Bone marrow aspirate concentrate is a biologic treatment for pain management mainly for musculoskeletal and spine related pain. A health care provider will extract it from your bone marrow, processed it with specialised instruments and inject it in disease and injured tissue for better healing and pain relief.
What is Bone Marrow Aspirate Concentrate?
• BMAC is a concentrated solution of cells and proteins extracted from bone marrow. It contains stem cells, anti-inflammatory cytokines and growth factors — proteins that trigger cellular growth and repair.
• Your bone marrow is the soft, spongy tissue at the center of your bones that produces your blood cells. Bone marrow an excellent source of growth factors and stem cells.
• Healthcare providers harvest them in a procedure called bone marrow aspiration. They draw a sample of the liquid part of your bone marrow through a hollow needle. The sample is called bone marrow aspirate.
• They produce bone marrow aspirate concentrate (BMAC) by processing and distilling this sample. The concentrated form is about six times denser with cells and growth factors than the original aspirate.
Spine pain management
- Degenerative disc disease
- Annular tear in disc
- Facet joint arthropathy
Musculo-tendinous Pain Management
- Shoulder – rotator cuff partial or interstitial tear
- Shoulder arthritis – early stage
- Tennis elbow pain, Golfers’ elbow pain
- Wrist – early arthritis
- Hip Joint – early arthritis
- Stage 1 to 2 AVN HIP
- Knee Joint arthritis – early stage
- Knee ligament – ACL, PCL, MCL partial or interstitial tear
- Ankle Joint arthritis – early stage
- Achilles tendon partial or interstitial tear
- Ligament – partial or interstitial tear
- Sports injuries related pain
How BMAC works?
• BMAC contains concentrated doses of stem cells and growth factors, which stimulates tissue growth and repair. Stem cells are cells in their raw form before they specialize to become different types of tissues.
• Mesenchymal stem cells (MSCs) are the type of stem cells that replenish soft tissues, cartilage and bone. They’re less abundant in bone marrow than other types, so a concentrated dose is more likely to help.
• BMAC also promotes healing by reducing inflammation and promote fibrosis in damaged tissue.
How we do a BMAC treatment
Risk & Complication of BMAC treatment
Infection
Infection
Pain at site of bone marrow aspiration
Pain at site of bone marrow aspiration
Hematoma
Hematoma
Injury to nearby nerve or blood vessels
Injury to nearby nerve or blood vessels
Post Procedure Care
- Patient needs to immobilize the part of injection for at least 1 week.
- We are not giving regular pain killer medicine as it may affect the function of platelets but we are giving medicine to control pain and do not affect the function of platelets.
- Patient may require to do some physiotherapy and exercise in follow up sessions to get good range of movement. The physiotherapy can be done with nearby good reputed physiotherapy doctor.