Logo for for The Center for Nonsurgical & Regenerative Orthopedics

Phone: 757-889-6580


100 Kingsley Lane, Suite 300
Norfolk, VA 23505


11803 Jefferson Avenue, Suite 260
Newport News, VA 23606

Regenerative Therapies

Recent basic science breakthroughs have helped clarify the mechanisms of the human body's own healing and regenerative pathways. This has led to the development of exciting new non-surgical regenerative treatments that actually interact with and enhance the body's ability to heal itself. We have entered a new era in which regenerative treatments are being used to promote more reliable and faster healing, and it is transforming the clinical practice of orthopedics. These treatments are available in-office now.

Platelet Rich Plasma (PRP)

Platelets are small acellular structures circulating in the blood stream that help to control bleeding. They also contain a wide array of proteins, cytokines, and other bioactive factors that decrease inflammation and regulate tissue healing after injury. PRP is obtained by drawing blood from the patient's arm.

Mesenchymal Stem Cells (MSCs)

Mesenchymal Stem Cells are "uncommitted" multi-potent cells that have the ability to differentiate into "fully committed cells" such as muscle, ligament, bone, or cartilage. In response to injury, MSCs produce a wide array of bioactive agents that reduce inflammation, inhibit scar formation, and stimulate increased blood flow to promote more rapid healing. Perhaps most importantly, they can "differentiate" and turn into other "fully committed cells" which can replace the damaged cells within the zone of injury, resulting in more rapid and more reliable tissue healing.

Sources of stem cells include:

  1. Cryopreserved bone marrow cells, which are obtained from living donors.
  2. Umbilical cord or placental tissue donated by mothers immediately following the birth of a child.
  3. Amniotic fluid cells
  4. Your own bone marrow, usually obtained through a 2-mm opening in the skin at the pelvis under a local anesthetic (much like a dentist numbing the gum before working on a tooth).

PRP or MSCs?

In general, if there is inflammation within the tissue but no evidence of structural tears, then PRP alone should suffice. If there is ultrasound or MRI evidence of partial tears or intrasubstance degeneration within the damaged structure, then stem cells would be more effective.

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