Bone Marrow Aspirate Concentrate (BMAC)
Supporting Healing with Your Body’s Own Regenerative Cells
Bone Marrow Aspirate Concentrate (BMAC) is an advanced regenerative medicine treatment that uses specialized cells and growth factors obtained from your own bone marrow to support the body’s natural healing processes.
While BMAC delivers more biological horsepower than platelet-rich plasma (PRP,) Dr. Nahas will assess and recommend the best approach for each individual patient. hen a comprehensive evaluation suggests joint or tissue degeneration, PRP delivers the growth factors that stimulate tissue repair, a BMAC procedure delivers the cells that will do the work.
What Is BMAC?
Bone Marrow Aspirate Concentrate is created by collecting a small amount of bone marrow—most commonly from the iliac crest – the back of the sit bone—and processing it into a small amount of fluid that contains concentrated regenerative cells and growth factors, an orthobiologic medicine with the potential to rebuild damaged tissue. .
The concentrated solution is then precisely injected into the targeted tissue, under ultrasound guidance when appropriate.
How Does Hydrodissection Work?
Healthy nerves are designed to glide smoothly as we move. Following surgery, injury, repetitive strain, or inflammation, scar tissue and surrounding tissues can sometimes restrict that normal movement. This may contribute to ongoing pain or abnormal nerve signaling.
Hydrodissection works by gently separating the nerve from these surrounding tissues using fluid delivered under ultrasound guidance.
Depending on your condition, the injected solution may include saline, local anesthetic, dextrose, or other medications selected as part of your individualized treatment plan.
Conditions That May Benefit From BMAC
- Persistent post-surgical pain
- Joint arthritis
- Cartilage injuries
- Ligament injuries
- Tendon injuries
- Chronic musculoskeletal pain
- Certain nerve-related conditions
- Sports injuries
- Delayed tissue healing
Why should I choose Dr. Nahas for my BMAC procedure?
Rather than treating symptoms alone, Dr. Richard Nahas incorporates BMAC as part of an individualized treatment plan designed around the underlying causes of each patient’s condition. As part of your BMAC procedure, Dr. Nahas will deliver stem cells to the target tissue, and he will also use palpation-guided neural therapy to treat sensitized nerves and restrictions in fascia along the entire myofascial chain.
This unique approach helps to realign all the tissues affecting that joint, allowing pain-free movement and ensuring the best possible outcome. If you are considering a BMAC procedure and looking for the right provider, this unique approach makes Dr.. Nahas a logical choice.
Why Ultrasound Guidance Matters
Whenever appropriate, BMAC is performed using real-time ultrasound guidance to ensure precision and personalize treatment. This not only ensures that the BMAC is delivered into the joint space, but also allows it to be delivered to the specific areas in the tendon or cartilage that need it most.
- Visualize the target tissue
- Improve placement accuracy
- Avoid nearby nerves and blood vessels
- Tailor treatment to your unique anatomy
What to Expect
- A comprehensive evaluation is completed.
- A small amount of bone marrow is collected under sterile conditions.
- The sample is processed to concentrate regenerative components.
- The treatment area is evaluated using ultrasound.
- The BMAC is injected into the targeted tissue.
- You receive personalized post-procedure instructions.
Most patients return home the same day.
Recovery After BMAC
Recovery After BMAC
- Visualize the target tissue
- Improve placement accuracy
- Avoid nearby nerves and blood vessels
- Tailor treatment to your unique anatomy
BMAC as Part of a Comprehensive Treatment Plan
BMAC is one of several regenerative tools that may be incorporated into your care plan.
- Neural Therapy
- Hydrodissection
- Platelet-Rich Plasma (PRP)
- IV Lidocaine
- BodyMap Assessment
- Movement and rehabilitation strategies
Frequently Asked Questions
Is BMAC safe?
Because the concentrate comes from your own bone marrow, the risk of allergic reaction is very low. As with any procedure, potential risks and benefits will be reviewed during your consultation.
Will I need more than one treatment?
Treatment recommendations vary depending on your diagnosis, goals, and response. For severe osteoarthritis and your goal is to avoid joint replacement (arthroplasty) surgery, you may need a series of orthobiologic treatments to achieve your desired outcome.
Is the bone marrow collection painful?
Local anesthetic is used to improve comfort during the bone marrow aspiration. When done correctly, you should feel lots of pressure, but little or no pain.
When will I notice results?
Healing s gradual, with improvement often occurring over several weeks or months.
Is BMAC covered by insurance?
Coverage varies. Our office will discuss anticipated costs before treatment.
Why Dr. Nahas Uses BMAC
Dr. Nahas does not recommend BMAC simply because it is available. He considers it when a your evaluation indicates that orthobiologic treatment is appropriate for you. He will use it to rebuild and regenerate damaged tissues as part of a broader, personalized treatment strategy. BMAC is used thoughtfully alongside other therapies when appropriate—not as a one-size fits all solution.
Schedule a Consultation
If you’ve been living with persistent pain related to osteoarthritis, tissue damage or degeneration, BMAC may be an option worth exploring. Schedule a consultation with Dr. Richard Nahas to determine whether Bone Marrow Aspirate Concentrate is appropriate for your condition.
Related Conditions
- Post-Surgical Pain
- Joint Pain
- Tendon Injuries
- Ligament Injuries
- Scar Pain
- Chronic Musculoskeletal Pain
Related Treatments
- Platelet-Rich Plasma (PRP)
- Hydrodissection
- Neural Therapy
- IV Lidocaine
- Ultrasound-Guided Injections
- BodyMap Assessment







