The practice of medicine depends on the fundamental ability to evaluate, diagnose and treat the problem properly to optimize outcomes. Diagnosing a problem or injury and understanding its role in the biomechanics of how the body works is key to creating a multidisciplinary approach to functioning pain free. Knowing when to use a non-surgical approach and when to consider surgery is key. With certain injuries, there may have to be a compromise as a complete resolution may not be available. This is all part of the evaluation and discussion and treatment planning.
Medical treatments are typically based on evidence-based medicine which utilizes the best available research information. With biologic treatments, the research and data are continuously growing and so the consensus on how to use biologics for musculoskeletal problems is still being formed. Therefore, anecdotal evidence and individual physician experience is relied upon to optimize successful outcomes using these treatments.
Orthobiologics or biologic treatments activate and stimulate pathways that can help assist the body in ways that cannot occur on its own. There are different biologic treatments, variations, concentrations and combinations of those treatments that can affect the body differently. This can lead to varying results due to treatment complexity but also because every situation is unique and every person responds to treatments differently.
Establishment of the proper diagnosis, understanding and correcting the biomechanics of the affected area, creating a personalized treatment plan, continuous assessment of the treatment progress and providing additional treatments along the way is what increases the success using the biologics approach.