Non-Surgical Treatments for Orthopedic Conditions
What Are Orthobiologics?
Orthobiologics are biological substances found naturally in the body that are used by Doctors and Surgeons to help heal injuries. The types of Doctors and Surgeons who use orthobiologics may be Primary Care Sports Medicine Physicians, Doctors of Osteopathy, Physical Medicine Specialists, Physiatrists, Pain Management Specialists and Orthopedic Surgeons. Substances of the human body that can be used to create orthobiologics include blood platelets, bone marrow, and human fat (adipose tissue).
Usually, an orthobiologic will contain naturally occurring healing agents such as growth factor proteins and immature cells, which will later develop into new bone or tissue. Sometimes an orthobiologic may be created by the patient’s own body, at other times it may come from a donor or a lab.
Orthobiologics in orthopedics involves placing the healing agent in a syringe and injecting it precisely into the problem area in higher concentrations than occur naturally in the body. This has the potential to help repair and heal bone, cartilage, muscles, tendons and ligaments beyond what the body can achieve alone or with surgery.
There are various orthobiologics procedures which may be considered, for a patient, depending on their diagnosis. In some cases, the goal is to initiate a more conservative treatment plan and to avoid surgery. The goal of surgery alternatives is to harness the body’s natural ability to heal - to reduce pain and improve mobility. For patients who are strong candidates for non-surgical options, these procedures are less invasive and recovery time could be quicker than undergoing a surgical procedure. Initial improvements in pain and mobility may be seen within a few weeks of treatment and typically will gradually improve as the healing process continues.
A term related to Orthobiologics is “Interventional Orthopaedic Medicine” which focuses on precise percutaneous (through the skin) placement of orthobiologics under very precise image guidance (such as X-Ray or Ultrasound).
Orthobiologic and Interventional Orthopaedic treatment options offered at Muir Orthopaedic Specialists include:
- Hyaluronic acid (HA) – an injection is used to treat knee pain caused by osteoarthritis. It may be used in patients who are not receiving the pain relief they had hoped for from pain relievers such as acetaminophen or other pain treatments. Like a substance that occurs naturally in human joints, HA works by acting like a lubricant and shock absorber which helps with movement and function.
- Needle aponeurotomy (NA) - Corrects Dupuytren’s contracture (abnormal thickening of the tissue in the palm of the hand) using a small needle and without stitches with return to full use in a few days.
- Tenex Procedure – The Tenex procedure is a minimally invasive proprietary method of treating chronic tendon pain by removing scar tissue caused by injury or overuse. The procedure involves local anesthesia and a 3mm micro-incision.
- Xiaflex (collagenase clostridium histolyticum). Xiaflex is a biologic made from the protein product of a living organism. It is used to treat Dupuytren's contracture in adults.
Orthobiologics and Interventional Orthopaedic Medicine are new and innovative branches of medicine. We recommend speaking with one of our Providers to understand if this type of treatment is right for you. Call today for more information on (925) 302-2088. We are Orthopedic Doctors in in Walnut Creek, San Ramon, Brentwood, Concord, and the Greater San Francisco Bay area with expertise in Orthobiologics and Interventional Orthopaedics.
If you’d like to learn more about Orthobiologic medicine at Muir Orthopaedic Specialists, call (925) 939-8585 today. We provide services in Walnut Creek, San Ramon, Brentwood, Concord, and the Greater San Francisco Bay area.