What is Regenerative Medicine?
Regenerative medicine focuses on utilization of natural and biological solutions to stimulate body repair and regeneration of injured tissues. The solutions utilized include Dextrose, PRP( platelet rich plasma) and Mesenchymal Stem Cell therapy.
Dr. Kaplan has dedicated his career to learning and practicing the most advanced regenerative medicine techniques. He uses advanced examination and ultrasound imaging techniques to identify areas of weakness, injury and instability. Deep tissue palpation and ultrasound imaging is then used for accurate and effective delivery of the substances into the affected areas to induce healing and regeneration.
Prolotherapy and Neural Prolotherapy
Prolotherapy (proliferative therapy), also known as sclerotherapy, ligament reconstruction therapy, and fibro-osseous injection therapy, is a recognized orthopedic procedure that stimulates the body’s natural healing processes with concentrated dextrose ( medical sugar) solution to strengthen joints of spine and limbs weakened by traumatic or over-use injury.
Formally defined by Dr Hackett in a book on prolotherapy in 1950 and advanced by Dr Hamwell, prolotherapy has become an invaluable way of naturally restoring joints, ligaments and tendons back to function.
Neural Prolotherapy was developed by Dr. John Lyftogt. It is a safe and effective treatment for chronic pain resulting from peripheral nerve injury. Injured and inflamed nerves cause chronic pain that is not treatable by surgery or pharmaceutical drugs. Attempting to treat nerve damage with pharmaceutical drugs gives little relief at great risk. Neural Prolotherapy is sometimes referred to as Perineural Injection Treatment (PIT) or Perineural Subcutaneous injections (PSI). It utilizes a diluted dextrose solution and is injected around injured and entrapped peripheral nerves resulting in nerve repair and tissue healing.
PRP (Platelet Rich Plasma)
Bone and soft tissue injuries heal in many stages. One of the most exciting areas of research in degenerative and sports medicine involves making the most of the healing stages: inflammation and an increase in cells, or cell proliferation. Platelet Rich Plasma (PRP) comes from a patient’s own blood. PRP is a concentrated source of growth factors and cellular signaling factors that play a significant role in the biology of healing.
Platelet rich plasma (PRP) treatment is becoming a more popular option for giving a biological boost to the healing process. PRP treatment has received significant attention from the media and has been used by several of the New York Football Giants, other NFL players and elite athletes from other sports, including Tiger Woods.
PRP’s power comes from its incredible versatility. Its regenerative powers can be used to heal an arthritic knee or hip joint as well as a sports related tendon or ligament tear.
Mesenchymal Stem Cell Therapy
He offers Mesenchymal Stem Cell treatment for arthritis and trauma related injury of all the major joints of the limbs as well as the cervical, thoracic, lumbar and sacroiliac spine. At Osteopathic Wellness Medicine of Western New York, we strive to provide the most cutting edge regenerative medicine treatments. Their main purpose is to improve function and prevent, avoid or at least post pose surgical intervention for as long as it is practically possible.
Although the science behind stem cell therapy for joint and spine pain is still young, it holds much promise. Multiple studies demonstrate superior efficacy for patient-reported outcomes compared with controls at final follow-up (range 24-48 months). Superior outcomes on follow up X-ray evaluations were found favoring stem cell injections. Superior outcomes on evaluation of biopsied samples of cartilage and/or improved arthroscopically scored healing rates were also seen.
Our injection technique:
Dr Kaplan uses high-resolution ultrasound imaging for evaluation of the affected body areas and ultrasound guidance of the Stem Cell injections into these regions.
When to use prolotherapy, PRP and Stem Cells therapy:
Prolotherapy is used for mild to moderate degenerative joint and spine conditions where there is more ligament then cartilage damage and lack of joint stability is the main issue.
Platelet Rich Plasma injections are used for moderate to advanced degenerative joint conditions with significant wear and tear of the cartilage.
Stem Cell Therapy is used in advanced degenerative conditions with severe wear of the cartilage and in cases where PRP treatment alone did not provide adequate recovery of function and reduction of pain.