Glossary of Medical Terms

Definitions of key terms in orthopedics, spinal neurosurgery, and regenerative medicine. Each term includes a link to a detailed page.

A

Adipose Tissue (Fat)

Fat tissue — source of mesenchymal stem cells for Lipogems®. Contains 500x more MSCs per volume than bone marrow.

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Angiogenesis

Formation of new blood vessels. Key regeneration process — without blood supply, tissue cannot heal. CGF stimulates angiogenesis via VEGF.

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Arthrodesis

Surgical joint fusion (immobilization). Used for severe SI joint or ankle OA. MIBRAR® is an alternative to arthrodesis.

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Arthroscopy

Minimally invasive surgery through 5mm incisions with a camera. For degenerative conditions, often no more effective than placebo (NEJM 2013).

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Arthrosis (Osteoarthritis)

A degenerative joint disease in which the articular cartilage breaks down. Manifests with pain, stiffness, and limited mobility.

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Autologous

From the same patient. All MIBRAR® preparations are autologous — rejection and allergy risk eliminated.

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Avascular Necrosis

Death of bone tissue due to disrupted blood supply. Most commonly affects the femoral head.

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B

BMAC (Bone Marrow Aspirate Concentrate)

Bone marrow aspirate concentrate containing mesenchymal stem cells. Harvested from the iliac crest under local anesthesia.

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BMAC (Bone Marrow Aspirate Concentrate)

Concentrated bone marrow aspirate containing 2-5 million MSCs + hematopoietic cells + BMP. Harvested from the iliac crest.

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BMP (Bone Morphogenetic Protein)

Growth factor that stimulates new bone formation. Found in BMAC and CGF.

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Bone Marrow Edema (BME)

Bone marrow swelling visible on MRI (STIR sequence). Precursor of avascular necrosis. Treated with BMAC + CGF injection.

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Bursitis

Inflammation of the synovial bursa — a fluid-filled sac that reduces friction between joint tissues.

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C

Carpal Tunnel Syndrome

Compression of the median nerve in the carpal tunnel. Manifests with finger numbness, tingling, and grip weakness.

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Cartilage (Hyaline)

Smooth tissue covering joint surfaces. 2-4mm thick. No blood vessels or nerves. Cannot self-regenerate — needs MSC stimulation.

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CGF (Concentrated Growth Factors)

An autologous concentrate of growth factors obtained from the patient's venous blood. Contains platelets, cytokines, and CD34+ stem cells. The core component of the MIBRAR® method.

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Chondrogenesis

Formation of new cartilage tissue. Goal of regenerative therapy in OA. Lipogems® MSCs differentiate into chondrocytes.

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Chondromalacia

Softening and destruction of articular cartilage. Classified into 4 grades — from superficial softening to full-thickness defect.

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Collagen

Main structural protein of connective tissue. Type II — cartilage, Type I — tendons and bones. CGF stimulates collagen synthesis.

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Core Decompression

Surgical procedure for AVN — drilling a channel into the necrotic zone to relieve pressure. MIBRAR® supplements it with stem cell injection.

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Cortisone (Glucocorticosteroid)

Powerful anti-inflammatory drug. Effect lasts 2-6 weeks. Repeated injections destroy cartilage (JAMA 2017). Max 3 injections per joint.

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Coxarthrosis

Arthrosis of the hip joint. One of the most common indications for joint replacement, which can be replaced by the MIBRAR® method.

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Cruciate Ligaments (ACL, PCL)

The anterior (ACL) and posterior (PCL) cruciate ligaments provide stability to the knee joint. ACL tear is a common sports injury.

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CT Navigation

Real-time computed tomography for precise spinal injection delivery. Used for MIBRAR® intradiscal injections.

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Cyber Navi Hand™

MIBRAR® proprietary navigation system for ultra-precise delivery of regenerative preparations into discs and joints.

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D

Degenerative

Related to wear and aging of tissues (not traumatic). Degenerative diseases: osteoarthritis, osteochondrosis, disc degeneration.

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Disc Degeneration

Loss of height and hydration of intervertebral disc. Pfirrmann classification I-V. Stages II-III — indication for MIBRAR® intradiscal therapy.

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Disc Protrusion

The initial stage of herniation — disc bulging without rupture of the annulus fibrosus.

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Dupuytren's Contracture

Fibrous thickening of the palmar aponeurosis leading to flexion contracture of the fingers.

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E

Endoprosthesis (Artificial Joint)

Implant replacing a destroyed joint. Lifespan 15-20 years. MIBRAR® is an alternative for grade 2-3 OA to preserve your own joint.

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Epidural Injection

Injection into the epidural space of the spinal canal. MIBRAR® uses CGF instead of cortisone for regenerative effect.

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Extrusion (Disc Herniation)

Protrusion of the nucleus pulposus beyond the annulus fibrosus with its rupture. A more advanced stage than protrusion.

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F

Facet Syndrome

Pain syndrome caused by arthrosis of the facet (zygapophyseal) joints. A common cause of chronic back pain.

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Fascia

Connective tissue sheath covering muscles and organs. Fascial inflammation is a source of chronic pain. CGF restores fascia structure.

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FBSS (Failed Back Surgery Syndrome)

Chronic pain after spinal surgery. Occurs in 10-40% of operated patients. MIBRAR® helps in 65-75% of cases.

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Fibrin

Blood clotting protein forming a mesh scaffold. In CGF, it creates a 3D matrix holding growth factors at the injection site for 7-14 days.

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Frozen Shoulder (Adhesive Capsulitis)

Inflammation and thickening of the shoulder joint capsule, leading to severe restriction of movement and pain.

