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Introduction to Regenerative processes
Mr Datta was at the forefront of the ABISCUS trial which investigated Autologous Bone Marrow Implantation of Cells which involves coating damaged cartilage with stem cells, taken from a patient’s own hip. He now offers this treatment privately depending on suitability. If you are unsuitable, you may still be able to have PRP injections which Mr Datta also offers privately. PRP injections which accelerate healing of tendon injuries and osteoarthritis naturally without subjecting the patient to significant risk. If you would like to read more on the procedures please see below.
Book A Consultation
If you would like to book a consultation with Gorav Datta to discuss regenerative procedures please contact us on 02380914491
prp injections
platelet rich plasma injections
Mr Datta carries out PRP injections for hip and knee for insured and self-funding patients of which the guide price is £1,800 for a unilateral injection and £2,200 for bilateral injections.
The cost of a self-funding initial consultation with Mr Datta is £250. Although Mr Datta sees patients for consultations in Hampshire at Nuffield Health Wessex Hospital and Spire Southampton Hospital, and in London at 25 Harley Street and Princess Grace Hospital, the injections are carried out at Spire Southampton and Highgate Hospital only.
PRP therapy offers a promising solution to accelerate healing of tendon injuries and osteoarthritis naturally without subjecting the patient to significant risk. PRP is an emerging treatment in a new health sector known as “Orthobiologics”. The philosophy is to merge cutting edge technology with the body’s natural ability to heal itself. Blood is made of RBC (Red Blood Cells), WBC (White Blood Cells), Plasma, and Platelets. The process is entirely safe and only uses products derived from the patient’s own blood.
PRP is virtually a cocktail of many proteins that collectively stimulate repair and regeneration. However there are some proteins included in PRP that we can now selectively isolate to promote anti-inflammatory effects and pain reduction. Scientists have now developed natural/homeopathic based tools to selectively isolate the cells/growth factors within PRP that meet our needs of customizing the treatment by reducing inflammation and simultaneously stimulating repair.
During the past several years, much has been written about a preparation called platelet-rich plasma (PRP) and its potential effectiveness in the treatment of injuries.
Many famous athletes — Tiger Woods, tennis star Rafael Nadal, and several others — have received PRP for various problems, such as sprained knees and chronic tendon injuries. These types of conditions have typically been treated with medications, physical therapy, or even surgery. Some athletes have credited PRP with their being able to return more quickly to competition.
platelet rich plasma FAQ's
What is prp?
Although blood is mainly a liquid (called plasma), it also contains small solid components (red cells, white cells, and platelets.) The platelets are best known for their importance in clotting blood. However, platelets also contain hundreds of proteins called growth factors which are very important in the healing of injuries.
PRP is plasma with many more platelets than what is typically found in blood. The concentration of platelets — and, thereby, the concentration of growth factors — can be 5 to 10 times greater (or richer) than usual.
To develop a PRP preparation, blood must first be drawn from a patient. The platelets are separated from other blood cells and their concentration is increased during a process called centrifugation. Then the increased concentration of platelets is combined with the remaining blood..
How does prp work?
To speed healing, the injury site is treated with the PRP preparation. This can be done in one of two ways:
– PRP can be carefully injected into the injured area. For example, in Achilles tendonitis, a condition commonly seen in runners and tennis players, the heel cord can become swollen, inflamed, and painful. A mixture of PRP and local anesthetic can be injected directly into this inflamed tissue. Afterwards, the pain at the area of injection may actually increase for the first week or two, and it may be several weeks before the patient feels a beneficial effect.
– PRP may also be used to improve healing after surgery for some injuries. For example, an athlete with a completely torn heel cord may require surgery to repair the tendon. Healing of the torn tendon can possibly be improved by treating the injured area with PRP during surgery. This is done by preparing the PRP in a special way that allows it to actually be stitched into torn tissues.
How effective is PRP?
The area of the body being treated
The overall health of the patient
Whether the injury is acute (such as from a fall) or chronic (an injury developing over time)
Chronic Tendon Injuries
The use of PRP for other chronic tendon injuries — such as chronic Achilles tendonitis or inflammation of the patellar tendon at the knee (jumper’s knee) is promising. However, it is difficult to say at this time that PRP therapy is any more effective than traditional treatment of these problems.
