09 May Reimagine better outcomes with Advanced Regenerative Hybrid Treatments
By Farhan Malik, MD
Atlanta Innovative Medicine
Can you answer “yes” to one of these questions?
- Do you experience chronic joint or spine related pain?
- Do you have joint, ligament or tendon injuries?
- Do you have unresolved connective tissue damage?
- Do you have osteoarthritis?
- Has your orthopedic doctor recommended joint replacement or other surgery?
If so, before you reach for the Ibuprofen or get a steroid injection or schedule a surgery, consider Advanced Hybrid Regenerative Injection Therapy.
What it is
Regenerative Injection Therapy is an umbrella term that includes: Stem Therapy, Prolotherapy, Prolozone, Platelet Rich Plasma (PRP) and Super Concentrated PRP (SC-PRP). All of these therapies are available at Atlanta Innovative Medicine.
These types of injections are similar to each other in that they support tissue repair and healing, and involve injecting the damaged or injured joints, ligaments or tendons with regenerative medicine—without using steroids like cortisone. They differ in their mechanism of action and strength (I.E. PRP is regarded as being stronger than Prolozone therapy).
Regenerative therapies are different than steroid injections as they support tissue healing, repair and growth instead of simply temporarily reducing inflammation and pain. Regenerative therapies also do not share the dangerous and toxic side effects of steroid injections and anti-inflammatory medications—when they are administered correctly.
The AIM difference: best practices
Far too many stem and PRP practitioners unknowingly negatively affect patient outcomes by combining toxic, cell-killing and inhibitory anesthetics with these injections. For example, if the doctor uses Lidocaine, Marcaine or Bupivacaine as part of the treatment, then they are not up to date on best practices. The only acceptable anesthetic that does not harm growth factors and stem cells is a little known anesthetic called Ropivacaine—in low doses. This is just one of many best practices at Atlanta Innovative Medicine that significantly improve outcomes.
Here’s a closer look at some of these advanced injection therapies.
Prolozone therapy combines Prolotherapy and medical ozone (Concentrated oxygen) therapy for an additive therapeutic effect. Prolozone supports tissue repair and healing by increasing oxygen delivery to damaged tissues, improving circulation and stimulating local tissue growth factors. These growth factors include platelet derived growth factor (PDGF), transforming growth factor-b1 (TGFB1), and vascular endothelial growth factor (VEGF). Furthermore, Prolozone is effective for reducing pain and increasing the mobility and stability of joints, because we believe decreased oxygen utilization can be the root cause of chronic tissue degeneration and mitochondrial necrosis (cell death).
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A Closer Look at Regenerative Medicine: Comparing Your Options Learn about treatment options like Platelet Rich Plasma (PRP), Prolozone Therapy, and Stem Cell Therapy.
A better PRP: Super Concentrated Platelet-Rich Plasma (SC-PRP)
Platelet-Rich Plasma, also known as PRP, is another form of regenerative injection therapy and is regarded as being stronger than Prolotherapy or Prolozone therapy.
PRP involves using one’s own blood to stimulate repair of injured tissues and growth of new tissue. After a simple blood draw, the patient’s blood is prepared using specific PRP equipment and processes to condense platelets before they are injected into the damaged area.
Platelets contain powerful growth factors that are essential for tissue repair and stimulate tissue growth. Typical PRP concentrates to about 2 to 4x, however Super Concentrated PRP, or SC-PRP, is a more modern and powerful version of the old PRP, concentrating platelets to 10-20X the normal effectiveness. An advanced form of PRP injection, SC-PRP costs less than stem cell procedures. SC-PRP treatments can be effective because platelets have a stimulating effect on the stem cells within the targeted area. Stem cells are found throughout the entire body and play a key role in repairing damaged tissue, so a primary goal in platelet treatments is to get these powerful cells to work harder and faster.
An impressive body of evidence supports the use of PRP in the treatment of numerous types of musculoskeletal injuries, including osteoarthritis of the knee, hip, and shoulder, chronic elbow pain, rotator cuff injury, cartilage damage and beyond.
In addition to the research showing positive effects of PRP, many professional athletes have used PRP to treat their musculoskeletal injuries, including: Kobe Bryant, Tiger Woods, Maria Sharapova, Rafael Nadal, David Ortiz and Troy Polamalu.
The H.O.P.e Treatment, or Hyper-Oxidative PRP-enhanced method, combines Super Concentrated PRP and Prolozone. When SC-PRP is combined with Prolozone and cell food, a very powerful regenerative effect is produced in 88% of patients. Decaying inflammatory fluid can inhibit oxygen absorption, which is necessary for all cellular activity and thus adding it in combination with SC-PRP can be an important part of maximizing cellular regeneration. The treatment consists of 5 visits over the course of 8 weeks.
What else should I know?
- No advanced regenerative treatment is covered by health insurance.
- Anti-inflammatory medication should be stopped during treatment and for several months after.
- Plain water intake should increase to 60-70 oz per day.
- Discomfort to pain maybe experienced from the injections due to the regenerative pro-inflammatory process.
- Some patients may take 2 months to notice a change.
- Maximum effect takes about 6 months.
- A healthy diet promotes a better outcome.
Our team is led by Farhan Malik, MD, a double board-certified in family and sports medicine. This combination gives him a unique skill set for diagnosing and treating the root cause of musculoskeletal problems. He specializes in advanced regenerative and physical medicine and is one of a handful of doctors trained in performing hybrid Super Concentrated PRP (SC-PRP) and Prolozone treatment together. He has performed these procedures hundreds of times with outstanding results.
Discover what your pain might mean. Let’s help you get to the source.
Discover what your pain might mean. Let's help you get to the source.