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ORTHObiologics

Orthobiologic injections utilise the body’s own healing mechanisms. They are used to heal damaged soft tissues – ligaments, tendons, muscles, nerves and joints – that are not responding to conventional measures. 

What is involved?

At Cheltenham Podiatry, our podiatrists are trained in Orthobiologic treatments by leading international experts, ensuring safe, sterile and effective technique. Injections are delivered via precise ultrasound guidance. 

Treatment usually requires several injections over several weeks or months. For arthritic joints, Orthobiologics are often combined with biomechanical correction, along with prolotherapy to improve joint integrity and release inflamed nerves. Nutritional supplements may also be advised.

WHAT CONDITIONS CAN ORTHOBIOLOGICS HELP WITH?

Orthobiologics can treat common conditions when other more conservative measures fail. Conditions treated include:

  • Heal damaged soft tissues- ligaments, tendons, muscles, nerves and joints
  • Arthritic joints
  • Osteoarthritis
  • Achilles Tendinitis
  • Ankle sprains
  • Sports injuries

What Orthobiologic treatments do we offer?

Platelet Rich Plasma:

Platelet Rich Plasma (PRP) is an effective treatment for damaged tendons, ligaments and osteoarthritis, and other podiatric conditions where the normal healing process fails.  

After an injury, the platelets in our blood are activated, releasing growth factors that help to heal damaged tissues. The process of PRP involves blood collection (similar to pathology for blood tests), which is then treated to separate and concentrate the platelets. The resulting platelet rich plasma is then injected into the site of injury.

Generally, 3-4 injections are required, delivered 2 weeks apart. 

While many PRP setups only allow for a ‘one size fits all’ treatment, our clinic is able to engineer the appropriate concentrations of the essential blood products for the needs of individual patients. 

A variation on PRP – Platelet Rich Fibrin – is a specialised application designed to accelerate wound healing, making it particularly useful for difficult diabetic/ischaemic wounds/ulcers. It is delivered on a weekly basis, alongside other ulcer treatments offered by our clinic.

 

Conditioned Serum (Cytokine Concentrate):

This treatment is similar to PRP, with the difference being that it concentrates specific anti-inflammatory proteins that play a pivotal role in conditions such as osteoarthritis. 

Today, with much research underway, the biological causes of osteoarthritis are much better understood. We now know it is not just mechanical cartilage wear but a complex disease that affects the entire joint.

Destructive and aggressive messenger proteins play a pivotal role in the development of osteoarthritis, and Conditioned Serum treatment addresses this directly.

Patients who suffer from osteoarthritis and are not surgical candidates, or have not responded to other treatments such as physiotherapy, are excellent candidates for this treatment.

Similarly, patients who would prefer not to have joint replacement surgery can benefit greatly, with pain reduction and improvement in function.

Relevant research papers:

  • Autologous conditioned serum (Orthokine) is an effective treatment for knee osteoarthritis
    A. W. A. Baltzer M.D.y, C. Moser M.D.z*, S. A. Jansen M.D.x and R. Krauspe M.D.z yCentre for Molecular Orthopaedics, Du ̈sseldorf, Germany
    Department of Orthopaedics, Heinrich Heine University Hospital Du ̈sseldorf, Du ̈sseldorf, Germany x Dr. Beckmann & Jansen Practice for Surgery and Trauma Surgery, Mettmann, Germany 
  • Platelet-Rich Plasma Efficacy Versus Corticosteroid Injection Treatment for Chronic Severe Plantar Fasciitis
    Raymond Rocco Monto, MD1
  • Injection with autologous conditioned serum has better clinical results than eccentric training for chronic Achilles tendinopathy.
    Lutz von Wehren1 · Kerstin Pokorny2 · Fabian Blanke3 · Jannis Sailer4 · Martin Majewski5

Book an appointment

ARE ORTHOBIOLOGICS RIGHT FOR YOU?

To find out if Orthobiologic treatments are right for you, speak to the team at Cheltenham Podiatry. We are committed to helping you with the best treatments for you. 

Book an appointment using our online form, or call our team today on 03 9583 3093.

orthobiologics procedure