Researchers at Mayo Clinic have conducted the world's first prospective, blinded and placebo-controlled study testing the benefits of using bone marrow regenerative cells to reduce arthritic pain and disability in knees. Each of the 25 patients enrolled had two bad...
Orthopedic Blog
Platelet-rich plasma (PRP) in arthroscopic hip surgery
Platelet-rich plasma (PRP) is shown to be beneficial in many pathologies. The use of PRP in arthroscopic hip surgery demonstrates early pain relief and decreased post-operative effusion rates. A randomized prospective study evaluated 57 patients who had arthroscopic...
VERASENSE Sensor-Assisted Total Knee Replacement
Dr. Urse utilizes a disposable sensor device called VERASENSE during total knee replacement (TKR) surgery. This technology helps Dr. Urse by providing real-time data during surgery that allows him to make important decisions to better balance your knee and customize...
PRP vs. Elbow arhroscopy for Tennis Elbow (lateral epicondylitis)
A recent article using a randomized, prospective, double-blind comparison of Ultrasound-guided injection of Platelet-rich Plasma (PRP) vs. Arthroscopic debridement for painful tennis elbow was reviewed (1). Both groups had significant pain relief and restoration of...
Viscous gel vs. PRP for Knee OA
In the past five years, at least 13 independent studies have examined Platelet-rich Plasma (PRP) and knee Osteoarthritis (OA). Eleven directly compared intra-articular (into the knee joint) PRP injections with similarly placed Hyaluronic Acid (HA), or viscous gel....
Platelet rich plasma (PRP) use in anterior cruciate ligament (ACL) reconstruction
Platelet rich plasma (PRP) has been shown to be beneficial in anterior cruciate ligament (ACL) reconstruction. The growth factors in PRP such as PDGF, TGF-B, and IGF-1 may help graft maturation. This is important for mechanical strength and return to activity. PRP can...
What is Platelet Rich Plasma (PRP)?
PRP is defined by the American Red Cross as a sample of plasma with a twofold or more increase in platelet concentration. There are over 1500 proteins within platelets. Among them are growth and activating factors that decrease the inflammatory response and promote...
What Factors Influence Continuing Treatment of Osteoarthritis?
Patient preferences for adherence to treatment of osteoarthritis involves many factors. The Medication Decisions in Osteoarthritis Study (MEDOS) by Laba, et al, described parameters that patients used to determine their course of action. Those seven (7)...
Safe Alternative Remedies for Knee Osteoarthritis
Methylsulfonylmethane (MSM) and Boswellic Acids (BA) were compared to Glucosamine Sulfate (GS) in a study of 120 patients with knee osteoarthritis (Notarnicola,et.al). MSM (5g) and BA (720mg) were compared to 1500mg of GS/day. Pts with MSM/BA had improved pain and...
Knee Osteoarthritis Study
Single Regenerative Cell Injection for Knee Osteoarthritis Shown to be Safe and to Regenerate Cartilage The Study Fifteen patients were given a single regenerative cell injection into their Osteoarthritic knee, from a pelvis bone marrow aspiration. All had mild to...
Meniscus tears in acute and chronic knee injuries
After a new (acute) meniscal injury, untreated patients will have a 5 1/2 times greater risk of developing knee osteoarthritis. Successful meniscal repair has demonstrated improved long-term outcomes. (1,2) Potential benefits of Platelet-rich Plasma (PRP) and...
The Time has Come for PRP
In an Editorial Commentary, Timothy Hunt, MD , Associate Editor of "Arthroscopy: The Journal of Arthroscopic and Related Surgery", states that the "the time has come to try Platelet-Rich Plasma (PRP) knee injections for Osteoarthritis". He commends a large, 10-study...
New Treatments - New Technology
An initial consultation can explore individualized treatment plans, which may help avoid surgery or be used as an adjunct to a planned procedure. A determination can be made if the procedure is to be done in an office or in a hospital setting. Procedure costs will vary based upon your insurance, co-pays, deductibles, whether one or two body areas are chosen, and where your particular procedure is performed. To schedule a consultation, call 937-415-9100. Appointments can generally be scheduled within one or two days.