A lot of joint wear in Garland comes from work rather than sport. Shoulders that have been overhead for thirty years, knees that have spent those years on concrete, hands and elbows worn by repetitive load. It behaves differently from an athletic injury and it deserves a different conversation.
Our office is about twenty minutes away, at 3310 Live Oak Street in Dallas.
Orthobiologic injections can reduce pain and improve function in appropriately selected patients. They do not regrow a joint surface - no injection has been shown to do that. Where wear is advanced, the honest answer is often surgical, and you will get that answer here rather than a course of injections that was never going to work.
Don Buford, MD is a board-certified orthopedic surgeon who has spent two decades teaching orthobiologics to other physicians. He serves as Chairman of the Biologic Association for 2026–2027, and is a past president of the Interventional Orthobiologics Foundation, where he served two terms and still sits on the Executive Committee and Board of Directors. He is in his fourth year on the Board of Directors of the Arthroscopy Association of North America and is founding editor of the Biologic Orthopedics Journal.
Since 2008 he has directed the Las Vegas Regenerative Medicine and MSK Ultrasound Course, one of the longest-running courses in the field, where more than 2,500 clinicians have trained.
Dr. Buford performs cartilage restoration surgery - MACI, osteochondral allograft and CartiHeal Agili-C - and directs patients to the right surgeon for the procedures he does not perform, including joint replacement and spine surgery.
Every orthobiologic injection we perform is autologous, and every one is placed under ultrasound guidance so the needle is watched into the target in real time.
Both options. One board-certified surgeon.
I-635 to US-75 south, or TX-78 straight in through East Dallas. Both run around twenty minutes outside peak hours. Parking is on site. If you have prior images, our office can show you how to upload them from our website without leaving home, or you can often log in to the facility that did the study and access them yourself. Mention it and we will help.
Orthobiologic injections are generally not covered by insurance. Nationally, high-dose PRP runs $1,500 to $3,500 and BMAC $5,000 to $13,000 depending on the number of joints and the complexity. Those are national ranges rather than a quote for your treatment. Every patient leaves the consultation with a clear understanding of risks, benefits and the investment before deciding. CareCredit offers interest-free terms from six to eighteen months.
Probably not as much as you would want, and you deserve to hear that before spending money. Injections generally perform better at earlier stages of arthritis than at end-stage disease. Dr. Buford is an orthopedic surgeon and will tell you at the first visit whether an injection is reasonable for your stage or whether you should be discussing replacement with a joint surgeon.
Most patients return to ordinary activity quickly, but treated tendons need a period of protected loading, and heavy manual work is exactly the load that period is protecting against. That is planned with you before treatment, based on your actual job, not a generic handout. Tell us what your work involves at the evaluation.
New patient evaluations routinely run past forty-five minutes, because the imaging review is the appointment.
Texas Orthobiologics · 3310 Live Oak, Ste 202, Dallas, TX 75204 · (877) 777-8883. This page is for educational purposes only and does not constitute medical advice. Individual results vary.
3310 Live Oak
Ste 202
Dallas,
TX 75204
(877) 777-8883 (Dallas)
Monday - Friday: 8:30 am - 4:00 pm