
PRP and BMAC are tools within a larger joint-preservation plan, not the plan itself. Not every patient is a candidate for orthobiologics. A proper orthopedic evaluation is essential.
Physical therapy and viscosupplementation come before orthobiologics. If they have not been tried yet, they are the starting point.

Targeted physical therapy, activity changes and bracing. Usually covered by insurance, and the starting point when they have not been tried.

Hyaluronic acid injection to improve joint lubrication. Often covered with criteria, with a benefit that varies, and considered before PRP or BMAC.
Each is prepared from your own tissue and placed under image guidance. Which one, if any, follows from the diagnosis.

A concentration of your own platelets, used as part of an orthobiologic treatment strategy for selected joint, tendon and ligament conditions.

Concentrate obtained from your own bone marrow and used in carefully selected orthopedic conditions as part of an individualized joint-preservation program.

For selected patients, Dr. Scheinberg may recommend a combination approach based on the diagnosis, imaging, severity of disease and individual treatment goals.
Orthobiologics come after conservative care has been tried, and before surgery.
Most patients arrive with their imaging and have already tried physical therapy or steroid injections. Dr. Scheinberg reviews your history, your imaging and your goals. Patients outside the area can start with a telemedicine consultation.
Physical therapy and viscosupplementation come before orthobiologics. If they have not been tried yet, they are the starting point.
When the basic treatments have not worked, PRP or BMAC is considered before surgery. BMAC is performed at Pueblo Surgery Center, the AAAHC-accredited facility on the same campus as the office.
If preserving the joint is not a reasonable option, you are referred for surgical care.
When a patient qualifies for BMAC or stem cell therapy after other non-surgical options have been considered, the procedure is performed at Pueblo Surgery Center, an AAAHC-accredited facility on the same campus as the office.
For BMAC, the marrow is drawn, processed and delivered in one visit, under light anesthesia so that there is no discomfort during the harvest. Dr. Scheinberg serves as Chief Medical Officer of the center.
About Pueblo Surgery Center
Marsha G.
Karen M.
Dr. Richard D.
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Candidacy is determined at a consultation, before any financial commitment is made. Bring your imaging if you have it.