Dr. Joshua John-Ram SchacterDr. Joshua Schacter, DO FAAOS, is America’s Holistic Orthopedic Surgeon, with nearly two decades of surgical expertise.

Relieving Joint Pain with Orthobiologics

1 Jun 2023 · 1 min

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0:52

A short YouTube talk by Dr. Joshua John-Ram Schacter about relieving joint pain using regional nerve blocks and orthobiologics. He describes numbing shoulder nerves with ultrasound-guided regional blocks (mentions "ultracell") to reduce procedure pain. He reports that platelet gel and bone marrow often begin to work within ~2–5 days (commonly 2–3 days) while steroids may take up to a week, with maximal benefit often at 3–5 months and continuing through a year or longer.

Questions this video answers

About 2–3 days, sometimes 3–5 days.

Typically around 3–5 months.

Through a year or even longer.

As long as a week.

Ultrasound device referred to as "ultracell."

Chapters

We specialize in joint pain and some of these injections, particularly in and around the shoulder, can be painful. And so we provide our patients with a regional block. So we'll actually go and numb the nerves around the shoulder. We find them with ultracell. We go in and numb them so that it's much more comfortable for patients. And most patients, even with the shoulder, which is kind of the more challenging joint to deal with, patients are reporting that there's very little pain now. It can be sore for a couple of days afterwards. Typically we find that platelet gel or bone marrow begins to work a lot faster than a steroid within about two to three days or maybe three to five days. Whereas a steroid can take as long as a week to really kick in. And what we're finding is that patients reach their point of greatest benefit not just at that two to three day mark, but usually out three to five months. And that benefit will continue to carry through to a year or even longer.