Bone Marrow Aspiration Concentrate (BMAC)

BMAC Patient Information:

The richest reservoir of repair cells in the body is in the bone marrow. This soft tissue, richly supplied with nutrient blood, is the home of cells that are unique in the body. These cells are referred to as stem cells and progenitor cells. They are unique because they are the only cells in the body that have the capacity to become many different cell types. Other cells in our tissues, such as muscle cells or bone cells, when they divide to replace dead cells can only divide to produce the same cell type. For example, a muscle cell cannot become a bone cell nor can a bone cell become a muscle cell. This Is not the case for stem cells or progenitor cells. These special cells, once they are in the injury site, have the ability to divide in order to generate cells of the exact type that are required.

In other words, these cells are able to produce muscle cells when they are in muscle, bone cells when in bone or blood vessel cells when these cells are needed. This is a very important concept since it provides your body with an enormous economy of scale.

Impaired/Compromised Healing:

The normal healing process occurs routinely and without problem in most individuals that are typically healthy, but impaired healing may occur when other conditions reduce the body’s ability to heal, such as persons with diabetes, heart disease, peripheral vascular disease or those who smoke. In these situations, the body requires external assistance.

Concentrating Bone Marrow Reparative Cells to Accelerate Tissue Healing:

During the last several years, scientists have been studying the role of reparative cells within the bone marrow to heal injured tissue. In patients where impaired healng is likely or where the extent of tissue injury is significant, research has been conducted to see if cells can be harvested from the bone marrow, concentrated into a small volume and placed at the injured site. While this research is relatively new, it has shown remarkable success. Clinical evidence has shown that a patient’s own reparative cells can be used to overcome the challenges that result in impaired healing.

Using Autologous Regenerative Cells to Accelerate Healing:

A physician can collect the autologous, or the patient’s own, multipotent cells that are found in bone marrow by a process called aspiration. For this, a patient is placed under conscious sedation through IV, and then a needle is inserted into the bone marrow of the hip; the cells and nutrient blood are then drawn into a syringe. Once the marrow has been harvested and collected, it is put into a special container and centrifuged, or spun, to separate the non-healing red blood cells and some blood plasma from the reparative cells. In this way, the large volume of aspirate can be reduced to a smaller volume that can easily be placed directly into the injury site. A physician can then best determine how these cells should be delivered to the injured tissue.


Pre-Procedure Instructions:

  • Moderate sedation will be required during the procedure.
  • The procedure will take around 2-3 hours.
  • You will need someone to drive you home after the appointment.
  • Wear loose comfortable clothing.
  • Nothing to eat 8 hours prior to procedure and only clear liquids and medications 12 hours prior.
  • Aspirin and blood-thinning medication should be stopped one week prior to procedure. Please consult your primary care physician before stopping.
  • Do Not take any anti-Inflammatory medication (Aleve, Motrin, etc.) 5-7 days prior to treatment.
  • You may require crutches or a brace depending on what your having done.
  • If you are pregnant or think you may be pregnant, please inform the staff as we will not be able to do the procedure.
  • A few days before your procedure, the nurse will call you with pre-op questions.


Post-Procedure Care:

  • After the procedure, you will be monitored for approximately one hour. You will then be released with your caregiver to return to your home or hotel if you’re from out of town.
  • Rest and avoid strenuous activities for the remainder of the day.
  • Do not drive a car for remainder of day.
  • You may experience an increase In pain and soreness after the numbing wears off for 2-5 days after you treatment.
  • Do not take any anti-inflammatory medication after your procedure and the doctor will let you know when to resume your medication.
  • You may take Tylenol or pain medication as prescribed.
  • If a dressing or ace wrap was applied after your procedure, you will need to keep that on for 24 hours. Then you may remove and just cover the site with a band-aid if needed.
  • A return visit maybe required the following day as per doctor’s orders.
  • You need to schedule a follow up appointment for 5-6 weeks.
  • It is normal to experience some soreness at both the aspiration site and the injection site. Please contact the office If redness, swelling or warmness to touch occurs at the site of the injection.
  • You will be given further Instructions according to the area treated upon completion of the procedure.
  • Contact Us:

    Trinity Sports Medicine
    & Performance Center

    3151 Johnson Rd, Suite 2
    Steubenville, OH 43952

    Dr. Scarpone: 740-266-3866
    Physical Therapy: 740-266-3872

    Got a question: Contact Us
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