Bone Marrow Aspirate Concentrate (BMAC) is an autologous therapy that harnesses your own marrow-derived cells, growth factors, and signaling proteins to promote healing in advanced joint or soft-tissue injuries that have not responded optimally to conservative care, or other interventions like hyaluronic acid or Platelet-Rich Plasma (PRP).
Diagnostic Process: Align exam findings with diagnostic imaging to ensure an accurate diagnosis and characterization of your injury or arthritic joint.
Harvest: After numbing the area for your comfort, we draw small volumes of marrow from the pelvic bone (posterior iliac crest) using a minimally invasive technique.
Processing: The aspirate is centrifuged in a closed, sterile system to eliminate red blood cells and isolate a high concentration of reparative growth factors and signaling cells.
Precision Placement:To ensure your comfort and the highest level of precision, we perform every injection using ultrasound guidance.
Moderate to severe osteoarthritis and chondromalacia affecting the tibiofemoral or patellofemoral joints, meniscus tears, damaged ligaments (MCL, LCL, and certain ACL/PCL injuries), injured tendons (patellar, quadriceps, and biceps femoris), and insertional IT band injuries.
Moderate to severe hip osteoarthritis and chondromalacia, anterosuperior labral tears, sacroiliac joint dysfunction, and tendinopathy and incomplete tears of the gluteal, hamstring, hip flexor, and adductor tendons.
Genohumeral and AC joint osteoarthritis, posterior labral tears, and tendinopathy or incomplete tears of the rotator cuff and biceps tendons.
Moderate to severe joint osteoarthritis, tendinopathy and incomplete tears of the Achilles and ankle tendons, plantar fasciitis, and ligament injuries (ATFL, CFL, PTFL and Deltoid).
Moderate to severe wrist and hand osteoarthritis, TFCC injuries, and tendinopathy and incomplete tears of the extensor and flexor tendons.
Visit length
BMAC injections are performed as a convenient outpatient procedure, with appointments typically lasting approximately 90 minutes.
Post-Treatment Recovery
While you may experience temporary bruising or soreness at the harvest and injection sites for up to a week, our team will fully support your recovery with a personalized plan for physical therapy and a gradual, guided return to your favorite activities.
Activity Protocol
Protection, light activity, and range-of-motion exercises for the first 3–7 days. Progress through the rehab protocol, aiming for a full return to activities within 6–8 weeks.
Results
Improvements generally build over 6–12 weeks, with continued gains up to 3–6 months. Results vary by condition and individual factors.
Safety
BMAC is a very safe treatment, using your own (autologous) bone marrow tissue to promote healing. While most patients experience only mild, temporary side effects like bruising or transient numbness and pain at the harvest site, rare risks such as infection, nerve injury, or increased pain can occur.
Medications
To maximize BMAC effectiveness, please discontinue all NSAIDs and statins prior to your procedure, following the specific timeline provided by your specialist.
Patient Medication Guide
We’ll review your history, imaging, goals, and prior treatments to determine whether BMAC is the most appropriate procedure for your condition.
What to know more about our evidence based approach? Explore the links below for more information.
Study comparing 15-year outcomes of interosseous vs. intra-articular bone marrow concentrate for knee osteoarthritis.
Level 1 study comparing 15-year outcomes of interosseous bone marrow concentrate injection (IO BMAC) vs total knee replacement (TKA) surgery for knee osteoarthritis.
Study evaluating the efficacy of bone marrow concentrate (BMC) in treating hip osteoarthritis.
Study evaluating the therapeutic impact of combined BMC and PRP injections on moderate-to-severe osteoarthritis in various joint locations.
Study evaluating bone marrow concentrate as a therapeutic intervention for recalcitrant Achilles tendinopathy.
Study comparing long-term outcomes (up to 1.8 years) comparing bone marrow concentrate vs microfragmented adipose tissue injections for knee osteoarthritis.
Schedule a consultation to explore non-surgical treatment options that align with your active lifestyle.
