Dr. Rowan Paul uses minimally invasive regenerative therapies to promote natural healing for damaged or diseased soft tissues and joints. His cell-based procedures are incredibly safe because they use cells from the patients’ own bone marrow, blood and adipose (fat) tissue. Cell-based therapies have proven effective at reducing pain, restoring function and healing and repairing damaged tissue, bone, and cartilage for orthopedic injuries.

Take a look at an overview of the procedures Dr. Paul offers and don’t hesitate to reach out for more information.

• Ultrasound-Guided Procedures

  Ultrasound-guided diagnostic and therapeutic procedures enable doctors to locate, examine, and treat soft tissue damage and injuries with more accuracy and precision. US- guided injections help in placing the needle correctly to maximize outcomes in the damaged area and minimize patient discomfort. Dr. Paul performs several ultrasound-guided procedures, including:

  • Nerve block injections
  • Nerve hydrodissection
  • Debridements

  Dr. Paul also performs dynamic stress testing ultrasounds to visualize musculoskeletal structures in action and make an accurate diagnosis.

• Bone Marrow Aspirate Concentrate (BMAC) Injections
  

  BMAC injections are used to reduce pain and inflammation, restore functional mobility and promote natural healing for several orthopedic conditions, including osteoarthritis, joint pain, cartilage injuries, and tendinopathies.

  Bone marrow is a rich source of adult stem cells, which have the ability to replicate and develop into different types of cells. Stem cells contain growth factors and anti-inflammatory proteins that promote natural healing, repair and support in areas of damaged or injured tissue. Under certain conditions, stem cells can create new tissues like bone and cartilage.

  During the procedure, Dr. Paul extracts a small amount of bone marrow. The bone marrow is processed in a centrifuge to separate a concentrated volume of stem cells. The concentrated stem cell solution is injected directly into the injured or damaged tissue to release growth factors and promote healing and restoration. Treatment is incredibly safe, because the patient is receiving their own cells.

• Platelet-Rich Plasma (PRP) Injections

  PRP injections are used to treat injured or damaged muscles, joints, tendons, ligaments and other soft tissues. They are successfully reducing pain and improving functional mobility for patients with rotator cuff tears, tendinitis, tendon ruptures, chronic tendinosis, arthritis, joint injuries and muscle injuries.

  Plasma is the liquid portion of blood that carries red and white blood cells and platelets throughout the body. Platelets are a critical component of the body’s natural healing process. They cause blood clotting and contain natural growth factors that are essential for healing.

  During the treatment, Dr. Paul takes a blood draw and runs it through a centrifuge to separate the platelet-rich plasma. The concentrated platelet solution is injected directly into the injured or damaged tissue to release growth factors and promote healing and restoration. Treatment is incredibly safe, because the patient is receiving their own cells.

• Interosseous Platelet-Rich Plasma (PRP) Infiltration

  Intraosseous platelet-rich plasma infiltration is a promising treatment method to reduce pain, restore joint function, and slow the progression of joint damage in patients with osteoarthritis.

  Subchondral bone degeneration is a key contributor to progressive cartilage loss, pain, and loss of joint function in osteoarthritis patients. Intraosseous PRP injections use a concentrated form of a patient’s own blood platelets to target subchondral bone and promote natural healing. Platelets — a type of blood cell — are a critical component of the body’s natural healing process. They cause blood clotting and contain natural growth factors that are essential for healing.

  During the treatment, Dr. Paul takes a blood draw and runs it through a centrifuge to separate the platelet-rich plasma. The concentrated platelet solution is injected directly into the marrow of the damaged bone. Treatment is incredibly safe, because the patient is receiving their own cells.

• Micronized Lipoaspirate Injections

  Micronized Lipoaspirate injections are used to reduce inflammation, improve pain, restore functional mobility, and promote healing for patients with osteoarthritis, joint pain and tendinopathies.

  Adipose tissue is the body’s fat tissue. It’s a valuable source for cell-based therapies because it’s abundant, easily accessible and harvestible, and it’s rich in mesenchymal stem cells (MSCs), vascular cells, and collagen fibers. Like other types of adult stem cells, MSCs have the ability to replicate and develop into different types of cells. Their presence can promote natural healing, repair and support in areas of damaged or injured tissue.

  During the procedure, Dr. Paul removes a small portion of fat using liposuction. The adipose tissue is processed to remove inflammatory cells and fatty oils, leaving only the MSCs and other helpful cells. The concentrated tissue is injected directly into the site of injury or damage. Treatment is incredibly safe, because the patient is receiving their own cells.

• Alpha 2 Macroglobulin (A2M) Injections

  A2M injection therapy is used to reduce pain and inflammation, prevent cartilage loss, preserve degenerative joints, and promote healing for patients with osteoarthritis, joint pain and other orthopedic injuries.

  Alpha 2 macroglobulin is a large plasma protein found in blood. It functions as a protease inhibitor, which means it blocks the activity of degradative, proinflammatory proteins that cause progressive degeneration in arthritic joints, cartilage and bone. A highly concentrated injection of A2M can prevent the progression of damage and cartilage breakdown, promote new tissue growth, and encourage natural repair and restoration of the degenerated joint.

  During the procedure, Dr. Paul takes a blood draw and processes it in a centrifuge to separate a concentrated volume of A2M. The concentrated solution is injected directly into the site of injury or damage. Treatment is incredibly safe, because the patient is receiving their own cells.

• Nerve hydrodissection

  Nerve hydrodissection is a treatment technique commonly used in pain management and regenerative medicine. It is a procedure that uses fluid injection under pressure to separate the nerve from the surrounding tissues to reduce nerve entrapment and irritation. This can result in the relief of chronic pain and other symptoms caused by nerve entrapment.

  The procedure is usually performed using ultrasound guidance to ensure accuracy and safety. The fluid used can be a local anesthetic, saline, or sometimes substances like dextrose or platelet-rich plasma (PRP), depending on the specific situation and desired effect. These fluids are injected around the nerve, creating a small space that allows the nerve to move more freely, reducing friction and irritation.

  The process of nerve hydrodissection can help in treating various conditions including carpal tunnel syndrome, tarsal tunnel syndrome, sciatica, and other similar conditions where a nerve is trapped or compressed.