An Overview of Regenerating Orthopedic Tissue

Dr. Farshchian has served as the medical director at Miami, Florida’s Center for Regenerative Medicine for nearly 15 years. In this position Dr. Farshchian excels in all areas of orthopedic regenerative medicine.

Orthopedic injuries can result in long-term, if not permanent, damage to cartilage, intra-articular ligaments, and the meniscus. Sometimes even bone matter can fail to properly mend after serious orthopedic trauma. Medical professionals seeking to encourage regeneration of orthopedic tissue will focus on four important areas. At the cellular level, differentiated cells from the injured tissue can be used to help with tissue growth, though mesenchymal stem cells are also a major resource. There is some debate about the importance of the source of origin of cells used for regeneration; both embryonic and induced pluripotent stem cells show potential.

Critical to the regeneration of orthopedic tissue are morphogenetic signals. Generally, these signals originate from individual recombinant growth factors, if not native, platelet-rich plasma mixtures. A number of additional mixtures can be used to further stimulate morphogenetic signals. Smart scaffolds are also instrumental in sustaining effective, ongoing growth factors. Finally, mechanical practices to support regeneration deal with in vivo intrinsic biological processes.


Sisacroiliac Injections for Back Pain

At the Center for Regenerative Medicine in Miami, Medical Director Dr.Farshchian oversees a team of professionals who treat patients suffering from the pain of arthritis and injuries. The center specializes in nonsurgical sports medicine and orthopedics. To help patients attain a functional level of health, Dr. Farshchian utilizes various modalities of treatment and pain management for patients experiencing knee, shoulder, and back pain. Sisacroiliac injections are a standard form of therapy for back pain.

The sacroiliac joint connects the spine with the pelvis. Technically, it is the location where the iliac bones and the sacrum join. Physical problems in this area result from trauma or from injury sustained over a long period. In addition to injuries related to hard impact, other common sources of problems are arthritis, the wearing away of cartilage, and muscle tightness.

After diagnosis, physicians use various treatment options for sacroiliac joint pain, including applications of ice or heat, massage or physical therapy, and medication. For chronic problems, doctors often treat sacroiliac joint pain with injections. At the office of Dr. Farshchian, he and his staff use injections to relieve back pain from arthritis. With the patient lying face down, he first locates the problem area using touch and ultrasound technology. Next, he administers a local anesthetic to the skin and tissue surrounding the sacroiliac joint. Once the anesthetic has taken effect, he injects medication into the sacroiliac joint using a syringe. Unlike the more common treatments that contain steroid medication, he uses a solution of natural medications. In the final step, he covers the surface wound with a bandage.