Orthobiologics: Are We Overpromising PRP Or Under-Educating Patients?

Orthobiologics: are we overpromising PRP or under-educating patients sparks a vital discussion.

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Why do patients still default to steroids despite emerging regenerative medicine options? Are we failing in patient education, or is healthcare lacking transparency around informed decision making? And how do we balance patient needs with shared decision making in healthcare so that treatments like platelet rich plasma therapy (PRP) are presented realistically rather than as miracle cures?

In this fireside chat with Dr. Ariana Demers and Dr. Paul Tortland, we dive into the heart of orthobiologics, regenerative medicine, and the nuances of patient informed decision making. We explore how patient education in healthcare impacts choices, why transparency in healthcare is critical, and how both physicians and patients can work together through shared decision making in healthcare to avoid overpromising outcomes while still embracing innovation. From the ethics of steroid injections to the role of prp treatment in musculoskeletal care, this conversation unpacks the importance of educating patients about their real options. We also address how orthobiologics and regenerative medicine orthopedics could change long-term outcomes when combined with honest discussions about risks, limitations, and potential benefits.

Throughout the discussion, you’ll hear why orthobiologics—including platelet rich plasma therapy, prolotherapy, bone marrow concentrate, and micro-fragmented fat (MFAT)—require careful framing in patient conversations. We question whether physicians are under-educating patients or whether marketing has outpaced science, creating confusion and mistrust. By grounding the conversation in informed decision making in healthcare, Dr. Tortland and Dr. Demers provide insight into the real-world integration of regenerative treatments, highlighting the importance of educating patients about not just what orthobiologics can do, but also what they cannot. Viewers can expect open dialogue on ethical concerns, insurance barriers, and how patient informed decision making leads to better outcomes.

If you’re a clinician, patient, or someone curious about the evolving role of regenerative medicine, this video will help you understand the delicate balance between innovation and expectation. You’ll also discover why patient education in healthcare is not optional—it’s essential for guiding choices in a cash-based model where insurance rarely covers treatments like PRP. By the end, you’ll see how transparency in healthcare and a partnership approach can empower patients to make informed decisions about orthobiologics without false hope, while still accessing potential benefits of regenerative medicine orthopedics.

If this conversation resonates, make sure to subscribe, leave a comment with your perspective, hit the like button, and share this video with others who need clarity on PRP and orthobiologics. For more insights on regenerative medicine, patient education, and practice integration, watch the other videos on my channel. And if you’d like to connect or learn how I help streamline operations, reduce employee turnover, and improve team dynamics for home services and construction businesses, visit my website below.

Chapters
05:30 Why are steroids still the go-to treatment over PRP?
14:26 Is steroid relief worth the risks, and how do you present safer options?
20:29 What’s your experience with intra-articular Dextrose or Toradol?
22:36 How should we treat adhesive capsulitis without relying on cortisone?
24:58 Does insurance steer care toward covered treatments, and is it wrong to omit uncovered ones?
33:28 Are we overselling PRP or under-educating on its true value?
37:03 How does confirmation bias shape treatment decisions in orthobiologics?
42:17 Do you prefer a single treatment or a full series?
47:50 What does dosing mean for laser therapy after PRP?
51:56 Do you use PRP and prolotherapy together or separately?
56:06 How do platelet lysate, PPP, and PRP compare in spine and muscle treatment results and comfort?
59:01 Do you use fluoro, ultrasound, or both for spine and joint treatments—and how do you choose?

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