Platlet Rich Plasma (PRP)
Platelet Rich Plasma or PRP is a commonly used injection to treat a variety of issues. PRP comes from your own blood. A vial of your own blood is obtained and this is spun down to create a layer of serum to be used in the injection. The spinning of the blood eliminates the red blood cells and other cells in the blood depending on the rate and time at which the blood is spun. This creates a serum to be injected that contains platelets (“platelet rich”) and plasma that contain a wide variety of growth factors and anti-inflammatory factors. Depending on the area of injection (joint, tendon, ligament, etc) the amount of platelets and white blood cells (leukocytes) can be modified. The injection can then be injected into the area of concern and this creates a more ideal environment of growth factors and inflammatory compounds to allow your tissues to better heal.
Bone Marrow Aspirate Concentrate
Bone marrow aspirate concentrate or BMAC is a concentration of cells and plasma obtained from your bone marrow. The bone marrow is used because there has been known to have a higher concentration of mesenchymal and hematopoietic cells in the bone marrow. The bone marrow is obtained from the posterior iliac crest, which is the back portion of your pelvis. This can be done under local anesthetic and in the office. The sample is then spun down to concentrate the cells and the plasma obtained. The cells and the plasma can then be injected into the area of concern and work by all of the signaling factors on the cells and the growth factors in the serum to create the best environment for the injury or condition to heal
An adipose concentrate injection is using your own fat cells, which contain a variety of stem cells, to inject into a damaged joint. The adipose tissue is obtained typically from your abdominal fat or flank fat and is concentrated down to an injection. This can then be injected into your damaged joint. This works by the cells in the fat stimulating the environment around them to heal and decrease inflammation.