Dr. Joshua John-Ram Schacter explains how Pinnacle uses your own blood and bone marrow to heal damaged joints and tendons. Platelet-rich plasma concentrates platelets and gets injected under ultrasound to treat arthritis and tendon tears. Bone marrow stem cells harvested from the pelvis work on arthritic joints and rotator cuff injuries.
Questions this video answers
About 130,000 (as stated: "about 130,000 of them per high power field").
To five or ten times ("To five or 10 times").
About 60 milliliters ("It's usually about 60 milliliters of bone marrow").
Chapters
What we do at Pinnacle is we, we use autologous biologics. It's true or false. You've been healing your wounds and your cuts and your injuries since you were a kid, right? Typically that's pretty efficient. Well, you have the ability to heal yourself in you. And we can take that and we can magnify it. The idea is that we take your blood or your bone marrow and we take a certain type of cell and we use centrifuge and we concentrate that type of cell.
And then using ultrasound, we inject it exactly into the place where we want to deliver it.
In the case of blood, it's the plat. What we want there is, we want the platelet.
Platinum's actually a fragment of a cell that's in your circulating blood.
And in your typical circulating blood, you have about 130,000 of them per high power field. Like milliliters say. Well, we, we want to magnify that.
To five or 10 times and then.
We inject that into an area and those cells really stay there. They release materials that are very potent anti inflammatories.
They release proteins, enzymes that can help kind of remodel tissue and make it healthier.
And the goal is, with biologics therapy.
To make that tissue healthier and to heal injury.
In a lot of, a lot of.
Times, we can heal sort of chronic inflammation as we age. You know, we get chronic inflammation in our tendons. Sometimes these, these treatments can reset that sort of biologic clock. And we use PRP very commonly for.
All different types of injuries. It's very effective in arthritic joints.
It works well for tendinitis. It works well for some types of tendon tears.
It can heal tendon tears. An even more powerful modality is what.
We call bone marrow aspirate concentrate.
So that is actually using your stem.
Cells, if you will. They're called mesenchymal stem cells.
We have certain types of cells in our bone marrow that can go out.
Into your bloodstream or to a certain part of your body and become other types of cells.
And the idea is that we harvest those cells, we isolate them, we concentrate.
Them, and then we inject them.
And those can be very, very effective.
In the treatment of arthritis.
It's a neat procedure that we've got really good at. We take an ultrasound, we. There's two good places to get bone marrow in the body where you have.
A lot of these cells, a high concentration.
One is in your sternum, right here in your chest, and the other one is in your pelvis and nobody will let us put a needle in there. Sternum. We numb up an area of your pelvis, and then we put a small needle in there. We suck out about. It's usually about 60 milliliters of bone marrow.
To treat a joint, we've developed a technique at Pinnacle that's. That's a modification of some of the best techniques that I was able to learn.
And we treat that bone marrow and isolate it and concentrate and we inject it, typically into an arthritic joint.
Also works really well for things like.
Rotator cuff tears that are not all.
The way through the tendon, elbow injuries, a lot of those things.
