Send us Fan MailSteroid injections can feel like a miracle for joint pain, until you ask what they might be doing to the joint itself. We sit down with Dr Thomas Buchheit, founder of Triangle Regen Medicine and Biologic Centre in North Carolina, to unpack why orthobiologics and regenerative medicine are so often misunderstood and why the next chapter of musculoskeletal care may be about harnessing inflammation rather than suppressing it. We talk through the “immune cascade” that follows injury and how that framework helps make sense of platelet-rich plasma (PRP), stem cell therapy claims, and newer approaches such as the Regenokine programme. Dr Buchheit explains why he focuses on restoring tissue function, why exercise is one of the most regenerative tools we have, and why repeated corticosteroid injections and heavy NSAID use can clash with long-term healing goals. You’ll also hear the practical, patient-side details that rarely make it into marketing: how he uses MRI and ultrasound to teach people what’s actually happening in their knee, shoulder, tendon or nerve; why dosing matters in PRP; and what “quality control” can look like when clinics measure platelet counts and aim for repeatable biological signals. We also go behind the scenes on building a regenerative medicine practice outside the insurance system, the real business lessons, and the challenge of patient education in a noisy field. If you want clearer answers on regenerative medicine, orthobiologics, PRP dosing, exosomes and osteoarthritis treatment options, this conversation will help you ask better questions and set better expectations. Subscribe, share with someone weighing steroids or surgery, and leave us a review with your biggest takeaway.Guest BiographyDr Thomas Buchheit is the founder of Triangle Regen Medicine & Biologics Center in Chapel Hill, North Carolina. A former Duke physician and specialist in interventional pain medicine, he has dedicated his career to advancing regenerative medicine and orthobiologics.His work focuses on helping patients restore joint, tendon and nerve function by harnessing the body's natural healing mechanisms through treatments such as platelet-rich plasma (PRP), Regenokine and other regenerative therapies.Dr Buchheit is also the author of Healing Joints and Nerves, a book that translates the science of regenerative medicine into practical, patient-friendly language while exploring the immune system's central role in healing.Website: https://www.triregenmed.comLinkedIn: https://www.linkedin.com/in/thomas-buchheit-a1063a4/Book: https://amzn.eu/d/09a2rMa4About Dr Andrew GreenlandDr Andrew Greenland is a UK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. With dual training in conventional and root-cause approaches, he helps individuals optimise health, performance, and longevity — with a focus on cognitive resilience and healthy ageing.Voices in Health and Wellness features meaningful conversations at the intersection of medicine, lifestyle, and human potential — with clinicians, scientists, and thinkers shaping the future of care.💌 Join the mailing list for new episodes and exclusive reflections: https://subscribe.voicesinhealthandwellness.com

Ask this episode

“What did the council decide on item 42?” — answered with the speaker and the moment.

Transcript

Related