Direct Optic View for Annular Tear Repair Using Bone Marrow Derived Stem Cells

In this comprehensive lecture, Dr. Robert Rapcan explores the combination of regenerative therapy and mechanical techniques for treating discogenic pain. He emphasizes that stem cell injections alone may not provide immediate relief and advocates combining them with procedures like thermal annuloplasty. Detailed insights are provided into intradiscal and annular tear injections under direct optic vision, with early data suggesting improved outcomes in elite athletes and general patients. The discussion covers diagnostic challenges, MRI findings, biomechanical factors, and the pathophysiology of painful discs. A small pilot study shows promising improvements in pain and function, though complications like discitis are acknowledged.