What this area covers
A large part of orthopedic care never reaches an operating room. This part of the practice covers image-guided injections, bracing, activity modification and rehabilitation planning, along with biologic treatments such as platelet-rich plasma (PRP) and bone marrow aspirate concentrate (BMAC).
Biologics are an area where the evidence is still developing. Results in published studies vary depending on the condition being treated, how the sample is prepared, and how patients are followed afterward. Dr. Brash discusses these treatments case by case, explains what the research does and does not currently support, and will tell you when he does not think a biologic is the right choice for you. These treatments are frequently not covered by insurance.
Typical non-surgical options
A plan may include structured physical therapy, a corticosteroid or hyaluronic acid injection placed with ultrasound or fluoroscopic guidance, bracing or offloading, and a written return-to-activity progression.
Typical surgical options
If non-operative care does not work, surgery remains available and is discussed openly, including what an operation can and cannot fix.
What recovery generally looks like
Non-operative plans are reassessed at set intervals, often six to twelve weeks apart, so it is clear whether the plan is working before more time is spent on it.
The information on this website is provided for general educational purposes only. It is not medical advice, and reading it does not create a doctor-patient relationship. Call your physician or 911 for medical concerns.