BMAC Therapy

Bone marrow aspirate concentrate (BMAC) therapy is a regenerative treatment that uses your own bone marrow to support healing. Bone marrow contains stem cells and other cells essential for tissue repair. Concentrated and injected into the damaged area, they may reduce pain and promote repair without surgery.

Clinician giving a knee injection
Illustration of a bone and its marrow

What Is BMAC Therapy?

Bone marrow is a rich tissue inside the cavities of bones. It contains stem cells and other components that play a role in repairing and regenerating tissue. BMAC therapy collects a small amount of your marrow, concentrates its regenerative cells, and delivers them under image guidance to damaged discs, joints, or soft tissue.
 
Because the cells are your own, BMAC is an autologous treatment. It is one of several options in our regenerative medicine program, alongside SVF therapy and PRP therapy.

Conditions BMAC May Help

Is BMAC Therapy Right For You?

BMAC therapy suits people with joint pain, sports injuries, fractures, or degenerative conditions who want a minimally invasive treatment. A thorough evaluation by a specialist is necessary to determine whether it is the best option for your condition.
 
If you already have MRI imaging, you can sign up for our free MRI review.
Spine model in a clinic

How BMAC Therapy Works

BMAC therapy is completed in a single outpatient visit:

  1. 1

    Comfort first

    You receive oral or twilight sedation, and the area is numbed with a local anesthetic.

  2. 2

    Collecting marrow

    A specialized needle withdraws liquid bone marrow from the iliac crest of the pelvis.

  3. 3

    Processing

    Filtration and centrifugation concentrate the regenerative cells.

  4. 4

    Injection

    The concentrate is injected under image guidance into the damaged area.

Frequently Asked Questions

What is BMAC therapy?

Bone marrow aspirate concentrate (BMAC) therapy uses your own bone marrow, which contains stem cells and other cells essential for tissue repair, to support healing.

Where is the bone marrow collected from?

Bone marrow is usually drawn from the iliac crest, part of the pelvis, using a specialized needle after the area is numbed and you receive oral or twilight sedation.

How is the bone marrow processed?

The marrow goes through filtration and centrifugation, a high-speed spinning process that concentrates the most valuable regenerative cells and removes unnecessary components.

What conditions can BMAC help?

BMAC may help joint pain, sports injuries, fractures, and degenerative conditions, including disc degeneration and arthritis in major joints such as the knee, hip, or shoulder.

What type of cells are used?

We use only autologous cells, meaning your own cells: bone marrow stem cells and stromal cells from adipose (fat) tissue. Each patient is evaluated individually before a specific treatment is recommended.

Is BMAC therapy FDA approved?

Procedures using a patient's own tissue are considered part of a physician's practice of medicine. The FDA provides guidelines for the treatment and manipulation of a patient's own tissues, and Total Spine follows these guidelines by offering same-day treatment using the patient's unaltered cells.

How long until I see results?

Some patients notice improvement within weeks, while full results may take several months as healing progresses.

Can everyone benefit from BMAC therapy?

Not everyone is a good candidate. We offer a complimentary consultation and imaging review, and if a successful outcome is not likely, you will be told that during the consultation.

Potential Benefits Of BMAC Therapy

By harnessing the body's own healing mechanisms, BMAC therapy may:

  • Accelerate recovery.
  • Reduce pain in the treated area.
  • Promote tissue repair with a high concentration of regenerative cells.
  • Avoid surgery for some patients.
  • Use your own cells, with no donor material.
Specialist reviewing imaging with a patient

Regenerative Treatments

Our Patients Stories

Hear our patients share their experience with us, All in their own words.

Why Choose Total Spine and Orthopedics

Expert, ultra-minimally invasive spine and orthopedic care, close to home.

  • Ultra-minimally invasive and endoscopic techniques

    We specialize in procedures performed through incisions smaller than a dime, sparing muscle and supporting a faster recovery.

  • Same-day, outpatient procedures

    Most patients walk in and return home within hours, rather than facing an overnight hospital stay.

  • Board-certified, fellowship-trained surgeons

    Our team includes early leaders in endoscopic spine surgery.

  • A complimentary MRI review

    Understand your diagnosis and options from a board-certified specialist before committing to any treatment.

  • Trusted by our community

    More than 1,100 patient reviews at a 4.6-star average, and over 50,000 patients treated.

  • Regenerative care using your own cells

    BMAC uses your own bone marrow, processed and delivered the same day.

  • Comprehensive spine and orthopedic care

    From injections to advanced procedures, your full continuum of care is handled in one place.

  • Convenient locations across the Space Coast and Orlando

    Care close to home in Melbourne, Orlando (Lake Nona), and Titusville.

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