Regenerative Orthopedic Treatments – PRP, BMA & Laser Therapy | Coastal Orthopedics, Brunswick, ME

Overview          Key Areas of Focus          About Dr. Abbott         Schedule Your Appointment          Contact Us

Overview of Regenerative Medicine in Orthopedics

Regenerative medicine is making significant strides in orthopedics, offering innovative solutions for treating musculoskeletal disorders and injuries. Tendons, ligaments and fascia typically have a relatively poor blood supply which can limit healing potential of these structures if injured . This field utilizes advanced techniques to repair, replace, and regenerate damaged bone and joint tissues, aiming to restore function and improve quality of life for patients suffering from conditions like arthritis, tendon injuries, and ligament injuries.

Often times injuries will improve with time, rest, physical therapy among other conservative modalities. Those injuries that do no improve with appropriate conservative measures and do no require a surgical procedure are often responsive to regenerative treatments.

Our Approach

At Coastal Ortho, we believe in the power of innovation to transform healthcare. Our approach focuses on advanced techniques and solutions designed to repair and regenerate damaged tissues, offering new hope for patients with various medical conditions.

Objectives

Repair Injured Tissue: Regenerate damaged cartilage, bone, and ligaments.

Enhance Healing: Accelerate the natural healing process following injury.

Improve Function: Restore mobility and reduce pain in affected joints and bones.

Key Areas of Focus

Platelet-Rich Plasma (PRP) Therapy: PRP therapy involves using components of your own blood and injecting them into the injured area to accelerate healing. By concentrating platelets and growth factors, PRP can enhance tissue repair and regeneration. This technique is commonly used for musculoskeletal injuries, and chronic pain, offering a natural and minimally invasive option for improving recovery and reducing inflammation.

Bone Marrow Aspirate Concentrate (BMAC): BMAC is a regenerative treatment that uses a patient’s own bone marrow, typically collected from the pelvic bone. After the marrow is obtained, it is concentrated using a centrifuge and injected into the area of injury.
Bone marrow contains growth factors, stem cells, and other biologically active components that support tissue repair. BMAC is used to treat degenerative joint conditions, as well as cartilage, ligament, and tendon injuries, helping stimulate a targeted healing response in damaged tissues.

Intraoperative Bone Marrow Aspirate (BMA): Bone marrow aspirate (BMA) is increasingly used in conjunction with rotator cuff surgery to enhance healing and improve outcomes. BMA involves harvesting a small amount of bone marrow, usually from the surgical site, and then injecting this concentrate into the site of the injury or surgical repair. In rotator cuff repair, BMA can accelerate the healing of the repaired tendons by delivering a high concentration of mesenchymal progenitor cells, growth factors, and other bioactive molecules directly to the damaged/repaired area. This approach aims to improve tendon-to-bone integration, reduce inflammation, and promote more robust tissue regeneration. As a result, patients may experience quicker recovery times, enhanced functional outcomes, and potentially lower rates of re-tear.

Adipose (Fat) Graft: Adipose grafting involves harvesting a small amount of fat from the abdomen or buttocks and preparing it for reinjection into injured or degenerated areas. Adipose tissue contains regenerative cells similar to bone marrow and can help activate the body’s natural repair processes.
In addition to providing healing signals, adipose also acts as a natural scaffold, making it useful for addressing larger tissue defects or areas needing structural support.

Osteopathic Manipulative Medicine (OMM): OMM is a hands-on treatment approach rooted in osteopathic principles: the body functions as a unified whole, structure and function are interconnected, and the body has an inherent ability to heal itself.
Using gentle, targeted manual techniques, OMM aims to restore motion, improve function, and reduce pain. It integrates seamlessly with regenerative therapies and helps optimize overall function and mobility.

Prolotherapy: Prolotherapy uses an injectable solution of concentrated dextrose to stimulate the body’s natural healing response. By triggering controlled inflammation in weakened ligaments, tendons, and joint tissues, prolotherapy promotes stronger, more stable connective tissue and can reduce chronic pain. It is commonly used for osteoarthritis, ligament laxity, and persistent tendon injuries.

