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Orthopedic Biological Therapy

Dr. Joseph E. Mechanik and Colorado Foot Institute are proud to offer Orthopedic Biological Therapy (OBT). These OBT are non-surgical treatments that work to help restore and repair a person's injured foot or ankle, by harnessing the natural healing power of the human body. These types of biological therapies are also known as orthobiologics. Colorado Foot Institute offers Platelet Rich Plasma (PRP) and Bone Marrow Aspirate Concentrate (BMAC)

Orthobiologics are naturally-occurring substances in our human body.  Dr. Mechanik uses them to treat a variety of foot and ankle conditions. Orthobiologics are used to reduce pain and inflammation, stimulate healing of the injured area and rejuvenate injured tissues.  Ultimately, this leads to improved function and reduction of pain for a person's injured foot or ankle. The ultimate goal of these therapies are to return a person to their pre-injured state, without surgery and extensive rehabilitation.

Orthopedic Biological Therapies are good alternative treatment options for patients who are not interested in, or can’t have surgery; but have also not found relief through other traditional conservative treatments, like physical therapy, oral anti-inflammatory medications, steroid injections, bracing, casting and prescription orthotics. 

One of the greatest benefits of Orthopedic Biological Therapy (OBT) is being able to resolve many non-healing Foot and Ankle Conditions without the risks, time and expense of surgery.

Common Foot and Ankle Conditions treated:

  • Plantar Fasciitis/Fasciosis
  • Achilles Tendinitis/Tendinosis
  • Ligament & Tendon Injuries
  • Osteoarthritis
  • Non-Healing Fractures
  • Cartilage Injury
  • Neuritis/Neuromas
  • Non-Healing Wounds

Platelet Rich Plasma (PRP)

PRP is plasma that is highly concentrated with a patient’s own platelets. Plasma is the liquid portion of blood. The retrieval, preparation and concentration of platelets and growth factors in PRP can be 8 to 10 times greater (or richer) than usual.

Platelet Rich Plasma (PRP)

To prepare PRP, a small amount of blood is taken from the patient. The blood is then placed in a centrifuge, which separates platelets from red blood cells. The platelets are then concentrated and collected into sterile syringes.  This is PRP.  The patient's PRP is then injected into the painful/injured area(s) of the patient’s foot or ankle.  A local anesthesia is used to numb the injured area prior to PRP injection.  Following the PRP injection, the patient will rest the treated area(s), for approximately two to three weeks.  Non-weight bearing and use of a fracture boot or cast may also be used as part of your treatment. After your rest period, you will gradually return to normal activities over three to six weeks. Results can take anywhere from one to three months before you may see any changes.

Bone Marrow Aspirate Concentrate (BMAC)

Bone Marrow Aspirate Concentrate (BMAC)

Bone Marrow Aspirate Concentrate (BMAC), is a orthopedic biological therapy procedure that uses cells from a patient’s own bone marrow to initiate healing in injured areas.  Bone marrow contains a rich reservoir of stem cells.  BMAC contains mesenchymal stem cells (MSCs).  MSCs are multipotent cells that exhibit strong self-renewal abilities. The concentrated mixture of stem cells and growth factors in BMAC contain accelerated healing abilities, that lead to repair of an injured area. BMAC represents the safest and most feasible source of MSCs.

Dr. Mechanik and Colorado Foot Institute have helped many patients avoid surgery and return to their active lives, using Orthopedic Biological Therapy.

Prior to any procedure, Dr. Mechanik will meet with you to discuss and evaluate your condition(s).  X-rays, MRIs and CT scans are commonly used to assist in determining the best treatment option for your condition or injury. These studies may be ordered to assist in your evaluation and in forming your treatment plan.

Will health insurance cover PRP or BMAC?   PRP and BMAC are currently deemed “investigational/experimental” by health insurance plans and therefore they are not covered benefits.  Due to the great number of high deductible health care insurance policies, our office has found that PRP and BMAC procedures are typically much less out of pocket expense to patients versus all the cost associated with surgical procedures and recovery.    You may contact our business office for questions. 

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