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Intraosseous injection

What is Intraosseous Injections?

An intraOsseous injection is when the physician is able to put a needle or a drill inside the bone to inject. In addition, we have been able to perform Intra-Osseous(IO) injection with cement as well as with PRP and stem cells. Basically, being able to localize the problem inside the bone allow the best doctor in Fort Lauderdale to treat the problem better.

Dr. Jorge Gonzalez can perform these procedure under local anesthesia. We use special techniques with ultrasound and X-rays guidance to accurately inject.

Intraosseous injections were first done in Europe to treat orthopedics problem like Avascular necrosis of the hip and advance arthritis of the knee. 

IntraOsseous injection with PRP and stem cells for joint pain, Modern Treatment for Advanced Osteoarthritis

What conditions can be treated with Intra-Osseous Injections?

This technique is now being used for non healing fractures like this as well as other orthopedics conditions like:

  1.  Osteonecrosis of the hip and knee,
  2. AVN- Avascular Necrosis
  3.  Severe Knee osteoarthritis – Bone marrow lesions or edema
  4. Insufficiency fractures

How To Treat A Non-Healing Fracture Without Surgery?

At the Institute of Regenerative Orthopedics & Sports Medicine clinic, we are constantly looking for cutting edge treatments for our patients. One of the newest treatment available around the world is IntraOsseous injection. Furthermore, Dr.Jorge A. Gonzalez and the team of IROSM is now trained in performing these types of procedure. Being able to inject directly inside the problem of the bone has allowed our physician to treat many joint pain better. This is specially the case for non healing fracture which are also referred to as non-healing fractures. This is how we treat a non-healing fracture without surgery.

Non healing Fracture healed after IO injection

Patient presented with a medial tibial plateau fracture that had not healed after 4 months of non weight bearing. Unfortunately the patient had a history of osteoporosis and had a physical job as a Register Nures(RN) in the emergency department that she was unable to do due to her fracture. After discussing surgery for the non healing fracture, she decided to try Intraosseous (IO) injection of growth factors derived from her own blood. Special thanks and shout out to Dr. Steve Sampson and Dr. Luna for first telling me about the procedural technique. 6 weeks after the procedure, repeat MRI of the knee showed complete resolution of the fracture line and patient was pain free. Furthermore, after a couple of weeks of physical therapy to strengthen the muscles of the knee and leg, patient is now back walking and back in the emergency room treating and saving lives.

What is the Treatment Gap?

Treatment gap is when a patient has failed all conservative non-surgical treatments , continues with limitations and pain but are not ready for surgery. This is extremely common when it comes to osteoarthritis. Subsequently two out of three surgeon believes that we have a treatment gap in early Osteoarthritis.

To learn more about the treatment Gap. Check out our short video by Dr. Gonzalez explaining the treatment gap in orthopedics. furthermore, intraosseous injections are another options for those patients with severe, end stage bone on bone arthritis. Specially if the patient falls in the treatment gap and is not a good surgical candidate. 

How are our Regenerative Medicine Options Different?

IROSM Regenerative Medicine Protocols

  1. Patient Evaluation

– Our Board-Certified doctors will evaluate your case, personally reviews your X-rays, MRIs, labs work, and all medical records to determine the best treatment plan.

  1. Cellular Collection

– The proprietary protocols at IROSM allow us to collect high quantities of viable Mesenchymal Progenitor Stem Cells, growth factors, and other cytokines that promote a Bio-repair response. The cellular collections process is a minimally invasive office procedure done the day of your treatment. At our facility, we only collect patients’ own(autologous) regenerative cells.

  1. Processing

–  The cellular processing and concentration are done inside of our “Advanced Regenerative Lab(ARL)”. Whether we are concentrating our “Hyper PRP”, Bone Marrow, or Adipose(fat) reparative cells, our trained physicians and staff can greatly concentrate and purify our regenerative medicine preparation. Inside the ARL, we can fully customize our cellular treatment tailored to the individual patient and their specific problem.

4.  Cellular Implantation/Injections

– After the cells are collected and processed, our physician will reimplant the Regenerative Cells into the patient’s problem. Whether is a torn meniscus, degenerated arthritis joint, torn rotator cuff, intraosseous injection or any other orthopedic problem. Our highly trained doctors will use advanced Ultrasound or X-rays to accurately reimplant the cells into the problem area, using image guidance grantees proper placement.

  1. Post Procedure/Rehabilitation

– After the procedure, a personalized rehabilitation process will commence maximizing the recovery of our patients. Our physicians will guide our patients throughout the full rehabilitation process.

Best orthobiologics, PRP,Stem cell therapy for knee arthritis