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Latest Treatment Technologies at Onto Orthopedics

PRP (Platelet Rich Plasma) for Hair Loss

Pattern hair loss affects about 50% of men and 25% of women by the age of 50.1 Pattern hair loss also typically presents as a receding hairline in men and thinning hair in women. Regardless of gender or presentation of the condition, hair loss can affect one’s sense of body image. Two types of treatment have traditionally been known to fight hair loss. These include drugs such as minoxidil and hair transplant surgery. Today, PRP (platelet rich plasma) treatments present an exciting alternative option. Onto Orthopedics now offers PRP treatments to help combat hair loss.


During this reparative (also known as regenerative) procedure, a small amount of blood is typically drawn from your arm. Then, the blood is “spun down” with a centrifuge to increase the concentration of plasma in the solution. Once the serum has been prepared, it is then strategically injected into the areas of thinning hair. Within a couple months, patients often experience a regrowth or increase in the thickness of their hair. Only 2-3 quick injection procedures may be necessary.2


Unlike hair transplants, PRP procedures can more often be performed in an out patient setting. Additionally, PRP solutions often take far less time and cost less. Unlike some medications, PRP procedures target the area of hair loss.

Platelet Rich Plasma (PRP) Treatments at Onto Orthopedics

What is PRP?

PRP treatments have been featured in the news recently as a reparative (also known as regenerative) medicine and a potential solution to help repair many chronic injuries. Some professional atheletes claim that PRP has helped them get back in the game sooner. What is PRP though and how can a PRP treatment help with your orthopedic injury? Platelet Rich Plasma injections are a relatively new solution for many injuries and afflictions. The minimally-invasive process is relatively simple and can typically be performed in-office. Within a few weeks of the procedure, patients often see improvement to their injury.1

The Treatment Process

While blood contains white and red blood cells, a small percentage of your blood is comprised of platelets. Platelets are known for their clotting abilities, however they also appear to assist with the healing process. The exact mechanism of action is unknown however in higher concentrations, platelets appear to "jump start" healing.  First some of the patient's blood is drawn and spun down in a centrifuge to increase the concrentration of platelets. The concrentration of platelets in a PRP solution may become 5-10x greater than in normal blood. The solution is then carefully injected into the injured area. Pain in the area may increase temporarily, however patients often begin to feel a beneficial effect within a few weeks.

Other PRP Treatments

Platelet Rich Plasma solutions show great promise for the treatment of various conditions in the field of aesthetics.

Digital Pain Management

digital pain managementChronic pain can be extremely debilitating for long-term pain sufferers. In such patients, when all varieties of treatment, from oral medicines such as NSAIDS (pain killers) and steroid injections to physiotherapy and surgical treatment fail, the role of digital pain management comes into play. The patients in whom pain persists even after a surgery are those who can benefit immensely by digital pain management. Digital pain management is one of the latest innovations in surgical technologies to treat chronic pain. Conditions which might benefit from digital pain management can include failed back surgery, neuropathies, radiculopathy, phantom limb, and other chronic pains.

Digital pain management consists of installing a small spinal stimulation device known as a Dorsal Column Stimulator or Spinal Column Stimulator into the epidural space which surrounds the spinal cord. Spinal cord stimulators deliver low voltage electrical currents to stimulate the spinal cord and block the sensation of pain. Electrical stimulation is delivered through an implanted lead in the epidural space superficial to the spinal cord; this lead is connected to the receiver that receives energy through an external source.

Reparative Medicine

Regenerative medicine at Onto OrthopedicsAccording to the National Institute of Health, "Regenerative medicine is the process of creating living, functional tissues to repair or replace tissue or organ function lost due to age, disease, damage, or congenital defects."1 Although reparative medicine used to be largely limited to organ transplants, the field is now a burgeoning sector of medicine. Until recently, orthopedic solutions to degenerative joint conditions typically involved temporary pain relief or surgery. Straightforward reparative injections now offer an exciting new potential longer-term minimally invasive solution to aches and pains caused by degenerative orthopedic conditions such as arthritis and cartilage damage.

Thanks to recent advances in orthopedic technology, Dr. Hayden can perform several of these reparative treatments in the comfort of our office. In one reparative treatment, Dr. Hayden can extract stem cells from a patient's blood and inject them into his or her damaged or arthritic joint. Another potential option involves extracting and injecting a patient's fat cells into the offending joint.Finally, Dr. Hayden can provide a platelet rich plasma treatment utilizing a platelet rich solution extracted from your blood. Onto Orthopedics also offers a variety of solutions to orthopedic injuries, ranging from minimally invasive steroid shots to surgical care. 


When using the Lipogems system, fat is essentially resized so that it can be injected into a damaged area. The innate healing properties of fat are then utilized in an effort to help reduce pain and promote a quicker recovery. One common application area is the knee. 

Endoscopic Spinal Decompression

spine pictureThe camera has been a staple of family gatherings and reunions for generations. This isn’t the only way to use a digital camera anymore however. The lens not only gives you a perfect picture of your external features but can also capture any disharmony within you. High-resolution fiber optic cameras have completely revolutionised the surgical world by allowing us to view the insides of joints. From taking the pressure off a nerve trapped in the carpal tunnel on the wrist, to relieving the painful tingling numbness radiating from the spine, endoscopic decompression procedures have a lot to offer.

A common example of nerve compression is carpal tunnel syndrome. Here, the median nerve is compressed under the wrist ligaments causing painful tingling and/or numbness in the hands. Sports like cricket, weight lifting and games involving a racquet require excessive use of the wrists. Carpal tunnel syndrome is common in their players. When a trial of conservative medical therapy fails, surgery remains the only option. Two incisions are taken over the palm and wrist where the surgeon, using an endoscope, will dissect the transverse carpal ligament to release the compressed median nerve. With the bandages coming off in a couple of days and complete recovery within two to three weeks, the player finds himself having a firm grip on his equipment as well as his game.

Direct Radiography X-Ray Detector

high resolution xraysHave you seen "The Good, The Bad, and The Ugly", remastered in high definition? The Blu-ray reproduction maintains such excellent quality largely due to the condition of the original film. Ironically, old-fashioned film often provides much greater viewing resolution than fully digital productions. The reality is that a completely digital movie is shot in a fixed resolution (like 1080p or 4k). Such a limitation precludes future remasters from ever surpassing the detail of the original.

Like analog and digital movie film, a parallel exists in radiology. One of the few benefits of X-Rays produced directly on analog film include excellent resolution. These films could theoretically be scanned back into a computer and reproduced in a variety of resolutions (depending on storage limitations and quality goals). With newer digital systems, X-Ray images are produced directly from digital detectors and cassettes in a fixed resolution. Not all of these systems are created equal!

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