20Shoulder Care
AC Joint Injuries
Arthritis
Biceps Tendon Injuries
Calcific Tendinitis
Clavicle Fractures
Frozen Shoulder
Labral and SLAP Tears
Rotator Cuff Injuries
Shoulder Dislocation/Instability
Subacromial Impingement/Busitis
A-C Joint Stabilization
Biceps Tenodesis
Clavicle Fracture Fixation
Pectoralis Major Repair
Rotator Cuff Repair
Shoulder Instability Surgery – Bankart Repair
Shoulder Instability Surgery – Latarjet Procedure
Subacromial Decompression and Acromioplasty
Superior Capsular Reconstruction
Total Shoulder Replacement
28Knee Care
ACL Tear
Cartilage Injury
Lateral Meniscus Tear
LCL Injury
MCL Injury
Medial Meniscus Tear
Osteoarthritis
Patellar Instability
Patellofemoral Chondromalacia
Posterolateral Corner Injury
Trochlear Dysplasia
Anterior Cruciate Ligament (ACL) Reconstruction
Cartilage Restoration Surgery – Autologous Chondrocyte Implantation (ACI-Carticel)
Cartilage Restoration Surgery – Donor Graft
Collagen Meniscal Implant (CMI)
Lateral Collateral Ligament (LCL) Reconstruction
Medial Collateral Ligament (MCL) Reconstruction
Meniscus Repair
Meniscus Root Repair
Meniscal Transplant
Nanofracture
Osteochondral Allograft Transfer
Osteochondral Autograft Transfer (OATS)
Partial Meniscectomy
Posterior Cruciate Ligament (PCL) Reconstruction
Posterolateral Corner (PLC) Surgery
Tibial Tubercle Osteotomy
Trochleoplasty
17Hip Care
Cartilage Injury
Femoroacetabular Impingement (FAI)
Gluteal Tears
Hamstring Tears
Hip Instability
Labral Tears
Psoas Impingement (Internal Snapping Hip)
Trochanteric Bursitis
Acetabuloplasty
Chondroplasty
Femoroplasty
Gluteal Repair
Labral Debridement
Labral Repair
Labral Reconstruction
Nanofracture
Trochanteric Bursa Debridement
2Biologics
Bone Marrow Aspirate Stem Cell Concentrate (BMC)
Platelet-Rich Plasma “PRP”

Bone Marrow Aspirate Stem Cell Concentrate (BMC)

Bone Marrow is considered one of the richest sources of stem cells in the body.  Bone Marrow Aspirate Stem Cell Concentrate (BMC) therapy is intended to deliver stem cells, growth factors and platelets to areas of injury.  It is designed to promote healing where bony or soft tissue damage has occurred.  BMC is also used to reduce pain and inflammation associated with chronic tendonitis and osteoarthritis.

BMC therapy is typically provided in the office setting under local anesthetic.  The bone marrow is harvested with the patient lying face down.  Using a needle placed into the back of the pelvic bone, the bone marrow is drawn out.  The aspirated bone marrow is then processed for several minutes where the stem cells, growth factors and platelets are concentrated.  The concentrated bone marrow aspirate is then delivered into the area of injury via injection.

Restrictions following BMC therapy are dependent on the treatment area.  Following injection, patients may experience a few days of soreness at the treatment site.  Typically, patients who receive joint injections for osteoarthritis are allowed to return to normal activity when soreness has subsided.    In the case of tendon and muscle injury, there is usually a period of rest that is required, with a gradual progression back to normal physical activity.

Patients are asked to avoid non-steroidal anti-inflammatory medications (NSAIDS) for 2 weeks following PRP therapy as this may negatively affect outcomes.   The use of Tylenol or a prescribed pain reliever can be used to control discomfort when needed.

The side effects of BMC injections are extremely low. Because the patient’s own cells are being utilized, there is no risk of tissue rejection.