In addition to other treatments described for surgical solutions to musculoskeletal problems of the shoulder, elbow and knee, the use of OrthoBiologics may also be considered.
Alternatives to surgery such as Platelet Rich Plasma, physical therapy, and other types of injections may be used by Dr. Cole where appropriate to Spare the Scalpel™, a paradigm that, despite being a surgeon, Dr. Cole utilizes as first-line treatment for most of his patients.
Non-surgical treatments which may be offered include:
PRP is obtained from the patient’s blood after it has been processed to concentrate platelets and certain white blood cells that enhance healing and reduce inflammation. PRP may be injected directly into the damaged tissue as an outpatient, office-based procedure.
Cortisone injection
An anti-inflammatory medication, that when injected into the joint, provides pain relief and decreases inflammation.
Hyaluronic Acid
In joints, synovial fluid fills the space to allow bones to glide smoothly and to provide further shock absorption and protection. A main component of synovial fluid is hyaluronic acid (HA). Often in OA cases, there is breakdown of HA in the joint. Thus, a supplement in HA increases the strength and protection of synovial fluid which can reduce the symptoms of OA. This is often used in conjunction with platelet rich plasma, as they work synergistically.
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Exercise can increase range of motion and increase muscle strength around the joint, potentially decreasing symptoms and providing stability.
When treating the knee conservatively, Dr. Cole may recommend various braces. Some commonly used braces are low-profile hinged braces, compression sleeves, or unloader braces. Unloader braces are used when pain or arthritis is localized in one compartment of the joint.
OrthoBiologics are natural substances obtained from a patient such as cells, tissue, blood components, and growth factors that are harnessed to aid in the treatment of orthopedic conditions, such as osteoarthritis or ligament and tendon injuries.
They may be used to replace lost tissue, stimulate regeneration and healing, reduce pain and inflammation and improve joint function, and can be administered as an office-based treatment in the form of an injection.
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