What about exosomes as an “off the shelf” orthobiologic therapy?
Today I received 4 email inquiries about exosomes.
How much human outcomes data there is on the efficacy of exosomes in orthopedics? …not much at all. Exosomes are produced locally in response to the specific environment…ie. if a joint is inflammed, the exosomes being produced may have an anti-inflammatory nature overall.
We just completed another successful training course…our 25th in 9 years…and now have trained well over 1000 clinicians on MSK ultrasound. Our next Course in January 24-26, 2019 at the Cosmopolitan Hotel in Las Vegas. www.orthosono.com
Hip Pain? Here is yet another patient testimonial for an orthobiologic instead of steroid or surgery. She is 2 months s/p PRP injection for labral tears in both hips. She had not improved from an “umbilical cord blood/placental tissue” injection a year before. 2.5 minute clip…. Results are becoming more predictable for this application at our clinic!
I recently received a “Cease and Desist” letter from the attorneys for Zimmer because I used the term “subchondroplasty” in a lecture presentation and on Dallas PRP and Stem Cell’s web site . Zimmer has a trademark on the term “subchondroplasty” which they market as a specific procedure where bone cement is put into a bone lesion…it is not a regenerative medicine procedure and obviously a non-anatomic procedure.
This will be my 19th year in a row teaching at the San Diego Shoulder Meeting…every since fellowship at SCOI. Most don’t get to see all of the behind the scenes work that goes into producing the largest(about 500 surgeons), longest running (35 yrs), international shoulder meeting on earth. Here are a couple pre-game pics. This year I am doing a focus demonstration for the general assembly, Director of an Alex Shoulder Model Lab, and one of the EPIC one-on-one shoulder instructors in cadaver lab.
I have been asked many times about my thoughts on concentrating bone marrow versus just using a straight bone marrow aspiration. Currently, there is at least one needle device on the market, Marrow Cellutions, which markets their device as a bone marrow aspiration device that eliminates the need for centrifuging bone marrow to create bone marrow concentrate.
Sadly,not true. At least not the way it is presented to people at seminars as a sales tactic to separate people from their hard earned money. A simple 5 degree xray tilt will make an xray change to look as if new cartilage has grown….that is what these clinics and people are showing potential patients who are interested in regenerative medicine procedures….and these clinics usually compound the deceit by telling patients they can get living stem cells from amniotic fluid or umbilical cord blood.
Our patient wanted to share her story…..she is only 4 months after her in office bone marrow derived stem cell procedure that took 1 hour. She is 2 months after a PRP injection we did into the same knee to give her a better result. Now? 90%+ better and doing things without pain that she had not been able to do for years. In her words.
After the fireworks, come learn how you have other natural options besides medications, steroids,and surgery to treat your arthritis or back pain or sports injuries.
Here is a case study using PRP to help a NCAA college football player with a quadriceps muscle disruption. The procedure is done in the office in about 30min. Hopefully it gets him back in the game faster!
