The Regenerative Spine and Joint Institute Approach

With the advent of new bio-cellular regenerative interventions (BRI), we are able to successfully treat patients with mild to advance wrist and hands conditions without the need for surgical interventions. Our interventions are designed to repair, regenerate, restore tissue to its normal health and function. Potentially avoiding recurrent episodes of pain, disability and further surgical interventions.


Wrist Osteoarthritis (OA)

What is Wrist OA?

Osteoarthritis or OA is the most common form of arthritis and is related excessive wear and tear of the joints, ultimately damaging the joint the cartilage (which is the smooth, firm material which covers the ends of the bones in the hip joint). It can be associated with aging, overuse or trauma. With time, the cartilage become stiff, less effective in absorbing loads and damage ensures, causing inflammation. The tendons and ligaments around the joints begin to stretch and the pain worsens. Ultimately the cartilage wears out and the bones start to rub against each other, creating spurs and deformity in the joints.

What are the symptoms of Wrist OA?

Patients with wrist arthritis usually complain of stiffness, wrist pain, swelling, weakness and difficulty gripping objects and in the late stages deformity and instability.

How is Wrist OA diagnosed?

After a comprehensive history and physical examination, usually X rays are obtained to confirm the diagnosis. MRI can yield more specific information about the degree of cartilage loss and other pathologic conditions usually associated with wrist OA .

How is Wrist OA treated?

  • Conservative
  • Rest in the acute stages
  • Activity modification with avoidance of triggering factors
  • Physical Therapy
  • Nutritional supplements
  • Medications: NSAIDS (non-steroidal anti inflammatory drugs
  • Correction of muscle imbalance, stretching, Laser therapy
  • Lifestyle changes (exercise, proper sleep, others)
  • Splints
  • Steroid Injections (short term relief)

The Regenerative Spine and Joint Institute Approach

In patients with symptomatic pinched nerves we use a personalized, precise, regenerative medicine approach based on the proportionality of the conditions. We created an advanced proprietary tissue engineering system for ligament and joint repair B.E.T.R Bio-Stem Joint.
B.E.T.R. stands for biologic enhancement of tissue repair.

What are the different types of Bio-Cellular Regenerative Interventions (BRI) used to treat Wrist OA?

B.E.T.R Bio Joint

This technique is used initially to treat patients with symptomatic wrist OA who are having mild to moderate symptoms and have minimal degenerative changes in the joint. It consists of injecting a combination of substances called Biologic Stimulants into the joint. They contain powerful growth factors (substances which stimulates multiple cell functions) capable of decreasing inflammation and producing significant improvement in function and tissue repair. Biologic Stimulants can be highly successful and cost effective in patients with early symptomatic wrist arthritis.

B.E.T.R Stem Joint

This system was designed for patients who have failed the above interventions or have moderate to advanced joint arthritis. It consists of using a proprietary method for injecting the arthritic or damaged joints with a combination of Bio-Cellular Grafts (growth factors, biologic scaffolds and mesenchymal stem cells obtained from your own bone marrow or adipose tissue). It is considered the most advanced regenerative treatment available for patients with painful arthritic joints.

See Bio-Cellular Regenerative Therapies