years of history doing this and a fair amount of literature documenting the results....it is one of the best weapons I have against this insidious shoulder pathology.
Oh, and it is cost effective and covered by insurance.
The doctor fee is $198 from Medicare.
Patient video showing her 2 year result after a PRP injection for advanced knee arthritis!
Many patients with knee arthritis come to see us as a last resort before a knee replacement.
No one wants to have major joint replacement surgery without trying reasonable alternatives for pain control and to stay active. Platelet rich plasma (PRP) is a regenerative medicine injection made from your own blood.
Platelet rich plasma is an injection made from your own blood.....with nothing added to it. It is safe and has over 30 years of clinical studies for various conditions...including spine conditions.
PRP is the #1 injection for back pain at Texas Orthobiologics because it just makes sense.
Exosomes still cannot be sold and used in humans in the USA for any indication because they are drugs (per FDA) and have no FDA approval. The approved IND does not change that. There are still some big big hurdles.
Anyone selling or using exosomes in humans in the USA right now needs to close their barn door or be on the lookout for the next FDA Warning Letter.
Steroids do one thing really well.......they are anti-inflammatory. Virtually every other effect of a steroid injection is not awesome and some are harmful. Patients can have soft tissue atrophy, skin coloration changes, cartilage toxicity, and the big one.....increased risk of infection if surgeries or procedures are done after as few as 1 steroid shot!
We keep you doing the things you love with regenerative medicine and nonsurgical techniques! If orthopedic surgery is required...we can do that too! We specialize in helping patients with joint pain, sports injuries, and back pain. Anyone told they need knee surgery, hip surgery, elbow surgery, or back surgery should get a second or even a third opinion. We have regenerative medicine techniques rarely offered by other orthopedic surgeons.....so make us your last opinion!
