Regenerative Medicine

What is Platelet-Rich Plasma (PRP)?

PRP is an autologous blood product concentrated with platelets that release growth factors and bioactive proteins to stimulate tissue healing and reduce inflammation. PRP has been widely used to promote repair in tendons, ligaments, muscles, and cartilage by enhancing the body’s natural healing response. Clinical studies have demonstrated its potential to reduce pain and improve function in conditions such as tendinopathies and early osteoarthritis. These preparations are made by obtaining blood from a patient and processing it (“blood-spinning”) to concentrate platelets above baseline levels.

What is nSTRIDE?

nSTRIDE is a cell-concentration system designed to isolate anti-inflammatory cytokines and anabolic growth factors from whole blood so that they can be reintroduced to the body at the site of insult.

nSTRIDE APS processes a patient’s own blood at the point-of-care to concentrate white blood cells, platelets, and plasma proteins into a small volume of plasma. The output contains the anti-inflammatory cytokines IL-1ra, sIL- 1R, sTNF-RI, and sTNF-RII in concentrations well above what is found in native whole blood. nSTRIDE reduces prevalent inflammatory cytokine activity which is upregulated in osteoarthritis. Clinical trials have shown that nSTRIDE significantly reduces pain associated with knee arthritis that can last up to 3 years following a single injection.

What are Stem Cells?

Stem cells are undifferentiated cells capable of self-renewal and differentiating into specialized cell types, allowing them to contribute to tissue repair and regeneration. In musculoskeletal (MSK) medicine, stem cells—particularly mesenchymal stem cells (MSCs) from bone marrow or adipose tissue—have been investigated for their ability to reduce inflammation, modulate the immune response, and promote healing of cartilage, tendon, ligament, and bone injuries. Dr. Abouali has performed hudnres of stem cell injection procedures in his practice. With the evolving health care landscape, he continues to utilize the latest advancements of regenerative medicne injections, including autologous protein solution, PRF, and polyacrylamide hydrogels.

Is this treatment for me?

Regenerative medicine aims to heal injuries and disease from the source, as opposed to just masking the pain.  Many patients will benefit from regenerative medicine, especially those that have not improved with other traditional treatments, or those who are looking to avoid surgery.  To see if you are a candidate for regenerative treatment please book an appointment.

How are these injections performed?

Dr. Abouali uses his surgical expertise and ultrasound-guidance to precisely inject into the affected areas. These entire process takes anywhere from 5 to 30 minutes depending on the complexity of the injury or problem. Patients are kept comfortable during the procedure with the use of local anesthetic (i.e. freezing), and are able to walk out of the procedure without any assistance!

What conditions can be treated with regenerative medicine?

• Osteoarthritis (knees, hips, shoulders, ankles)

• Tendon tears

• Ligament tears

• Rotator cuff tears

• Tennis or Golfer’s elbow

• Plantar fasciitis

• Bursitis

• Jumper’s knee

• Runner’s knee