01
Know what is being treated
An injection for tendon irritation is not the same conversation as an injection for severe arthritis or a mechanical meniscus problem.
Orthobiologics
PRP, BMAC, and regenerative options deserve an honest conversation.
Orthobiologics can be helpful for selected problems, but they should not be sold as magic. I want patients to know what we are treating, what the evidence suggests, what the limits are, and when another treatment is more appropriate.
Online booking in about a minuteHMSA, Medicare & other major plansHonolulu · West Oahu · Hilo · KonaTelehealth for neighbor islands
What we sort out
The first job is to make the problem clearer.
02
Talk about the limits
PRP and BMAC may help selected patients, but they do not guarantee cartilage regrowth or erase the need for surgery in every case.
03
Compare the alternatives
The visit should compare therapy, bracing, medications, injections, arthroscopy, replacement, or waiting when appropriate.
Bring if you have it
Bring MRI reports and injury notes if you have them
Write down the date of injury and what happened
List sports, work demands, and activity goals
Tell us about swelling, locking, or giving-way episodes
Why I ask for the story
Better records usually lead to a better first conversation.
Bring the history, images, and questions you already have. That helps us spend the visit on the part that matters: what is causing the problem, what choices are reasonable, and what timing fits your health, work, family, and travel needs.
Questions
Straight answers before you call.
Does every ACL tear need surgery?
No. It depends on instability, age, activity goals, associated injuries, and what you need the knee to do.
Can every meniscus tear be repaired?
No. Repair depends on tear pattern, tissue quality, blood supply, arthritis, and symptoms.
Where do PRP or BMAC fit?
They can be discussed for selected problems, but diagnosis comes first. They are not a shortcut around a mechanical problem.
Related pages
Next step
You do not have to figure this out before you call.
Dr. Morton's team can help sort symptoms, imaging, options, travel needs, and timing so the path forward feels more concrete. Mahalo for trusting us with the next step.
Online booking in about a minuteHMSA, Medicare & other major plansHonolulu · West Oahu · Hilo · KonaTelehealth for neighbor islands
Written for patients by the practice
Orthopedic guidance should be clear enough to help you make a real decision.
Dr. Paul Norio Morton created Joint Replacement Hawaii to help patients understand hip pain, knee pain, arthritis, sports injuries, robotic joint replacement, revision surgery, injections, and recovery before they come in for a visit.
