Regenerative Therapies for Spine and Joint Pain

Safe, Effective, Affordable

Dr. Smitherman uses thorough physical examination, imaging interpretation, laboratory analysis, and years of experience to select and perform the most appropriate treatments for your condition. Combing Dr. Smitherman’s clinical skillset with the highest quality injectable solutions leads to the high rate of improvement experienced by Dr. Smitherman’s patients.

Dr. Smitherman performs injections under ultrasound guidance.

Please click HERE for regenerative injection pre and post care instructions

Treatments

What is it?

Prolotherapy is an injection technique that is most commonly associated with dextrose injections. This therapy is designed to promote healing, and stability to joints.

Who would benefit?

People who have hypermobile connective tissue disorders such as EDS, joint instability, arthritis, pain pain, and spinal pain could benefit from prolotherapy.

How many treatments do you need?

Patients typical need between 2-6 treatments to get satisfactory pain relief for most conditions. Patients who have hypermobile connective tissue disorders will require ongoing prolotherapy as needed.

How much does it cost?

The best place to find pricing is on the price page found at the link HERE.

What is it?

Platelet Rich Plasma (PRP) is an injection solution that is made from your own blood. This is how it is made:

 

  1. Collect 100mL – 200mL amount of your blood (about half of a normal blood donation)
  2. Process your blood in a centrifuge to concentrate the platelets
  3. Then reinject the concentrated platelet liquid into your painful joints.
 

Dr. Smitherman creates high quality, and evidence based PRP with platelet concentrations that have been shown in the research to have beneficial effects on the pain and function of joints. Please be aware that not all clinics are creating this level of high quality PRP, and many clinics are creating, and injecting subpar concentrations of PRP. High quality results start with high quality PRP.

This therapy is stronger than prolotherapy, and has great success with many painful conditions. Patients like this therapy because it is all natural, and has powerful regenerative capabilities.

Who would benefit?

People who have joint pain, arthritis, tendonosis, tendonitis, ligament tears, tendon tears, neck pain, and low back pain could benefit from PRP injections.

How many treatments do you need?

Patients typical need between 2-6 treatments to get satisfactory pain relief. 

How much does it cost?

The best place to find pricing is on the price page found at the link HERE.

What is it?

Platelet Rich Fibrin (PRF) is an injection solution that is made from your own blood. This is how it is made:

  1. Collect a small amount of your blood
  2. Process your blood in a centrifuge to concentrate the immune cells
  3. Then reinject the concentrated immune cell liquid into your painful joints.

PRP vs PRF

The difference between PRP and PRF is that PRF has white blood cells, platelets, and fibrin protein in plasma, whereas PRP only has platelets in plasma. The fibrin protein in the PRF allows the PRF to form a clot, trapping the immune cells in a fibrin scaffolding and more closely mimicking your bodies natural processes. Studies have found PRF to emit more growth factors over time, and the fibrin protein may provide scaffolding for tears to heal better.

Read more HERE

Who would benefit?

People who have joint pain, arthritis, ligament tears, tendon tears, neck pain, and low back pain could benefit from PRP injections.

How many treatments do you need?

Patients typical need between 2-6 treatments to get satisfactory pain relief. 

How much does it cost?

The best place to find pricing is on the price page found at the link HERE.

What is it?

Albumin Platelet Rich Fibrin (Alb-PRF) is an injection solution that is made from your own blood. This is how it is made:

  1. Collect a small amount of your blood (10-40mL)
  2. Process your blood in a centrifuge to concentrate the immune cells
  3. The platelet poor plasma layer (PPP) is put into a heating block where it is heating into a gel.
  4. The gel is then cooled, and mixed with the layer of the separated blood that contains the platelets, white blood cells, and fibrin.
  5. Then the Alb-PRF is reinject into your painful joints.

PRF vs Alb-PRF

The difference between PRF and Alb-PRF is that Alb-PRF is has a longer working time in the body. The extension of working time is from 2-3 weeks for PRF, increased to 4-6 months for Alb-PRF. The gel matrix of Alb-PRF acts as a scaffolding for the migration and growth of new tissue where there is a tear in the tissue. As the Alb-PRF gel degrades, it releases growth factors in a sustained fashion.

