E-Consult

APS (Autologous Protein Solution)

Autologous Protein Suspension, or APS, is an autologous (from your own body) therapy which is designed to treat joint pain associated with knee osteoarthritis.  In laboratory testing, APS has been shown to protect cartilage cells. This protective quality may slow the progression of osteoarthritis as well.

There are a range of treatment options available at The Regenerative Therapy Centre and we would be delighted to discuss which would be the most appropriate for you,  Please click on the Get in Touch button and our friendly and responsive team will be delighted to chat.

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PRP (Platelet Rich Plasma)

Do you feel an uncomfortable pulling sensation in your joint or suffer from joint stiffness in the mornings or discomfort when you first start walking? The cause may well be wear and tear of the joint cartilage, commonly known as osteoarthritis.  PRP therapy offers a natural, biologic therapy approach involving activation of the body’s own factors in your blood. 

Osteoarthritis of the knee is the consequence of the progressive deterioration of the joint cartilage and the joint menisci. The joint cartilage is deteriorating due to trauma and wear and tear. This leads to bone surface exposure. Symptoms include pain, rigidity, swelling, and walking difficulties.

INDICATIONS FOR PRP THERAPY

1. Chronic joint pain secondary to osteoarthritis

2. Poor response to conservative management

3. Patients who are unfit for joint replacement

4. Patients who wish to delay or avoid surgery

5. Tendonopathy

6. Muscle tears and muscle injury

7. Tendon tears and ruptures

 

PRP injections aim to promote the repair of cartilage and to alleviate joint aches, pains and osteoarthritic symptoms, potentially delaying the need for joint replacement and also improving function and healing. Platelets produce growth factors that stimulate the proliferation of chondrocytes (joint lining cells), leading to cartilage repair. PRP is an autologous concentration of a large number of platelets in a small plasma volume. Platelets contain substantial amounts of cytokines and growth factors (GFs) that stimulate cell growth, vascularization, proliferation, tissue regeneration and synthesis of collagen (building block of cartilage). The delivery of high concentrations of cytokines and GFs by PRP to the damaged tissues, is considered to have a beneficial effect on the regeneration of tendons and cartilages.

PRP for Sports Medicine

PRP has various medical uses and is widely known for its restorative properties. Platelets release growth factors or “healing factors”, that promote the regeneration of bone, skin, muscle tendons and tissues and hence has applications in many degenerative disorders. This innovative treatment has piqued clinicians’ interest, particularly specialists in physical medicine and sports injuries, more so because the production of PRP is relatively easy, making it one of the best natural biological therapy to be trusted by many sports physicians and used by many sports players worldwide.

Injuries and conditions including rotator cuff tears, shoulder impingement, elbow epicondylitis, anterior cruciate ligament (ACL) reconstruction, patellar and quadriceps tendinopathy, achilles tendinopathy, and acute achilles rupture are some that PRP is known to heal due to its regenerative properties. Platelet rich plasma therapy injections have been used as a source of main treatment for these conditions, and it has also been used as surgical augmentation in procedures where platelet-rich plasma therapy was applied during surgery. This is used to enhance healing following ligament reconstruction procedures and repairs. PRP is also used as an orthobiologic therapy modality in foot and ankle surgery. PRP in regenerative medicine plays an important role when conservative treatment has failed and the next treatment option is an invasive surgical procedure. It bridges this gap and provides a very good biological option before considering surgery.

There are a range of treatment options available at The Regenerative Therapy Centre and we would be delighted to discuss which would be the most appropriate for you,  Please click on the Get in Touch button and our friendly and responsive team will be delighted to chat.

FAQ's

Stem Cell Therapy

Experts are researching ways to use stem cells to treat arthritis in the knee and other joints. At the Regenerative Therapy Centre, we use bone marrow derived stem cells to treat arthritis.

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Viscosupplementation

Another widely used treatment option osteoarthritis pain management is a procedure called viscosupplementation injection. If your pain continues to limit your activities, viscosupplementation may be an option.

In this procedure, a gel-like fluid called hyaluronic acid is injected into the joint. Hyaluronic acid is a naturally occurring substance found in the synovial fluid surrounding joints. It acts as a lubricant to enable bones to move smoothly over each other and as a shock absorber for joint loads. People with osteoarthritis have a lower than normal concentration of hyaluronic acid in their joints. The theory is that adding hyaluronic acid to the arthritic joint will facilitate movement and reduce pain.

The most recent research, however, has not found viscosupplementation to be effective at significantly reducing pain or improving function in the long term but it certainly is a good option for the short term, up to about 6 months. Although most patients report pain relief with the procedure, some people are not helped by the injections.

Although some patients have reported a major difference and relief of arthritis symptoms with viscosupplementation, the procedure has never shown to reverse the arthritic process or re-grow cartilage.

The effectiveness of viscosupplementation in treating arthritis is still under research. It has been proposed that this process is most effective if the arthritis is in its early stages (mild to moderate), but more research is needed to support this.

There are a range of treatment options available at The Regenerative Therapy Centre and we would be delighted to discuss which would be the most appropriate for you,  Please click on the Get in Touch button and our friendly and responsive team will be delighted to chat.

FAQ's

Combination Therapy for Joint Arthritis

In osteoarthritis, the affected joint cartilage is damaged, inflammation is present and joint fluid (hyaluronic acid) is lost. This vicious cycle of ongoing inflammation, progressive cartilage damage and continued loss of joint fluid slowly causes destruction of your joint and worsens your arthritic condition.

 

Our regenerative combination therapy helps break this cycle by incorporating all the factors that are required for creating the best healing environment for the cartilage, by providing the cells which can differentiate and are the building blocks for the cartilage and by replenishing the lost joint fluid.

 

This therapy involves 3 stages;

 

  • BMAC (Bone Marrow aspirate Cells) Stem Cell treatment
  •  PRP (Platelet Rich Plasma) injectio
  • Viscosupplementation (Hyaluronic acid) injection

 

The stem cells provide the cellular therapy for cartilage healing, PRP provides anti-inflammatory factors and pro-healing factors which create the right environment in which healing takes place and viscosupplementation replenishes the lost hyaluronic acid.

 

The aim of our combination therapy is to promote healing of joint cartilage and delay progression of your arthritis and this in turn helps improve pain, mobility and function while reducing swelling and stiffness of the joints.

FAQ's