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

4 Jul 2023 · 1 min

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Dr. Joshua John-Ram Schacter (speaker) describes clinical practice for relieving joint pain—especially shoulder pain—using regional nerve blocks (ultrasound-guided) to reduce injection pain, and orthobiologics such as platelet gel and bone marrow aspirate. He reports that platelet gel or bone marrow often begins to work within about 2–5 days (commonly 2–3 days), steroids may take up to about a week to onset, patients typically reach greatest benefit at roughly 3–5 months, and that benefit can persist to a year or longer.

Questions this video answers

About 2–3 days, or within 3–5 days (speaker gives both ranges).

As long as a week.

Usually around 3–5 months.

Through a year or even longer.

Ultrasound-guided regional nerve blocks to numb the nerves around the shoulder.

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 ultrasound, 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.