WHAT ARE ORTHOBIOLOGICS ?

Orthobiologics are a cutting-edge group of medical treatments that use natural substances derived from the body to promote healing and tissue repair, particularly in musculoskeletal conditions such as joint pain, tendon injuries, ligament tears, and osteoarthritis. These treatments harness the body’s own regenerative capabilities to accelerate healing, reduce inflammation, and improve tissue function. At Carolina Nonsurgical Orthopedics, we specialize in providing the latest advancements in Orthobiologics.

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PLATELET-RICH PLASMA (PRP)

PRP therapy involves drawing a small amount of the patient’s blood, processing it to concentrate the platelets (which contain growth factors), and then injecting it into the injured area. The high concentration of growth factors in PRP promotes healing, tissue regeneration, and reduces inflammation in damaged tissues. Not all PRP is the same. At Carolina Nonsurgical Orthopedics, we have spent years optimizing our PRP technique to extract the highest dose possible and enhance concentrations, which are then tailored to your unique condition.

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Not all PRP is the Same. Are you getting a good PRP?

How Our PRP Is Different

Not all PRP treatments are the same.

At Carolina Nonsurgical Orthopedics, PRP is not a one-size-fits-all injection. Every treatment is physician-performed, ultrasound-guided, and customized to your specific injury, anatomy, and goals.

Physician-Performed PRP

Your PRP procedure is performed by an experienced physician, not delegated to someone with limited musculoskeletal injection training. This matters because accurate diagnosis, target selection, and injection technique can significantly affect the quality of the treatment.

Ultrasound-Guided Accuracy

We use ultrasound guidance to visualize the exact structures being treated. This allows us to place PRP precisely into the injured tendon, ligament, joint, or surrounding soft tissue. Rather than simply injecting “where it hurts,” we evaluate the full pain pattern and treat the structures most likely contributing to your symptoms.

Higher-Volume Blood Draws

Many basic PRP treatments use small blood draws. Our PRP protocols often use 60 mL to 120 mL of blood, depending on the condition being treated and the number of areas involved. A larger draw may allow us to create a more robust, customized PRP preparation for more complete treatment of the involved tissues.

We shoot for the target of 10 billion platelets delivered for a large joint (knee, hip shoulder), based on many recent studies.

Multiple Targets for One Complaint

Pain is often not caused by just one structure. Knee pain, shoulder pain, hip pain, or tendon pain may involve several related targets. For example, one complaint may require treatment of a joint, tendon, ligament, bursa, or surrounding soft tissues. Our approach is to identify and treat the full problem, not just perform a single injection.

13 Years of Experience

We have been performing PRP and regenerative orthopedic procedures for 13 years. That experience helps us tailor treatment plans based on the patient, the condition, the severity of injury, and what has or has not worked before.

Customized to Each Patient

Your PRP plan is built around your specific diagnosis, imaging findings, activity level, pain pattern, and goals. Some patients need a focused injection. Others may benefit from a broader treatment plan that addresses multiple pain generators in the same visit.

Combination Treatment Options

When appropriate, we may combine PRP with other nonsurgical treatments, including: Hyaluronic acid injections for joint lubrication and arthritis support

Shockwave therapy to stimulate healing in chronic tendon or soft tissue conditions. Targeted rehabilitation guidance to support recovery after the procedure. These options allow us to build a more complete nonsurgical plan rather than relying on a single treatment.

A More Comprehensive PRP Approach

Our goal is simple: deliver precise, physician-guided, customized PRP care designed around the real source of your pain. If you are considering PRP, it is important to ask not only whether PRP is being offered, but how it is being performed, who is performing it, what structures are being treated, and whether the plan is customized to your condition.

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SUPER PRP+ 

​SuperPRP+  DS  (Double Spin Concentrated) is a an added step of concentration in our PRP process.  This step concentrates not only the platelets, but also the proteins in the plasma that are usually discarded in a regular single spin PRP procedure.  We can usually increase our platelet yield by 20-30% with a double spin. 

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MFAT LIPOASPIRATE (STEM CELLS)

Cell therapy/MFAT involves using cells, often derived from adipose (fat) tissue, to help calm down damaged tissues, and reduce pain.  We also use MFAT as a cellular cushion in joints. 

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Orthobiologics are a cutting-edge treatment option that are typically used in cases where traditional treatments, such as physical therapy or medications, have not been effective. It's important you find a physician who has many years of experience in orthobiologics and truly specializes in these procedures for your particular condition.

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WHY WE COMBINE PRP + SHOCKWAVE...

We often combine shockwave therapy with high-dose PRP because the two treatments work together to stimulate a stronger healing response. Shockwave therapy uses acoustic energy to increase blood flow, activate healing cells, and create a mild mechanical stimulation within degenerative tendon tissue.

 

 

This process essentially “primes” the injured area, helping shift the tissue from a chronic degenerative state into an active healing phase. When PRP (Platelet-Rich Plasma) is then injected into the area, the concentrated growth factors can work more effectively because the tissue is already biologically activated.

 

By combining shockwave with PRP, we are able to stimulate healing mechanically and biologically at the same time, which may improve outcomes for chronic tendon injuries such as plantar fasciitis, tennis elbow, patellar tendonitis, and gluteal tendinopathy