Orthobiologics – these treatments provide pain relief and increased function!

Keith Feder, MD

Keith Feder MD


Orthobiologic treatments utilize cells, growth factors, cytokines, and extra-cellular matrices among others to help create an environment within a joint or tissue that can provide pain relief and increased function.

This can occur as these treatments (orthobiologics) may potentially provide a long-acting anti-inflammatory response along with stimulation of a healing response within the issues. Supplementation of the existing tissues may also provide additional tissue longevity that may be preventative in nature.

There are many factors beyond orthobiologics treatment themselves can also contribute to the success of the treatments. Propper assessment and diagnosis of the injury, acute and safe administration of the treatments with image guidance, possible repeat future imaging along with proper guidance with rehabilitation over a period of time all may help with the outcomes.

Orthobiologics can be derived from many different tissue sources, so depending on the injury and goals of patient, a proper treatment plan to use single or combination therapies can be discussed.

How do I prepare for orthobiologics?

Discontinue any anti-inflammatory medications (e.g. Ibuprofen, Advil, Alive, Motrin, Asprin, Clebrex, Voltaren, Mobic, etc.) or supplements (Turmeric, Curcumin, Ginger, Fish Oil, etc.) five days prior to your procedure. If there is a medical reason to be on these medications, discuss this with the physician prior to treatment.

What can I expect on the day of the treatment?

Expect to be in clinic from one hour up to four hours. Paperwork will need to be completed prior to your treatment. All procedures and treatments are administered the same day. All treatments are administered by the physician followed by any prescriptions including physical therapy. Depending on your injury a follow up appointment will be made at this time as well.

What can I expect after my procedure?

Orthobiologics will initiate a healing response and the first phase of healing involves inflammation. As a result, it may be possible that mild stiffness and swelling can occur and last for up to several days. Not all patients experience this. All anti-inflammatory medications are discouraged for up to four to six weeks after the procedure to allow for natural inflammatory response. Activity involving the injured body part as well as flying travel is discouraged during the first week for precautionary reasons. Physical therapy can begin one week after the treatment.

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