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Regenerative Medicine and Orthopedics

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Regenerative Medicine and Orthopedics

Dr. Alicia Carter is an award-winning, TOP DOCTOR specializing in spine, sports and regenerative medicine.

With over 20 years of experience, Dr. Carter is one of the most seasoned and respected specialists in the country.

10/03/2025

This athletic 30-year-old female came to me with a 4-year history of from and , that had not improved with prior extensive treatment including, physical therapy, medications, chiropractic, acupuncture, trigger point injections, heat, ice, massage, and exercise.

Solution: after taking a deep dive into her lifestyle history, we identified her pain triggers and eliminated them. I did an intradiscal injection, and a epidural. I also targeted her arthritic with PRP. The next step was a structured exercise program, including exercises that would be beneficial for her lifestyle and her scoliosis. I identified and then eliminated the exercises that she was previously doing that were causing more harm than good.

Outcome: At the time of her 8-week follow up she was 98% improved and met her treatment goals of being able to live without daily pain and to return to the peloton bike, Pilates, and rollerblading.

If you or someone you know has not been able to find a solution for their back pain, text my office 305-680-3527 and we can see if PRP is right for you!

12/26/2024

To be granted the opportunity to fulfill one’s livelihood dream is a privilege.

Practicing non-surgical orthopedics would not be a possibility without patients who entrusted me with their care, colleagues who had the confidence to refer their own patients to me, and knowledgeable mentors who guided me throughout my journey as a physician.

I humbly express my sincere gratitude. I wish nothing but the safest and happiest of holidays to you and your loved ones. May God bless you!

12/12/2024

has transformed the way I treat patients with chronic when physical therapy, steroid injections and other treatments fail. , when done by a skilled with expertise in , is a great . More and more studies are supporting PRP for back pain and .

In this disc with is about 5 BILLION platelets hard at work releasing growth factors, reducing inflammation, stimulating collagen production and reducing pain. The procedure is safe and takes about 1-2 hours without the downtime of surgery. Combining these with lifestyle changes and a targeted exercise program, many of my patients finally get their lives back.

Save & share this post with your friends or loved ones with chronic back pain.

10/21/2024

Congrats to the NY Liberty on their FIRST WNBA Championship! 🏆🏆🏆

It has been such a transformational year for women’s basketball and for women’s sports. These amazing athletes shatter ceilings and expand opportunities for all young girls with a dream.

05/29/2024

Always cool when doctors choose you as their doctor. Thank you Dr. Barbara Sewerin (internal medicine), for the privilege!

If you haven’t been satisfied with your , reach out to my office!

05/15/2024

Not all sports doctors are the same.

Many doctors who say they practice “Sports Medicine” are NOT board-certified.

What does it mean to be board certified in Sports Medicine? It means getting accepted to and completing an extremely competitive Sports Medicine fellowship training program, dedicating much of your practice to treating spine and sports injuries, dedicating most of your annual continuing medical education to spine and sports, passing a demanding Sports Medicine exam every 10 years.

I aced my recertification exam last year and received my updated certificate in the mail a few months ago. Do you want the doctor treating your injury to be board-certified? YES or NO? Leave a comment – I would love to know if it matters to you!

04/16/2024

Time to do some healing….with PRP.

In this syringe is approximately 12 billion platelets. Recent research supports high-dose PRP (platelet rich plasma).

Unfortunately, most PRP systems in use by health care providers do not generate PRP with high platelet counts. Most patients will end up receiving PRP that will not work that well, if at all or will need multiple treatments to get better.

If you are considering PRP, important questions to ask include: the expected platelet concentration? the volume? the estimated total platelet count? that you will be receiving. Ask how many treatments you will need. When PRP it’s done properly, there is no reason to need series of treatments done within a short time frame.

90-95% of my patients get better with a single injection of high-dose PRP - they don’t need repeat treatments. If they do need repeat treatments, it’s not until years later. Visit my website for more PRP information (link in bio).

04/04/2024

Another year, another honor!

What does it mean to be a Castle Connolly Top Doctor?

This award is granted to the top 7% of physicians who are nominated by other doctors, based on the premise – who would you go to if you needed care?

Then the selection committee, which is also comprised of physicians, review the nominees, and choose the top doctors based on several high-standard criteria. You cannot pay to be on the list…you must be chosen.

Thank you to all my peers who feel that I am worthy of the honor. To all my patients – I strive every day to be a top doctor in your eyes as well!

03/29/2024

Yet, another study supporting higher-dose PRP (platelet rich plasma)!

