Orthobiologics vs. Surgery: Which Injuries Can Be Treated Without Going Under the Knife?

For many people dealing with joint pain or soft tissue injuries, the idea of surgery can feel like the only option. But that’s changing.

Orthobiologics is a group of treatments that use your body’s own biologic materials that are making it possible to restore movement and reduce discomfort without going through surgery. These minimally invasive options offer a path forward for patients who want to stay active, recover on their terms, and avoid lengthy procedures.

At Interventional Orthopedics of Washington, we use orthobiologics to treat a range of orthopedic issues safely, precisely, and with a focus on long-term function.

What Are Orthobiologics?

Orthobiologics refer to substances naturally found in the body that can be concentrated and injected to support tissue health. These treatments are used to help restore mobility, reduce inflammation, and promote better joint and soft tissue function. They are often used to address:

• Tendon and ligament injuries

• Early joint degeneration

• Sprains and strains

• Post-injury joint instability

• Mild to moderate osteoarthritis

The most common orthobiologic therapies include Platelet-Rich Plasma (PRP), stem cell-based injections, and prolotherapy. Each serves a unique purpose and is chosen based on your specific diagnosis.

How PRP Therapy Works to Support Joint Recovery

Platelet-Rich Plasma (PRP) is one of the most widely used orthobiologic treatments. It involves taking a small sample of your blood, concentrating the platelets, and injecting them into the targeted joint or tissue.

Platelets contain important signaling molecules that interact with your body’s repair processes. When delivered precisely, using ultrasound or fluoroscopic guidance, they can support tissue remodeling and reduce inflammation in the treated area. PRP is often used for:

• Tendon and ligament injuries

• Joint instability

• Early-stage osteoarthritis

• Post-surgical tissue support

The Role of Stem Cell Injections in Orthobiologics

Stem cell therapy is another orthobiologic option that can be considered when deeper tissue repair is needed. At IOW, we only use bone marrow-derived cells from the patient (never donor or unverified third-party sources). The cells are processed and then guided into the affected area.

The goal isn’t to “rebuild” tissue from scratch, but rather to support the cellular environment that allows for better structural integrity and movement. Dr. Otoño Silva personalizes each plan based on your specific injury and overall joint health.

What Is Prolotherapy and When Is It Used?

Prolotherapy involves injecting a mild solution (often dextrose) into areas where tendons or ligaments are weakened or overstretched. The purpose is to trigger the body’s natural response to reinforce these tissues over time. This technique is often used for:

• Ligament laxity

• Joint instability

• Ongoing soft tissue support after PRP or stem cell therapy

Prolotherapy is especially helpful when treating conditions that don’t require full intervention but still impact your day-to-day movement.

Why Choose Orthobiologics Instead of Surgery?

Surgery can be necessary in some cases, but it isn’t always the first or best step. For patients with mild to moderate joint conditions or soft tissue injuries, orthobiologic injections may offer a more targeted and lower-risk option. Benefits include:

• No general anesthesia or long hospital stays

• Lower risk of complications

• Shorter recovery timelines

• Imaging-guided precision for better outcomes

Orthobiologics are also an option for patients who want to maintain joint integrity for as long as possible before considering surgical intervention.

The IOW Advantage in PRP

At Interventional Orthopedics of Washington, all orthobiologic treatments are guided by high-resolution imaging, either ultrasound or fluoroscopy, so injections are placed exactly where they’re needed.

We don’t rely on formulas or general protocols. Every treatment plan is tailored, every injection is deliberate, and every patient is assessed with care.

Staying Realistic About What Orthobiologics Can Do

Orthobiologics are powerful tools, but they aren’t quick fixes. Results can vary depending on your condition, history, and overall health. They’re most effective when part of a comprehensive plan that includes strength, mobility, and supportive care.

We help patients set realistic expectations from the start so you know what’s possible, what’s unlikely, and how to track progress.

Is Orthobiologic Treatment Right for You?

If you’re dealing with a joint or soft tissue issue and want to avoid or delay surgery, orthobiologic therapies may be an option worth exploring. PRP, stem cell injections, and prolotherapy can support better movement, reduce limitations, and help you return to your daily activities with more confidence.

Contact Interventional Orthopedics of Washington to schedule a consultation. We’ll walk through your options, explain how orthobiologics might fit your care plan, and help you take the next step without pressure or guesswork.