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Intraosseous Restorative Therapy

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Intraosseous Restorative Therapy services offered in Buffalo, NY

Based on Russian research that has been ongoing since the 1970s, inflammation of the bone marrow of the subchondral bone causes increased pressure and congestion of channels that allow for delivery of oxygen, nutrients, and growth factors to the cartilage. This congestion both causes pain in the joint and promotes degeneration of the cartilage. Intraosseous restorative therapy alleviates this congestion and allows nutrients, oxygen, and growth factors to again reach the cartilage and promote healing.

The two images below show a microscopic cross-section of cartilage and its adjacent subchondral bone marrow in healthy (Figure B) and arthritic (Figure G) joints. In the figures, bone marrow is shown in blue, while the blood delivery channels are shown in red and white. Note the significant difference in the volume and quality of the cartilage and the blood delivery channels between the healthy and arthritic joints.  

Intraosseous Restorative Therapy
Intraosseous Restorative Therapy

Russian researchers have demonstrated that by simply entering the subchondral bone with a needle, the pressure and pain within the joint were reduced, and circulation was improved. When this entry of the joint was then combined with drawing bone marrow blood out and injecting it back in, the pressure in the marrow was further reduced. The final step in their process was to attach the needle being inserted into the subchondral bone to a 250cc bag of normal saline and infuse that saline into the joint over a 30- to 45-minute timespan. This gradual infusion allowed more time for the solution to reduce congestion and restore circulation. 

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