It is fascinating to see the advances in our knowledge as to how this cutting-edge treatment WORKS when done with proper dosing. Not all PRP is the same.

This review looked randomized-controlled trials (the highest level of evidence) with at least a minimum of 6-month follow up. Studies in which the patients had statistically significant positive response to PRP were separated from those without a significant improvement. The average platelet doses for studies with positive outcomes in the PRP group were compared to those without positive outcomes.

Positive outcomes were seen in studies where patients received platelet doses more than 5 billion platelets. Studies with patients with no significant improvement in outcome had an average platelet those of only 2.2 billion.

This study highlights the variations in the way that PRP is done and why some studies may show a negative response. The dose MATTERS. This is why I now ONLY offer high-dose PRP to ALL my patients for ANY condition, not just arthritis.

If you have an injury, condition or pain that has not gotten better with traditional treatments or PRP dome elsewhere, reach out to my office and I will be happy to review your options with you, including high-dose PRP. Our contact information is in bio.

12/25/2023

On this Christmas, please allow me to offer my sincere wishes to my patients and healthcare colleagues for the happiest of holidays. From the bottom of my heart, Merry Christmas, Happy Hanukkah, Happy Kwanzaa, and Happy New Year!

Remember to spread the love this season. Our world needs a lot more love and a lot less hate. Thank you for the privilege of your trust and I look forward to seeing you in the New Year!

11/14/2023

- AKA lateral epicondylitis - Most people who have tennis elbow do not play tennis. Furthermore, it is not a tendinitis, but rather a tendinopathy or tendinosis, where the normal collagen architecture is replaced by unhealthy tissue. It’s caused by chronic overuse or misuse by using faulty biomechanics of the common wrist extensor muscles.

- An MRI or ultrasound can help with the diagnosis most of the time, but sometimes these tests are normal. A good sports medicine doctor should be able to diagnose this based on just a history and physical exam.

- Next, fix the biomechanics. This doesn’t mean just doing exercise videos that you find online. It means rehabilitating the entire kinetic chain in the upper body and upper extremity.

- Release any soft tissue restrictions in the area with a therapeutic massage, a Graston tool, or by injecting a little bit of fluid into the area.

- Other common treatments include anti-inflammatory medications, bracing, and steroid “cortisone” injections. These treatments often provide on temporary relief. Steroid injections have been associated with tendon rupture and worsening of the condition.

- If these treatments fail and you need to get back in the game sooner than later, consider a (PRP) platelet rich plasma injection. Honestly, scientific studies show mixed results with this treatment. In my opinion the mixed results are due to 4 factors: a misdiagnosis, failure to address the underlying cause, PRP that has not been properly done, and lack of a proper post injection rehab program.

- In my 15 years of experience in doing PRP injections, when PRP is done properly for tennis elbow, ONE injection should be all you need (not a series of injections that are sometimes recommended).

- If you have tennis elbow and haven’t had success with your treatments – give me a call and I’ll be happy to give you a complete treatment plan that can help.

10/24/2023

Interest in medical stem cell therapy is booming. Although the phrase “stem cells”, is often used, the procedure involves grafting a small amount of body tissue that contains stem cells – usually the pelvic bone marrow, which is known as bone marrow aspirate; or from a small amount of fat from the abdomen or flank, which is known as lipoaspirate or autologous fat. The bone marrow or fat can then be injected into the target tissue to heal an injury, to treat arthritis or for cosmetic purposes (facial rejuvenation).

Here are some questions you should ask a doctor before trying these treatments.

• Where will the bone marrow or fat tissue be taken from? The highest concentration of bone marrow stem cells is found in the back part of the pelvic bone. Fatty tissue in the lower abdomen or flank are best for tissue grafting.

• Will the fat or bone marrow be combined with PRP? PRP can be added to enhance the efficacy of the tissue graft.

• Who will be processing the tissue graft once it is extracted? Only a licensed physician should be handling the tissue graft from start to finish.

• What are the available studies for use with my condition and what are the success rates? Your doctor should be upfront with you about this.

• How long have you been doing this type of procedure and what is your success rate? Experience matters of course. See a doctor who has at least 5 years of experience in doing this type of procedure.

If you have additional questions about these stem cell tissue grafting procedures, save this post and reach out to us 305-680-3527!

Address

4770 Biscayne Boulevard , Suite 1100
Miami, FL
33137

Opening Hours

Monday	9am - 3pm
Tuesday	9am - 3pm
Wednesday	9am - 3pm
Thursday	9am - 3pm
Friday	9am - 3pm

Telephone

+13056803527

Website

https://www.miamispineandsportsdoctor.com/

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