Introduction to Orthobiologics

Hi, I am Mark Barba, M.D. I am an orthopedic surgeon who has been practicing in Rockford, Illinois, for 27 years. My practice at OrthoIllinois focuses on hip and knee reconstruction and replacement, and I also specialize in orthobiologic treatments for various musculoskeletal conditions.

Orthobiologics is a modern approach to treating musculoskeletal pain with the goal of managing pain and, in many cases, providing healing. This treatment uses the patient’s own cells to stimulate natural healing, making it a powerful, regenerative alternative to traditional treatments. These procedures are performed with local anesthetics during a visit to our office, ensuring patient comfort while avoiding the risks of general anesthesia.

One of the key components of orthobiologics is platelet-rich plasma (PRP), which is obtained from the patient’s blood. A small amount of blood is drawn and processed in a centrifuge, a device that separates and purifies the platelets. These platelets contain growth factors that help promote tissue repair and healing.

For patients with arthritic conditions, where the cartilage in a joint has degenerated, orthobiologic treatment can also involve bone marrow-derived stem cells. Bone marrow is taken from the pelvis using a needle, and the patient’s own stem cells are then harvested and purified in a centrifuge. These stem cells help regenerate damaged tissues and reduce inflammation, potentially slowing the progression of arthritis.

In most cases, fat tissue is also used in the treatment. This fat is obtained from the patient’s flank using a minimally invasive method. Once collected, the fat is purified and combined with the platelets to enhance the healing process.

Unlike steroid injections, which can provide short-term pain relief but carry the risk of degenerating cartilage or tendons, orthobiologic treatments do not contribute to tissue breakdown. Instead, they work to promote healing and regeneration.

Orthobiologic treatments can be highly effective in managing pain and, in many cases, actually promote healing of damaged or degenerative tissues such as tendons and ligaments. This regenerative process can help delay or even eliminate the need for surgery, offering patients a natural, minimally invasive solution to their musculoskeletal problems. This treatment is not covered by most health plans, however, in most cases, this approach is highly successful, providing long-lasting relief and improved function.

For more information, see my further blogs on specific areas and issues that are treated using this modern approach.