Regenerative Medicine

Regenerative Medicine describes innovative, outpatient procedures that use the patient’s own unique healing properties to provide significant relief of pain and improvement in function.

Hope Orthopedics of Oregon currently offers PRP Injections, EPAT shockwave therapy, and Tenex. Please note a consult is needed prior to performing these procedures.
Call 503.540.6300 to schedule with one of our specialists to discuss if
these are good options for you.

Meet our Specialists

Dr. Daniel Elkin

Sports Medicine, Hip, Knee, Shoulder, Elbow, Arthroscopy, Fracture

Dr. Robert Fan

Sports Medicine, Shoulder, Hip, Knee

Dr. Alana Ryan

Sports Medicine, Non-Operative Musculoskeletal Conditions, Concussions

Dr. Richard Tobin

Sports Medicine, Knee, Shoulder

Dr. Stephen Yao

General Orthopedics, Sports Medicine

TREATMENT OPTIONS

Platelet-Rich Plasma (PRP)

PRP relies on platelets (cell fragments found in blood) and a variable amount of white blood cells to heal and repair injuries. This combination taken from the patient can enhance the body’s natural ability to heal, reduce inflammation in tendons and joints, and accelerate the repair of damaged tendons and ligaments.

What Does Platelet-Rich Plasma (PRP) Do?

Different types of PRP products are usually given as injections to heal and repair injuries. The job of platelets in the body is to help blood clot when there is an injury. The cytokines and growth factors that are in platelets can help repair injuries and encourage healing.

PRP Injections are used for a variety of sports injuries and musculoskeletal conditions including tendon injuries affecting the:

  • Ankle (e.g., Achilles)
  • Knee (e.g., “Jumper’s knee”)
  • Elbow (e.g., “Tennis elbow” or “Golfer’s elbow”)
  • Plantar fascia injuries (“Plantar fasciitis”)
  • Ligament sprains
  • Arthritis and meniscal injuries

How does it work?

Blood is removed from the patient’s arm using a needle into the vein. Then the blood is processed in a centrifuge, which separates blood components into different parts according to their density. The platelets are separated into blood serum (plasma), while some of the white and red blood cells may be removed. This process concentrates the platelets and produces what is called platelet-rich plasma (PRP).

How to prepare for your visit?

  • Avoid corticosteroid medications for 2 to 3 weeks prior to the procedure
  • Stop taking non-steroidal anti-inflammatory drugs (NSAIDs), such as aspirin or ibuprofen, or arthritis medications such as Celebrex, a week prior to the procedure
  • Do not take anticoagulation medication for 5 days before the procedure
  • Drink plenty of fluids the day before the procedure
  • Some patients may require anti-anxiety medication immediately before the procedure

EPAT

EPAT (Extracorporeal Pulse Activation Technology) is the most advanced and highly effective non-invasive treatment method cleared by the FDA. The technology uses the same shock-wave principles used for non-surgical treatment of kidney stones without the requirements of anesthesia. The technology is based on using pressure waves that stimulate metabolism, enhance blood circulation, and accelerate the healing process. Damaged tissue is able to regenerate and heal. The procedure is done in-office and takes about 15-20 minutes per session. Most patients will need 3 treatments, spaced about 7-10 days apart.

EPAT is recommended for:

  • Neck and shoulder pain
  • Back and chest areas
  • Foot and ankle pain
  • Upper and lower extremities
  • Myofascial trigger points

Benefits of EPAT?

  • Non-Invasive
  • Patients can return to normal activity immediately with no downtime
  • Safe, fast, effective, and affordable
  • Over 80% of patients have successful outcomes for long-term pain relief

Learn more about EPAT here.

TENEX

Tenex Health's minimally invasive technology can help eliminate chronic tendon pain by targeting and removing damaged tissue, without the need for conventional surgery. This patented procedure uses ultrasound imaging to identify the damaged tissue, remove it, and stimulate healing. The result is improved overall function and significantly decreased pain. Patients can recover in as early as 3-6 weeks.

TENEX is recommended for:

  • Tendonitis of the elbow, hip, knee, and ankle
  • Plantar fasciitis
  • Calcific deposit in the tendon
  • Calcific rotator cuff tendonitis

Benefits of TENEX?

  • Relief of chronic pain
  • Minimally invasive (no stitches required)
  • No scarring
  • Fast recovery time

Learn more about TENEX here.