🧬 Regenerative Medicine · DABRM Certified · Secunderabad

OrthoRegen™

Regenerative treatments for early-to-moderate joint arthritis, using biological products prepared from your own body.

"The aim is to support the joint's own healing response — results vary from patient to patient."

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The Problem with Conventional Options

Where Regenerative Treatment Fits

💊

Painkillers Don't Heal

Anti-inflammatory tablets and cortisone injections mask pain — they do not repair damaged cartilage. Some studies suggest repeated cortisone injections may be linked to faster cartilage loss.

🔪

Surgery Has Risks

Joint replacement is a major operation with real risks — anaesthesia, infection, blood clots, implant loosening. It should be the last option — not the default answer for Grade 1-3 arthritis.

🧬

Your Body CAN Repair

Cartilage has poor blood supply — that's why it heals slowly. Regenerative therapy delivers concentrated healing signals directly to the damaged area, which may support the joint's healing response. Research on how much repair actually occurs is ongoing.

Dr. Sumit's Analogy

The Construction Crew Inside Your Blood

Think of your joint as a building that has developed cracks. Your blood naturally sends a few repair workers — but not enough to fix major damage.

Regenerative therapy is like sending a larger, concentrated team of workers directly to the damaged area. How much they can repair differs from patient to patient.

🏚️
Damaged Joint
→
🏗️
Repair Initiated
→
🏠
Supported Joint
Normal healing
👷 × 3 workers
With Regen Therapy
👷👷👷👷👷👷👷👷👷👷
× concentrated healing signals
🩸

PRP — Platelet Rich Plasma

Most Commonly Used · Grade 1-3 OA
🧠 Simple Analogy — How to Think About PRP

Think of your blood as a river carrying construction workers called platelets. Each platelet carries tiny packets of repair instructions called growth factors — like building materials. Normally, when your joint is damaged, only a few workers reach the site. PRP concentrates these workers 5-7 times and injects them exactly where the damage is — like calling an entire construction crew to one specific pothole instead of the whole city.

⚙️ How PRP is Made

1

Blood Draw — 30ml from your arm (same as a routine blood test)

2

Centrifuge — Blood spun at high speed. Red cells sink to bottom. Platelets concentrate at top

3

Collect PRP Layer — The platelet-rich layer is carefully collected. 5-7x more concentrated than normal blood

4

Inject — Under ultrasound guidance, directly into the damaged joint or tendon

✓

Done — Usually a day-care procedure.

🔬 What Happens in the Centrifuge

After Spinning
🩸 PRP Layer 5-7x concentrated
🟡 Plasma layer discarded
🔴 Red Blood Cells discarded
Growth factors in PRP: PDGF, TGF-β, VEGF, IGF-1, EGF — these are your body's natural repair signals delivered in concentrated form.

💉 Cortisone Injection

  • ✓ Works fast (3-5 days)
  • ✗ Does NOT repair — only masks pain
  • ✗ Repeated use may harm cartilage (studies)
  • ✗ Effect typically lasts a few weeks
  • ✗ Raises blood sugar (bad for diabetics)
  • ✗ Weakens tendons with repeat injections
VS

🩸 PRP Injection

  • ~ Takes 4-6 weeks to show effect
  • ✓ Studied for supporting tissue healing
  • ✓ No known harm to cartilage
  • ✓ Effect may last longer in many patients
  • ✓ Safe for diabetics
  • ✓ Used for some tendon problems
70-80%

Range reported in published studies of PRP for Grade 1–3 knee OA (pain improvement at 6 months). Individual results vary.

12-18

Months — typical duration of effect reported in studies; varies by patient

3

Injections in a series for knee OA, spaced 4-6 weeks apart

✅ PRP Works Best For:

Grade 1-3 Knee OA Partial Rotator Cuff Tear Tennis / Golfer's Elbow Plantar Fasciitis Early Hip Arthritis Achilles Tendinopathy ❌ NOT for Grade 4 (bone on bone)
🦴

BMAC — Bone Marrow Aspirate Concentrate

Grade 2-3 OA · Early AVN
🧠 Simple Analogy — How to Think About BMAC

Bone marrow, inside your pelvic bone, contains growth factors and other biological components. PRP uses repair signals from your blood. BMAC uses your own bone marrow — a small amount is taken, concentrated, and injected into the affected joint to support its healing response. How much repair occurs varies from patient to patient.

⚙️ How BMAC is Done

1

Local anaesthesia to the back of the pelvis. Patient awake, no general anaesthesia

2

Bone marrow aspiration — 30-60ml drawn from the iliac crest (pelvis). Minor discomfort, not severe pain

3

Centrifuge processing — The marrow is concentrated. Growth factors retained

4

Image-guided injection — Under fluoroscopy or ultrasound, directly into the joint

✓

Day-care procedure — Many patients typically walk within hours and go home the same day

🔬 PRP vs BMAC — What's the Difference?

🩸 PRP — from BLOOD

Contains platelets + growth factors. Reduces inflammation, activates healing signals. Does not generate new cells.

🦴 BMAC — from BONE MARROW

Contains bone marrow cells + growth factors. Studied for reducing inflammation and supporting cartilage repair. Evidence is still developing.

Bottom line: PRP works mainly through growth factors. BMAC also contains cells from the bone marrow. Which one suits you depends on your grade and imaging.

🦴 Special Use: BMAC + Core Decompression for AVN

Avascular Necrosis (AVN) of the hip is a condition where the blood supply to the femoral head is cut off — the bone begins to die. When caught early (Stage 1-2), combining BMAC with Core Decompression (drilling small tunnels to restore blood supply) can prevent femoral head collapse and potentially avoid hip replacement completely. This is one of the most impactful uses of regenerative medicine in orthopaedics.

