Regenerative Medicine

Minimally Invasive Regenerative Cellular Therapy

Harnessing and enhancing the body’s own natural abilities with regenerative treatments including Platelet Rich Plasma (PRP) or Adipose Derived Regenerative Cell Transfer (Lipogems) can help patients repair and regenerate tissue, decrease inflammation and speed healing.

Why you should consider regenerative therapy:

Platelet Rich Plasma (PRP)

Are you looking for a less-invasive or non-surgical solution to your joint pain? If you’ve suffered with osteoarthritis, tennis elbow, patellar tendinitis or if you’ve suffered a muscle, tendon, or ligament injury, PRP can potentially accelerate healing and preserve tissue integrity while improving joint function. PRP may also be utilized during surgery to promote natural healing mechanisms rather than solely relying on medications or chemicals.

How the process works:

A small amount of the patient’s own blood is collected and spun to concentrate their own platelets. These platelets contain various growth and healing factors including PDGF, VEGF, TFG- B, all of which are integral to the healing process. They also contain anti-inflammatory molecules that may help decrease joint pain.

The procedure can be performed in office or at the time of surgery. A sample of the patient’s blood is collected and spun in a centrifuge to separate the platelets. Our system (Emcyte) achieves 6-9x concentration above baseline platelet levels, delivering over billions of platelets per milliliter of blood. This is among the highest of all PRP systems available.

The harvested platelets are then injected into the affected area to increase the concentration of specific bioproteins or hormones, called growth factors, to accelerate the healing process.

For tendon injuries, white blood cells and platelets can be concentrated to promote healing.

regenerative medicine muscle tear

Adipose Derived Regenerative Cell Transfer (Lipogems)

Are you looking for treatment for your osteoarthritis, have a focal area of cartilage loss that you’d like to treat? As the only FDA approved adipose (fat) processing system, Lipogems, uses a small amount of the patient’s own tissue and isolates the regenerative cells. These cells are essential for the regulation of blood flow and assist in the stability within biological systems. They mature into cells that regenerate and repair cartilage, tendon, bone and ligaments. Those collected cells are processed using a sterile solution to wash away any impurities and injected into areas of concern to help facilitate the healing process of damaged or injured tissue.

How the process works:

This procedure can be performed in the office or at the time of surgery. Liposuction with a specialized syringe, under local anesthesia, is performed from the abdomen or flank to harvest the patient’s own fatty tissue.

The tissue is processed, washed, and concentrated to package the cells and tissue into a usable smaller cluster called MicroFat. The MicroFat is reinjected into damaged or injured tissue in the joint or the surgical repair site. In addition to delivering these reparative cells, the tissue is also strongly anti-inflammatory and can improve post-operative range of motion and decrease pain.

PRP, Lipogems, and BMAC are treatments offered by Bridger Orthopedic and are NOT typically covered by insurance. Cash payment for these treatments is required at the time of service. You may be required to sign acknowledgement forms stating that you’re opting out of insurance for these procedures, depending on the requirements of your insurer.

Knee ligament injuries repair

Bone Marrow Aspirate Concentrate (BMAC)

In adults, regenerative cells are in the highest concentration in the fat tissue (adipose) and the bone marrow.  For some patients who have low body fat stores, bone marrow aspirate concentrate (BMAC) may be an alternative source of regenerative cells to aid in healing and tissue repair/regeneration.  The pelvic bone marrow has high the highest concentration of regenerative cells and is easily accessed through percutaneous, or minimally invasive techniques, either in the office or during surgery.

How the process works:

This procedure can be performed in the office or at the time of surgery. The area overlying the small incision to access the iliac bone of the pelvis is anesthetized with a numbing agent.  A trochar (hollow needle) can be inserted into the iliac bone with very little pain or discomfort to access the stem cell rich bone marrow.  This marrow is pulled out into a syringe and collected.

The marrow is then taken through a specialized centrifugation process (spun at high speed in a special machine) to isolate the regenerative cells which help heal musculoskeletal tissues.  Once isolated, they are injected into an area of injury or surgical repair to aid in healing.

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