READ MORE HERE

Who would benefit?

People who have joint pain, arthritis, ligament tears, tendon tears, neck pain, and low back pain could benefit from Alb-PRF injections. Alb-PRF has a special function as a bio-matrix scaffold for ligament tears, tendon tears, and facet joint injections on the spine.

How many treatments do you need?

Patients typical need between 1-3 treatments to get satisfactory pain relief. 

How much does it cost?

The best place to find pricing is on the price page found at the link HERE.

What is it?

Ozone gas is a molecule of 3 oxygen atoms, as opposed to the oxygen we are typically acquainted with breathing, which is a molecule of 2 oxygen atoms. Ozone gas injections have been shown to promote healing, reduce inflammation, reduce pain, and increase function in ligaments, tendons, muscles, and joints.

Who would benefit?

People who have joint pain, arthritis, ligament tears, tendon tears, neck pain, and low back pain could benefit from Ozone injections.

How many treatments do you need?

Patients typical need between 3-12 treatments to get satisfactory pain relief. 

How much does it cost?

The best place to find pricing is on the price page found at the link HERE.

What is it?

Trigger point injections are injections into tight, and painful muscles with a variety of different substances. These injections help to release knots in the muscle, which can quickly reduce pain and tension.

Who would benefit?

People who have pain from muscle tightness will often benefit from trigger point injections.

How many treatments do you need?

Patients typical need between 2-6 treatments to get satisfactory pain relief. Some people find that getting trigger point injections every 1-3 months keeps their pain reduced over the long haul.

How much does it cost?

The best place to find pricing is on the price page found at the link HERE. One benefit of trigger point injections is that they may be covered by your insurance. 

What is it?

Nerve block injections are targeted at soothing irritated nerves that may be the cause of your pain. Perineural therapy is an injection of 5% dextrose next to a nerve to calm and sooth the nerve.

Who would benefit?

Anyone who has pain in their muscle or joints may have some contribution from nerves.

How many treatments do you need?

Patients typical need between 1-2 treatments to get satisfactory pain relief. Some people find that getting nerve block injections every 1-3 months maintains their pain reduced .

How much does it cost?

The best place to find pricing is on the price page found at the link HERE. One benefit of nerve block injections is that they may be covered by your insurance. 

What is it?

Neural therapy is injections of procaine into specific sites on the body to reduce pain and improve function of the body by regulating the autonomic nervous system.

Who would benefit?

Anyone who has pain may benefit from neural therapy.

How many treatments do you need?

Patients typical receive treatment once per week for 1 to 6 weeks on average.

How much does it cost?

The best place to find pricing is on the price page found at the link HERE.

Conditions

Clinical Update: Why PRP Should Be Your First Choice for Injection Therapy in Treating Osteoarthritis of the Knee

“Recent research into the applications of PRP for KOA has further indicated both the efficacy and safety of PRP treatment. Although research has shown a tendency toward better efficacy at earlier stages of osteoarthritis (OA), evidence exists to indicate positive effects at all stages of OA.” See the linked study above to read more.

Use of Platelet-Rich Plasma for the Improvement of Pain and Function in Rotator Cuff Tears: A Systematic Review and Meta-analysis With Bias Assessment

Conclusion: Long-term retear rates were significantly decreased in patients with rotator cuff-related abnormalities who received PRP. Significant improvements in PRP-treated patients were noted for multiple functional outcomes, but none reached their respective minimal clinically important differences. Overall, our results suggest that PRP may positively affect clinical outcomes, but limited data, study heterogeneity, and poor methodological quality hinder firm conclusions.” See linked study above to read more.

Dr. Smitherman has great results with plantar fasciitis. The preferred treatments for this condition in office include ozone therapy, and PRF injection. This condition is usually treated to resolution within 3 months.

Dr. Smitherman will also recommend exercise therapy, and other assistive therapy when treating plantar fasciitis.

Ligament tears are best treated with either PRF, Alb-PRF, or adipose derived cellular therapy. A precise injection into the tear with these regenerative substances will usually see resolution of pain, and regain of function within 2-4 months.

Labral tears are best treated with either PRP, PRF, or adipose derived cellular therapy. A series of 3 to 6 injections will usually see beneficially results.