Acute ligament & muscle injuries
definitive scientific evidence, however, that PRP therapy actually improves the healing process in these types of injuries.
Surgery
Surgery to repair torn knee ligaments, especially the anterior cruciate ligament (ACL) is another area where PRP has been applied. At this time, there appears to be little or no benefit from using PRP in this instance.
Knee Arthritis
Fractures
Book A Consultation
If you would like to book a consultation with Gorav Datta to discuss plasma injections please contact us on 02380914491
regenerative procedure
about regenerative procedure
Mr Datta carries out stem cell therapy to treat isolated, full thickness articular cartilage defects and is not necessarily suitable for wide spread established arthritis or as a joint replacement alternative. This is currently not available on NHS, and the ABICUS trial has now ended, therefore this is currently available for insured and self-funding patients of which the guide price is £10,000 per joint (we will provide patients with a bespoke quote following consultation).
The cost of a self-funding initial consultation with Mr Datta is £250. Although Mr Datta sees patients for consultations in Hampshire at Nuffield Health Wessex Hospital and Spire Southampton Hospital, and in London at 25 Harley Street and Princess Grace Hospital, the stem cell therapy procedure is carried out at Spire Southampton and Highgate Hospital only.
Cartilage is a tough, flexible tissue that covers the surface of joints and enables bones to slide over one another while reducing friction and acting as a shock absorber. Damage to this tissue in the knee or hips is common and occurs mainly following sudden twists or direct blows, such as falls or heavy tackles playing sports such as football and rugby, but can also develop over time through gradual wear and tear. Damage to the articular cartilage (chondral defects) does not heal when injured, leading to exposure of the bone itself, this may increase in size over time leading to increased pain and disability. Untreated, chondral defects may eventually lead to osteoarthritis and patients may ultimately require joint replacements to relieve symptoms.
Patients will need to have had an up to date MRI scan so that the cartilage cover can be assessed. It would help if they have already had an MRI prior to initial consultation, alternatively they can see Mr Datta first and he can then arrange this for them. Suitability for stem cell therapy will be dependent on the extent of damage to the cartilage in the joint.
The procedure itself is performed arthroscopically (key hole surgery). Patients often ask whether stem cell therapy involves surgery on two separate occasions which it does not, a single operation is normally required. The procedure is carried out under general anaesthesia, and as a day case for knee patients and often an overnight stay is required for hip patients. An aspirate of the patients blood and/or bone marrow is taken from your pelvic area with a special needle, this is then processed whilst you are in theatre to harvest their stem cells. Whilst this is being done, Mr Datta will perform the arthroscopy to deal with any other issues affecting the joint and to prepare it for the stem cells. Once ready, the stem cells, alongside a suitable scaffold, are then injected through the same keyholes used for the arthroscopy to the area of defect.
Following the procedure, the first 6-12 weeks are very important and patients will require crutches. Knee patients will be required to wear a knee brace for the first 6 weeks with gradual increase of range of motion, and follow a strict toe-touch weight bearing only during this time. Hip patients must be partial weight bearing too with the use of crutches. Patients will also be given exercises to do during the 6-12 weeks.
Regenerative Procedure FAQ's
What are stem cells?
What types of stem cell are there?
MSCs can be found at various locations in the body, including bone marrow, adipose tissue (fat) and peripheral blood. We favour the use of marrow-based or peripheral blood stem cells.
Where do the cells come from
MSCs can be found at various locations in the body, including bone marrow, adipose tissue (fat) and peripheral blood. We favour the use of marrow-based or peripheral blood stem cells.
Where can stem cells be used?
Another area of particular interest for stem cell therapy in the hip and knee is to help with the regeneration of dead bone. In a condition called avascular necrosis, or AVN, there is death of a segment of the bone near the joint. This can sometimes progress onwards to become severe arthritis. Early reports of the use of stem cells to regenerate bone in AVN are encouraging.
There are many other reasons why stem cells might be used. These techniques may be relevant to different patients and are employed as required.
What does the procedure involve?
alongside a suitable scaffold, are then injected through the same keyholes that are routinely used for the arthroscopy.
What are the side effects?
What is the evidence for stem cell therapy?
Book A Consultation
If you would like to book a consultation with Gorav Datta to discuss regenerative procedures please contact us on 02380914491