Orthopedic surgeon in Rio de Janeiro · Ipanema and Largo do Machado(21) 97136-0040 · RQE 20287
Dr. Daniel Ramallo – Orthopedic Surgeon

Biologic Therapies in Orthopedics: indications and what science shows

Biologic therapies use components from the body itself, such as platelet-rich plasma (PRP), to stimulate tendon healing and modulate inflammation in joints. It is an evolving field in which indication must be careful.

  • RQE 20287
  • 474+ reviews on Doctoralia
  • Ipanema and Largo do Machado
Joint injection during orthopedic treatment
Example
Platelet-rich plasma (PRP)
Origin
The patient's own blood
Indications
Selected tendinopathies and osteoarthritis
Evidence
Varies by condition

What biologic therapies are

They are treatments that use biological substances obtained from the patient, processed and applied at the injury site. The best-known example is PRP (platelet-rich plasma): a small blood sample is collected, platelets, rich in growth factors, are concentrated and the product is injected into the tendon or joint.

The goal is to favor a healing environment and reduce inflammation. Cell medicine is a growing field in orthopedics, the subject of a news report in which Dr. Daniel Ramallo took part (see interviews).

Illustration of knee, skeleton and spine, main areas of orthopedics

When they may be considered

Scientific evidence varies by disease, preparation technique and protocol. Therefore, the indication is made with transparency about expected benefits and limitations.

How the procedure is done

It is outpatient: blood collection, preparation of the material in sterile conditions and application at the indicated site, with ultrasound guidance when needed. The whole process takes about an hour. The patient may have mild pain or swelling in the first days, and improvement, when it occurs, is gradual over weeks.

Care and limits

Biologic therapies do not replace physical therapy, strengthening and control of the factors that caused the injury. They also have indications and limits set by medical rules and health authorities. In the consultation the doctor explains whether they are indicated in your case and what alternatives exist.

Important notice: This content is for information only and does not replace a medical consultation. Diagnosis and treatment depend on an individual evaluation.

Frequently asked questions

Common questions about Biologic Therapies

Does PRP work?

In some conditions, such as certain tendinopathies and mild to moderate osteoarthritis, studies show favorable results, but response varies between patients. The indication is therefore individual.

Is there a risk of rejection?

Since the material comes from the patient, the chance of an allergic reaction is low. The main risks are those of any puncture, such as pain and infection, minimized with proper technique.

Can I combine biologic therapy and viscosupplementation?

In some cases treatments can be combined, according to the orthopedist's evaluation.

How many sessions are needed?

It varies by condition and protocol. Some indications need a single application; others, a series. The doctor defines the scheme.

474+ reviews on Doctoralia

What patients say

Verified reviews on Doctoralia (in Portuguese)

★★★★★
“Demonstra um domínio científico que nos deixa seguros quanto ao diagnóstico. Atende aos nossos questionamentos com atenção e clareza nas explicações.”
CGPatient · via Doctoralia · Jul 2026
★★★★★
“Médico excelente, muito atencioso e paciente. Explicou o meu problema com clareza e tirou todas as minhas dúvidas sem pressa.”
AZPatient · via Doctoralia · Jul 2026
★★★★★
“MARAVILHOSO! Super dedicado! Avaliou com atenção, explicou o diagnóstico e tratamentos possíveis. Realmente um profissional experiente e dedicado! Merece o título de referência na área!”
Fernanda MeirelesPatient · via Doctoralia · Apr 2026

Testimonials reflect each patient's individual experience and do not guarantee results.

Dr. Daniel Ramallo, orthopedist and traumatologist
Who will take care of you

Dr. Daniel Ramallo

Orthopedist trained in Physical Therapy and Medicine, with a postgraduate degree in Human Biomechanics from UFRJ, a medical residency at the National Institute of Traumatology and Orthopedics (INTO) and sub-specialty training in orthopedic trauma surgery and complex joint reconstruction.

He is General Coordinator of the Orthopedics and Traumatology Department at Hospital São Lucas de Copacabana, Adjunct Professor at IDOMED, holds a master's degree from INTO and is a member of SBOT, SBTO and AAOS. He was also Medical Director of the Deborah Colker Dance Company.

  • Joint reconstruction fellowship, Harborview Medical Center (Seattle, USA)
  • Specialist title from SBTO (Orthopedic Trauma)
  • Master of Science, INTO
  • Full member of SBOT

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