a person holding a needle

B-MAC Therapy

Overview:

B-MAC therapy involves harvesting a patient’s own bone marrow, concentrating it, and then injecting the concentrated stem cells and growth factors into damaged tissues (such as joints, tendons, or bones) to promote healing. It is considered a type of regenerative medicine and is used as an alternative or adjunct to surgery.

Why It’s Done:

B-MAC therapy is used to treat:

  • Osteoarthritis (especially knee, hip, or shoulder)

  • Tendon or ligament injuries (e.g., rotator cuff, Achilles tendon)

  • Cartilage damage

  • Bone healing problems or nonunions

It’s typically offered to:

  • Patients who want to avoid or delay surgery

  • Individuals not responding to conservative treatments (rest, medications, physical therapy)

  • Athletes or active individuals seeking faster recovery

How You Prepare:

Preparation usually includes:

  • Initial consultation and imaging (X-rays, MRI) to confirm diagnosis

  • Medication review: Anti-inflammatory drugs may be stopped before the procedure

  • Hydration: Patients are advised to drink fluids before bone marrow collection

  • Informed consent: Discuss risks, benefits, and realistic expectations

  • No general anesthesia is needed, but local anesthesia or mild sedation is used.

What You Can Expect:

During the procedure:

  • Bone marrow is typically aspirated from the pelvic bone using a needle.

  • The marrow is processed in a centrifuge to concentrate stem cells and growth factors.

  • The B-MAC is then injected into the target area under ultrasound or fluoroscopic guidance.

Duration: 45 minutes to 1.5 hours (including preparation and recovery)

After the procedure:

  • Mild pain or soreness at the aspiration or injection site

  • Instructions to limit activity for a few days

  • Gradual return to normal function over weeks

Physical Therapy:

Physical therapy is often part of the recovery plan:

  • Initial phase (first 1–2 weeks): Gentle range-of-motion and pain management

  • Mid-phase (2–6 weeks): Strengthening exercises, gradual load-bearing

  • Late phase (6+ weeks): Functional rehab, sport-specific or daily activity training

The goal is to support tissue healing and restore optimal movement without overloading the treated area.

Results:

Outcomes vary depending on the condition being treated and the patient’s overall health, but many patients report:

  • Reduced pain and inflammation

  • Improved mobility and function

  • Faster recovery than with surgery alone

  • Delaying or avoiding joint replacement in early arthritis