3-5

Years — duration of effect reported in published studies; varies by patient

Single

Procedure in most protocols. Follow-up visits are still needed

Grade
2-3

Typical indication — moderate arthritis, after clinical evaluation

✅ BMAC Works Best For:

Grade 2-3 Knee OA Cartilage Defects Early AVN of Hip Young Active Patients Failed PRP Cases ❌ NOT for Grade 4 (bone on bone)
💛

MFAT — Micro-Fragmented Adipose Tissue

Your Own Fat Tissue · Grade 2-3 OA
🧠 Simple Analogy — How to Think About MFAT

Most people think of fat as just stored energy. But fat tissue also contains anti-inflammatory molecules and supportive tissue. MFAT is like taking a small piece of your fat (from the abdomen — only 60-100ml, tiny amount), micro-shredding it into tiny fragments, and injecting it into the joint. The fat matrix acts as a biological scaffold — it may help modulate inflammation in the joint. Results vary between patients.

⚙️ The MFAT Procedure

1

Local anaesthesia to the abdomen. No general anaesthesia required

2

Micro-lipoaspiration — 60-100ml fat removed from abdomen (comparable to a lipstick cap in volume)

3

Lipogems processing — Fat passed through special filtering device. No lab, no centrifuge needed. Produces micro-fragmented fat

4

Injection — Under ultrasound guidance into the joint. Fat fragments settle as a biological scaffold

✓

Under 90 minutes total — Same day. No hospital stay.

🔬 What's Inside Fat Tissue?

💛 Fat Tissue Matrix

Micro-fragmented fat acts as a cushioning biological scaffold in the joint.

🌿 Anti-Inflammatory Molecules

IL-10, TGF-β — inflammation-modulating molecules.

🏗️ Stromal Vascular Fraction (SVF)

The supporting framework of the fat tissue.

Note: Fat tissue contains a different cell mix from bone marrow. Which option suits you is decided after examination.

💡 When to Choose MFAT over PRP or BMAC

CHOOSE PRP WHEN

Grade 1-2 OA, tendon problems, early disease, first treatment attempt

CHOOSE BMAC WHEN

Grade 2-3, cartilage defects, AVN, young active patient

CHOOSE MFAT WHEN

Grade 2-3 OA, after PRP, multiple joints

Gr 2–3

Typical indication — early-to-moderate arthritis

2-4

Years — duration of benefit reported in studies; varies by patient

<90

Minutes — total procedure time from start to finish

✅ MFAT Works Best For:

Moderate OA (Grade 2-3) Failed PRP Cases Rheumatoid Arthritis Flares Multiple Joint Involvement Patients with Good Abdominal Fat
How We Decide

The OrthoRegen™ Treatment Pathway

Surgery is considered when other options are not suitable or have not helped.

1

Lifestyle + Physiotherapy

Weight management, targeted exercises, activity modification. First step for every grade.

All Grades · First step
2

PRP Therapy

Grade 1-3. 3 injections over 12 weeks. Studies show better 12-month results than cortisone in many patients.

Grade 1-3 · Day procedure · 3 sessions
3

BMAC or MFAT

Grade 2-3 with cartilage defects. Single procedure. Uses your own bone marrow or fat.

Grade 2-3 · Single procedure · 3-5 years
4

Joint Replacement Surgery

Grade 4 — bone on bone. Robotic-assisted joint replacement when indicated.

Grade 4 · When indicated
🎓

Training in Regenerative Medicine

Dr. Sumit holds the DABRM (Diplomate, American Board of Regenerative Medicine) . Treatment protocols follow published evidence, and each recommendation is discussed with what the evidence shows, what to expect, and the alternatives.

MBBS · DNB DABRM (USA) FIJR · FIASM · MNAMS 10+ Years Experience
Common Questions

Patients Ask, Dr. Sumit Answers

Is this safe? Will there be any reaction? +
PRP, BMAC and MFAT use your own cells, so rejection or allergic reaction is unlikely. Procedures are done in a sterile setting under image guidance. Common side effects are soreness and swelling for 2-3 days; infection is rare. Risks are discussed before treatment.
How long before I see results? +
PRP: First signs of improvement at 4-6 weeks. Maximum benefit at 3-6 months. BMAC/MFAT: Gradual improvement over 3-6 months. Regenerative therapy typically works more slowly than cortisone. Results vary between patients.
Will this cure my arthritis? +
Regenerative therapy does not cure arthritis — in suitable patients it may reduce pain and improve function. Think of it as turning down the volume on the disease and giving the joint a better environment to function. Grade 4 bone-on-bone arthritis cannot be reversed — replacement is the appropriate answer there. Your options are explained based on your X-ray grade and examination.
My doctor said I need knee replacement — should I get a second opinion? +
A second opinion is reasonable for any major surgery. Bring your X-ray and MRI to a consultation. Your arthritis grade will be assessed to decide whether regenerative treatment is appropriate for you, or whether surgery is the better option.
Can regenerative treatment delay surgery? +
In Grade 2-3 OA, it may help delay surgery in some patients; this cannot be guaranteed. Regenerative injections are not used for Grade 4 (bone-on-bone) arthritis. Earlier assessment gives more options.
How much does it cost? +
Costs vary depending on the procedure — PRP is the most affordable, BMAC and MFAT cost more. In every case, I will explain the cost clearly before proceeding, and always give you the realistic expected benefit so you can make an informed decision. Please contact the clinic for current pricing.

Consultation Information

Suitability is decided after examination and X-ray/MRI. Consultations are at ONE Healthcare Clinic, Tirumalagiri, Secunderabad · Phone: +91 9370498182.

Clinic Appointments