We have many non-steroid alternatives for joint pain and inflammation:
Laser, Shockwave, Platelet rich plasma, bone marrow concentrate, micro-fat, toradol, cryoneurolysis....all come to mind as treatment options without this documented risk of increasing infection rates or potentially accelerating degenerative changes. Other than the cryoneurolysis....none of these are "destructive" and many have documented long term benefits measured in years!
For this patient the best and most predictable long term outcome was to stabilize the shoulder arthroscopically.
For the majority of our orthopedic patients....we can avoid surgery while getting them back to doing the things they love with less pain! Call us for an in person or telemed consult. Check our bio!
s a doctor or patient if the end PRP is the same, would you rather have 30cc or 60cc drawn? 180cc or 60cc? 240cc or 60cc? There are tremendous differences in platelet recovery percentage between PRP kits and homemade protocols. If we only care about the platelet concentration....then the chart below shows one PRP kit's data starting with a whole blood platelet count of 250. The bottom chart shows a more efficient protocol than the top chart....this commercially available kit can create 20x PRP in 2.5cc from a 60cc blood draw! Platelet dose is 12.5 Billion in this example. There are other commercially available kits that would require a blood draw of 180cc (or more!) of blood to get to the same concentration and platelet dose.
The platelet recovery percentage of your system is an important Platelet Rich Plasma metric!
Happy Father's Day Dad!
most don't know that towards the end of dad's career in 1975 he had a near total medial menisectomy in Japan. Today it would have been a meniscal repair.... He went on to have a TKR about 19 years ago by the great Dickie Jones, MD in Dallas....still going strong on the original TKR! The other knee has KL4 changes and enough varus to make an arthroplasty surgeon blush BUT dad does great with high dose intra-articular PRP injections every 6-9 months...no downside.
If you or someone you love has been suffering with a frozen shoulder, we can help!
There are different treatment options depending on pain and loss of motion.
Here is a link to the shoulder manipulation under anesthesia....a procedure that can save patient's many many months of recovery and significantly improve their motion and decrease their pain....in less than 10 minutes!!!!'
PRP Success TIP
For soft tissue pathology, get your PRP dose above 3.5 Billion platelets in a single injection IF you want to get a positive response.
Scientists are continuously researching new ways to enhance regenerative health solutions for sports injuries. These advancements aim to improve recovery times and overall outcomes for athletes. Potential future developments may include enhanced stem cell therapies, bioengineered tissues tailored for specific injuries, and personalized regenerative treatment plans based on individual needs.
Here is a 15 minute presentation by Don Buford, MD on how doctors should be dosing platelet rich plasma for rotator cuff tears and for knee arthritis for maximal benefit.
CLICK HERE FOR FULL VIDEO
This 8 minute presentation was first given at the Spring AOAO meeting in Las Vegas in 2024.
Don Buford, MD is the founder of Texas Orthobiologics in Dallas, Texas...America's #1 rated Regenerative Medicine and Orthopedic Surgery Clinic. Dr. Buford is past President (2021), and current President-Elect (2025) of The Interventional Orthobiologics Foundation (www.interventionalorthobiologics.org).
How much does PRP cost in the USA? How much does a Stem Cell injection cost in the USA?