Class IV Laser: In regenerative medicine, class IV lasers play a significant role by promoting tissue repair and accelerating healing processes. Their high energy and precision allow for targeted treatments, which stimulates cellular activity, enhances blood flow, and reduces inflammation. This can be particularly beneficial in promoting the regeneration of damaged tissues and supporting recovery from injuries. The ability of class IV lasers to penetrate deeper into tissues makes them effective for treating conditions such as tendonitis and arthritis. By facilitating faster and more effective healing, class IV lasers contribute to improved patient outcomes and advance the field of regenerative medicine.

Nerve Hydrodissection: Peripheral nerves travel through narrow tissue planes, where they can become compressed or irritated. These entrapments may contribute to pain, numbness, tingling, or weakness.
Nerve hydrodissection is performed under ultrasound guidance and uses fluid injections to gently separate the nerve from surrounding tissues, improving mobility and reducing symptoms. Conditions such as carpal tunnel, cubital tunnel, and tarsal tunnel syndromes, as well as certain headache syndromes involving the occipital nerves, often respond well to this technique.

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Why Choose Us?

Expertise: Our team of clinicians, therapy staff, and strength and conditioning professionals offer years of experience and a passion for improving health and wellness.

Personalized Care: We offer tailored treatment plans designed to meet the unique needs of each patient, ensuring the highest potential for successful outcomes.

Cutting-Edge Technology: By integrating the latest advancements in medical technology and research, including PRP therapy, we provide state-of-the-art solutions that push the boundaries of traditional medicine. 

Brian W. Abbott, DO, RMSK

Brian W. Abbott, DO, RMSK, is board-certified in Family Medicine and Osteopathic Manipulative Medicine, holds a Certificate of Added Qualification in Primary Care Sports Medicine, and is Registered in Musculoskeletal Sonography (RMSK). Dr. Abbott specializes in nonsurgical orthopedic care, managing both acute and chronic musculoskeletal injuries, as well as peripheral nerve conditions.

He utilizes musculoskeletal ultrasound for both diagnostic evaluation and image-guided procedures. In addition to traditional treatment approaches, Dr. Abbott performs regenerative medicine procedures including prolotherapy, platelet-rich plasma (PRP), bone marrow aspirate concentrate (BMAC), and adipose graft injections. These therapies can help facilitate healing of tendon, ligament, and joint injuries.Dr. Abbott frequently incorporates osteopathic manipulation into patient care. Viewing the body as a functional and interconnected whole, he performs comprehensive evaluations which recognize that few injuries occur in isolation. Through gentle osteopathic techniques, he helps improve pain, mobility, and overall function.

Committed to supporting his patients’ activity and performance goals, Dr. Abbott provides care with the understanding that activity level, musculoskeletal health, and general well-being are closely linked. Recognizing the complexity of the human body and the uniqueness of each injury, he takes pride in individualizing treatment plans to meet each patient’s needs.

During his sports medicine career, Dr. Abbott has been involved in the medical care of the Grand Rapids Griffins of the American Hockey League, as well as athletes from Grand Valley State University, Aquinas College, Calvin College, and Davenport University.

Dr. Abbott began his medical career as faculty in the Eastern Maine Medical Center Family Medicine Residency, then practiced primary care in Seward, Alaska. He later worked in a nonsurgical orthopedic practice in Montana before returning to Maine. In his free time, he enjoys mountain biking, running, skiing, camping, hiking, and spending time with his wife, two boys, two cats, and two dogs.

Contact Us

Ready to explore how regenerative medicine can make a difference in your life? Contact us today to schedule a consultation or to learn more about our innovative treatments.

Coastal Ortho14 Thomas Point RdBrunswick, ME 04222
Phone: 207-607-4155
Email: Regen@Coastalortho.com

Frequently Asked Questions (FAQs)

How do I book an appointment? 

Appointments can be booked by requesting an appointment, emailing regen@coastalortho.com, or calling 207-607-4155.

Do you take insurance for regenerative services?

No, we believe medical evaluation and treatment decisions are shared between physicians and patients.  Most of our services are HSA/FSA eligible.

How do I submit the bill to insurance?

We generate a superbill for services provided. It is the patient’s responsibility to submit the required forms to their insurance company.  The insurance company then reimburses patients directly. 

What types of payment do you accept? 

For self-pay options we accept all major debit and credit cards, cash, and check. Our team ensures transparent pricing.

Can I use my HSA or FSA account?

Our services are HSA/FSA eligible.  Please check with your HSA/FSA administrator if you have questions.