• The Subchondroplasty Procedure for Bone Marrow Lesions; what is it and when is it indicated?

    Assume that you schedule an office assessment for knee pain, altered function and a slight limp. I complete the examination and review the radiograph only to find it “normal”. The examination excludes referral from the low back and hip so the next step is an MRI. 48 hours later I am able to diagnose...

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  • “FDA Cracks Down On Stem-Cell Clinics Selling Unapproved Treatments”

    “FDA Cracks Down On Stem-Cell Clinics Selling Unapproved Treatments”

    The Food and Drug Administration is cracking down on “unscrupulous” clinics selling unproven and potentially dangerous treatments involving stem cells. Hundreds of clinics around the country have started selling stem cell therapies that supposedly use stem cells but have not been approved...

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  • Cellular Orthopedics; should the future model be as a business or a scientific pursuit?

    Cellular Orthopedics; should the future model be as a business or a scientific pursuit?

    On August 3rd, I wrote a Blog titled” Advancing the Discipline of Cellular Orthopedics”. As readers of my weekly Blog as swell as present and former patients are aware, I have long focused my clinical practice first in joint replacement and now in Cellular Orthopedics, on the integration of patient...

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  • Advancing the Discipline of Cellular Orthopedics

    Advancing the Discipline of Cellular Orthopedics

    Most readers know that I “graduated” from joint replacement surgery into an emerging field of Regenerative Medicine about five years ago. Prior to that time, I had dedicated 37 years to Reconstructive Orthopedic Surgery and played an active role in a joint replacement practice combining research...

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  • A Cellular Orthopedic Regenerative Testimonial

    A Cellular Orthopedic Regenerative Testimonial

    “Haven’t spoken with you in a few months so I thought you might be interested to hear about my knees since the January injections. Things are definitely better. The most important of which is my really bad left knee doesn’t lock up when I roll over in bed. It hurt so bad that it used

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  • Combining Bone Marrow Concentrate into the joint with Subchondroplasty

    Combining Bone Marrow Concentrate into the joint with Subchondroplasty

    We now are approaching five-year outcomes regarding the use of Bone Marrow Concentrate for Osteoarthritis of the hip, knee, shoulder and ankle. Bone Marrow contains Adult Mesenchymal Stem (MSC) cells and Growth Factors. In the beginning, the entire informed consent process focused on the MSC in bone...

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  • Regenerative options for patients receiving chemotherapy, immunosuppression or radiation therapy

    Regenerative options for patients receiving chemotherapy, immunosuppression or radiation therapy

    There has always been a category of patients for whom Bone Marrow Concentrate derived stem cells and growth factors were not a viable option. Patients who have received or are receiving chemotherapy, radiation therapy or immunosuppression have diminished stem cell viability and actual numbers. Such...

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  • Why The Center for Orthobiologic Clinical Trials?

    Why The Center for Orthobiologic Clinical Trials?

    Five years ago, I “graduated” from a 37-year career as an orthopedic surgeon with a practice based on hip and knee replacement surgery for arthritic joints. Trading my scalpel for a needle, I entered the new discipline of Cellular Orthopedics with a goal of helping patients delay, at times avoid...

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  • Report from the OrthoBiologic Institute meeting, June 08-10, 2017

    Report from the OrthoBiologic Institute meeting, June 08-10, 2017

    It was difficult for me to sit and listen to so many “show and tell” presentations not supported by scientifically overseen outcomes data. Too much anecdote about unproven methodologies; many not compliant with FDA guidance. Basically, it was frequently repeated false news. I was taken aback by what...

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  • All Regenerative Physicians are Not the Same

    All Regenerative Physicians are Not the Same

    I am an orthopedic surgeon. The new focus for the arthritic joint is restoration and not replacement. Almost five years ago, I joined that emerging initiative after a 37-year professional career of having replaced joints. One of the recent problems emerging in this discipline of regenerative medicine...

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