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one of the great thing about the field of orthopedics is we continually are doing a lot of research weamp;#39;re studying the methods that we use the surgeries we do the medications we provide the injections that we provide and there has been a tremendous amount of research in the field of ortho biologics some of those studies have been a bit mixed so some studies have shown that these injections work really well some other studies have shown some more inconclusive results weamp;#39;re still trying to refine the best way to do these injections the the conditions that respond to them the best and even the best preparations or how to specifically provide these injections i think most of my patients can rest assured that based on those studies we are providing the the best treatment options the safest treatment options the most up-to-date treatment options from a research standpoint and again offering these injections is really providing our patients with just another option i a