Platelet-rich plasma drawn into a syringe

Joint Preservation Treatments in Santa Barbara

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.

Before Orthobiologics

Physical therapy and viscosupplementation come before orthobiologics. If they have not been tried yet, they are the starting point.

Physical therapy on a patient's lower leg
Physical Therapy and Conservative Care

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

Hands-on examination of a patient's leg
Viscosupplementation

Hyaluronic acid injection to improve joint lubrication. Often covered with criteria, with a benefit that varies, and considered before PRP or BMAC.

The Orthobiologic Tools

Each is prepared from your own tissue and placed under image guidance. Which one, if any, follows from the diagnosis.

Platelet-rich plasma drawn into a syringe
PRP (Platelet-Rich Plasma)

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

Centrifuge used to prepare a patient's own biologic concentrate
BMAC (Bone Marrow Aspirate Concentrate)

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

Dr. Scheinberg reviewing knee MRI images
Combined BMAC and PRP

For selected patients, Dr. Scheinberg may recommend a combination approach based on the diagnosis, imaging, severity of disease and individual treatment goals.

The Order of Care

Orthobiologics come after conservative care has been tried, and before surgery.

Evaluation

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.

Conservative Care First

Physical therapy and viscosupplementation come before orthobiologics. If they have not been tried yet, they are the starting point.

Orthobiologics Before Surgery

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.

Referral When Surgery Is Necessary

If preserving the joint is not a reasonable option, you are referred for surgical care.

Where treatment happens

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
Dr. Scheinberg in scrubs under a procedure light

What Patients Say About Their Treatment

Reviews on GoogleRead patient reviews
"I was recommended to Dr. Richard Scheinberg by a friend and her husband who had both been treated by him. I have been diagnosed with osteoarthritis at the base of both thumbs. X-rays showed no more cushions – just bone on bone and an incredible amount of pain. Previously two Orthopedic Surgeons only had the option of removing the bottom bones and trying to replace them with tendons taken from my wrists/arms. This surgery just terrifies me. I’ve known a woman in Arizona who had the same surgery and hers did not go well. I might be 73 years old, but I’m not ready to give up my hands. My husband and I first met with Dr. Scheinberg and his great staff and were very impressed with the literature he gave us to read and the fact that they would actually take the Stem Cells from my own body before preparing them and injecting them into my hands. We discussed the pros and cons (including the very real pain I was living with every day) and made the decision to give this procedure, and Dr. Scheinberg, a chance. I talked to Michelle and scheduled the surgery for the end of August. No surgery is without its own pains and recovery. My hands were swollen and bruised from the injections, but healed very easily within a couple of weeks. I wish I could say that I had immediate relief from the pain I had been living with for the last few years, but Dr. Scheinberg had explained to me that the process would take time. What I can tell you is this: Dr. Scheinberg and this procedure have proven to be incredible! Four months later and I am no longer having any of the debilitating pain in my hands, which had been making every day difficult to get through. I can play cards again and have ordered a new Mah Jongg card to return to the game I have played since I was taught it as a young girl. Talk about a new lease on life!"

Marsha G.

"My experience with Dr.Scheinberg has been phenomenal. I cannot speak highly enough of his treatment and my experience with the stem cell and PRP. He is a wonderful doctor, with clear intentions of his treatments. His nursing staff is also extremely professional, courteous, and friendly. My procedure went well start to finish, and am grateful for my end results along with the positive effect it has had on my life/health. I truly felt comfortable due to the knowledge and professionalism of Dr. Scheinberg and his staff. Outstanding service!!"

Karen M.

"Dear Doctor Scheinberg, after my stem cell injection an amazing transformation has taken place. Not only did my hips have immediate relief from the bone on bone pain. Then, there was relief from pain in my wrist where the third shot was introduced. But there was a more systemic transfer to age old injuries from my crushing back pain which I have endured fro more than 10 years, which transferred pain down the back of both legs. Also, there was bone on bone pain at the base of my spine where it connects to the pelvis. As with a true miracle the pain in all these areas were gone in an instant. My normal days were taking qty 4 morphine pain pills a day, to now taking none. Seriously this look me weeks to wrap my head around the fact that the pain was truly gone. Now 2 months later I can still not believe how the pain is gone. This was a true marvel of modern advancement in medical technology. Thank you Dr. Scheinberg for being on the cutting edge of science. I will be forever grateful."

Dr. Richard D.

"WOW!!! Major surgery Plus STEM cell therapy. I had the procedure done in the morning Took one pain pill. Felt great by evening. A little swelling the next day. Nearly full range of motion already.! Feels so good, that I have to remember to limit myself until it is fully healed. Sure beats the estimated 6 months of down time required for conventional shoulder surgery. I don’t know why this is not made standard procedure for everyone. Thanks again."

Dave B.

"the MRI showed that my shoulder had degerated to the point that a complete joint replacement was necessary.” “Dr. Scheinberg gave me another option, a stem cell injection.” “Stem cell injection as a choice to repair my shoulder made sense to me as I am a firm believer in the healthy body’s ability to heal itself.” “I was pain immediately pain free with moderate arm and shoulder mobility.” “I encourage anyone living with pain to make an appointment with Dr. Scheinberg."

Jean Z.

Find out whether you are a candidate

Candidacy is determined at a consultation, before any financial commitment is made. Bring your imaging if you have it.