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Orthobiologic Medicine – Asheville, NC

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Free From Pain

Orthobiologic medicine refers to the use of the body’s own innate healing mechanisms to help a patient recover from injury and pain. It’s designed to boost someone’s own natural healing response and direct it to a specific area of the body. This can be accomplished using a few different techniques for orthobiologic medicine in our Asheville, NC, all of which can be completed right here in an hour or two. Dr. Pinkston can help determine which approach is best for you based on your situation.

Why Choose Asheville Non-Surgical Orthopedics for Orthobiologic Medicine?

Platelet Rich Plasma (PRP)

Seperated blood and plasma before platelet rich plasma orthobiologic medicine treatment

A small sample of your blood is taken and it’s placed in a centrifuge and spun until it separates into distinctive layers. The PRP layer is rich in not only platelets, but other healing proteins and growth factors. Created right in our office, this substance can be injected wherever a patient needs.

PRP Frequently Asked Questions

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If you’re like most people, you may only be slightly familiar with PRP, so you likely have a lot of questions about it. We love informing our patients and empowering them with knowledge, so below, you’ll find answers to some of the most popular PRP-related questions we receive every day.

What conditions can be treated using PRP?

PRP can be used to address a wide variety of musculoskeletal injuries, including mild to moderate tears in tendons, ligaments, and muscles. It can also help those dealing with pain and stiffness associated with joint issues like osteoarthritis. PRP can reduce inflammation and swelling in the area so the surrounding tissues and muscles can heal, which will not only help with pain, but strength, mobility, and function as well.

How long does PRP treatment take?

On average, a single PRP treatment takes about one to two hours from when you walk into our office to the moment you leave. This will include collecting your blood sample, creating the PRP, and injecting it into your body using ultrasound guidance. You’ll also need to visit us at least once before your initial treatment so Dr. Pinkston can give you an exam and help you determine whether or not PRP would be right for you.

Does PRP treatment hurt?

All in all, PRP treatment is very comfortable when administered by a properly trained doctor. Dr. Pinkston will use anesthetic to numb the area beforehand, and because every injection he performs is done so with guidance, this will ensure the needle goes right where it is needed the first time. A patient might experience a slight tingling or burning sensation in the area right afterward, but this should go away quickly.

How long before I notice the results of a PRP treatment?

It may take a few weeks or even over a month before a patient begins to notice the results of a PRP treatment. This is because the substance and body need time to work together and heal, and depending on the extent of someone’s injury, the timeline can vary. The good news is that once a patient starts to feel the results, they should continue to improve over the ensuing weeks, and patients can expect results to last for several months.

Is PRP treatment covered by insurance?

Right now, most medical insurance plans do NOT offer coverage for PRP therapy, or if they do, only when it is used to treat very specific conditions. Most patients should anticipate not being able to use their insurance. However, if you need help paying for treatment, you can sign up for flexible, low-to-no interest financing with Varidi or Proceed Finance through our website. To learn more, click here.


Patient receiving prolotherapy

Dr. Pinkston injects a solution that is a mixture of lidocaine and dextrose—the lidocaine numbs the area, and the dextrose irritates the soft tissues without harming them. This tells the body that something needs to be addressed in the area, which intentionally produces a temporary inflammatory cascade right where the injection is located, with the goal of speeding up the normal recovery processes.


Animated O 2 indicating oxygen in prolozone therapy

Prolozone® involves the use of ozone, a gas, in place of or in addition to lidocaine and dextrose. Ozone can also initiate a small, controlled inflammatory process that sends a signal to the body to recruit cells that assist with healing. The ozone (O3) is believed to then dissociate to oxygen (O2) and serve to decrease oxidative stress in the area, which is often a source of pain and may impair the effectiveness of the body’s natural healing response. Prolozone® is used as a standalone treatment or to prepare the cellular environment prior to other orthobiologic procedures.

Biologic Cell Therapy

3 D animated stem cells signifying biologic cell therapy

Mesenchymal stem cell containing tissue can be harvested from various sites of a patient’s body. Dr. Pinkston obtains these samples from a patient’s own adipose, or fatty, tissue and bone marrow. These biomaterials are then injected under ultrasound guidance into an identified defect. We are proud to offer these treatments for the management of our patients.

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