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Autologous Fibrin Disc Repair

Concentrating your own fibrin and growth factors to heal damaged, painful discs.

What is Autologous Fibrin Disc Repair?

Autologous concentrated fibrin disc repair is a novel non-surgical technique used for the treatment of painful, leaky discs. Dr. Wolff has worked over the last ten years to develop a specialized method of concentrating products from your own blood to create a “disc sealant” with regenerative properties that can be injected into your damaged disc.

Why use Autologous Fibrin Disc Repair?

  • Chronic back pain is often difficult to treat. Studies have shown that a damaged disc is often the source of low back pain. The disc can be painful either because of tears in the disc wall referred to as internal disc disruption (annular tears), or disc degeneration, part of the natural aging process.
  • Traditionally, the only treatment for a painful disc has been surgical fusion which involves destruction of the disc and placement of a combination of metal rods, screws, and an inflexible spacer between the vertebrae in place of your own flexible disc. However, recent developments in regenerative medicine offer a promising alternative to spinal fusion.
  • Autologous (meaning taken from your own body) concentrated fibrin disc repair, combined with platelet rich plasma (PRP) and donated stem cell products is proving to be an effective treatment for painful discs. This minimally invasive, natural treatment should be considered prior to choosing more invasive spinal fusion surgery. 

How does it work?

  • A sample of your blood is taken and processed to concentrate fibrinogen (part of the normal clotting cascade), along with potent anti-inflammatory and growth factors. This concentrated solution of fibrin is combined with your own platelet rich plasma and donated stem cell factors from a newborn’s placenta. Then, using fluoroscopic (x-ray) guidance, this concentrated solution is carefully injected into the damaged area of your painful disc and activated. The combined factors fill the tears in the disc wall (the annulus) and seal them.
  • The fibrin, stem cell products, and growth factors combine to facilitate healing of the disc by repairing damaged disc tissue and stimulating growth of new tissue. This provides increased strength and stiffness of the disc wall and helps to stave off, slow down, or even reverse degeneration. The addition of stem cell products combined with your fibrin and PRP provides additional potent anti-inflammatory and regenerative benefits. Additionally, stem cell products injected into the nucleus help to regenerate the water loving, “cushioning” function of the disc. Ultimately, this treatment results in a healthier, less painful disc and improvement in your low back pain.

 

 

Before and After Images

 

Before and After Image

 

Patient Success Story

 

 

Interview with Dr. Wolff

 

explanation of individual spinal disc

What to expect during and after Fibrin Disc Repair treatment.

During:

This minimally invasive outpatient procedure takes about one hour and is performed in our state-of-the-art surgery center. The patient receives a local anesthetic and has the option of mild intravenous (IV) conscious sedation to ensure maximum comfort during the procedure. A needle is carefully advanced under x-ray guidance into the disc. Autologous fibrin concentrate, PRP, and stem cell products are injected, filling the gaps/tears in the disc.

After:

  • It is normal to be sore for a few days after the procedure. Both the level of discomfort and the recovery time are minimal, and both are significantly less than you would experience after spinal fusion surgery.
  • There is usually some downtime that could range from a few days to a few weeks post procedure depending upon the condition and number of discs treated.
  • You may have some work restrictions for several days to weeks depending upon the type of activity involved at work (sedentary vs. physical).
  • You may have some restrictions from sports activities for a few weeks to months depending on the condition being treated, its severity and the sport involved.
  • You may use mild pain medications as needed for a few days after the procedure if you experience pain.
  • Most people notice an improvement in their symptoms within several weeks of the procedure. Progressive improvement may continue for six months.
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