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G

Gonarthrosis

Arthrosis of the knee joint. Affects up to 30% of people over 60. Manifests with pain during walking, crepitus, and knee swelling.

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Growth Factors

Signal proteins stimulating cell division and differentiation. PDGF, TGF-?, VEGF, BMP, FGF — key factors in CGF and BMAC.

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H

Hallux Valgus (Bunion)

Deformity of the first metatarsophalangeal joint with lateral deviation of the big toe.

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Heel Spur

A bony growth on the calcaneus. Pain is caused not by the spur itself but by inflammation of the plantar fascia (plantar fasciitis).

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Herniated Disc

Protrusion or prolapse of the nucleus pulposus compressing nerve roots. Causes pain, numbness, and weakness in extremities.

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Hyaluronic Acid

Component of synovial fluid providing joint lubrication. HA injections are temporary (6-12 months). MIBRAR® stimulates your own HA production.

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I

Immunomodulation

Regulation (not suppression) of immune response. Lipogems® MSCs modulate inflammation — suppress pathological without weakening protective.

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Impingement Syndrome

Pinching of soft tissues (tendons, bursa) between bony structures during movement. Most commonly affects the shoulder and hip.

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Intradiscal

Inside the intervertebral disc. MIBRAR® intradiscal injection delivers CGF+Lipogems® directly into the damaged disc under CT guidance.

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L

Labrum (Joint Lip)

Fibrocartilage ring at the edge of the joint socket (hip, shoulder). Labral tears are an indication for MIBRAR® instead of arthroscopic repair.

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Lipogems®

Technology for obtaining mesenchymal stem cells from the patient's subcutaneous fat tissue. Fat tissue contains 1000 times more stem cells than bone marrow.

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Lipogems®

Italian system for mechanical processing of adipose tissue without enzymes. Preserves MSC niche (15-20 million per procedure). Fully legal in the EU (not ATMP).

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M

Meniscus

A cartilage «cushion» in the knee joint (medial and lateral). Absorbs load and stabilizes the joint. Meniscus tears are one of the most common knee injuries.

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Meniscus

C-shaped cartilage in the knee (medial and lateral). Shock absorber and stabilizer. Partially regenerates with MIBRAR® for red zone tears.

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MIBRAR® (Micro-Invasive Biological Regenerative Autologous Reconstruction)

A regenerative treatment method for spine and joints developed by Prof. Dr. med. Arsen Babayan. Uses the patient's own cells (CGF + Lipogems®) to restore damaged tissues through 0.3–1.5 mm micro-punctures.

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Micro-Invasive

Procedure through puncture (no incision). All MIBRAR® methods are micro-invasive — 1-3mm puncture, no sutures, no general anesthesia.

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MRI (Magnetic Resonance Imaging)

Gold standard for soft tissue visualization (cartilage, discs, ligaments, menisci). Radiation-free. Required for MIBRAR® planning.

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MSC (Mesenchymal Stem Cells)

Precursor cells that can differentiate into cartilage, bone, fat, muscle. Sources: adipose tissue, bone marrow, umbilical cord.

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N

Neovascularization

Formation of new vessels in the damaged zone. Critically important for AVN. VEGF from CGF triggers capillary growth.

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O

Orthobiologics

Branch of orthopedics using biological preparations (PRP, CGF, BMAC, Lipogems) for musculoskeletal treatment. MIBRAR® is a European orthobiologics leader.

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Osteochondrosis

Degenerative-dystrophic disease of intervertebral discs with subsequent involvement of vertebral bodies, ligaments, and joints.

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Osteogenesis

Formation of new bone tissue. Important for AVN and fractures. BMAC contains osteogenic progenitor cells.

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P

Pfirrmann Classification

MRI disc degeneration scale (grades I-V). I — normal disc, V — complete destruction. MIBRAR® effective at grades II-III.

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Platelet

Blood cell containing over 800 bioactive molecules (growth factors, cytokines). The basis of PRP therapy.

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Prolotherapy

Injection of irritant solution (dextrose) into ligaments to stimulate healing. Precursor to modern regenerative therapy. MIBRAR® uses CGF instead.

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Proteoglycan

Cartilage molecule retaining water (provides elasticity). In OA, proteoglycan levels decrease — cartilage dries and cracks.

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PRP (Platelet-Rich Plasma)

Platelet-rich plasma obtained from the patient's blood by centrifugation. Contains growth factors but in lower concentration than CGF.

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PRP (Platelet-Rich Plasma)

Platelet-rich plasma obtained by centrifuging 15-30ml of blood. Basic regenerative medicine method. No stem cells.

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R

Radiculopathy

Nerve root damage (usually from disc herniation). Causes pain, numbness, weakness in the limb along the nerve path.

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Regeneration

Restoration of damaged tissue to original state (not scarring). MIBRAR® goal — true regeneration of cartilage, discs, ligaments.

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Rotator Cuff

A group of 4 muscles and tendons stabilizing the shoulder joint. Rotator cuff tear is a common cause of shoulder pain.

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Rotator Cuff

Group of 4 muscles and tendons stabilizing the shoulder joint. Partial tears (Grade I-II) treated with MIBRAR® without surgery.

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S

Sacroiliac Joint (SI)

Paired joint between sacrum and pelvis. Source of 15-25% of chronic lower back pain. MIBRAR® regenerates the SI joint ligament apparatus.

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Scaffold

Three-dimensional structure for cell growth. In CGF — fibrin matrix serves as scaffold. In Lipogems® — preserved adipose stroma.

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Sciatica

Pain along the sciatic nerve (buttock > posterior thigh > calf > foot). Causes: disc herniation, stenosis, piriformis syndrome.

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Sciatica (Radiculopathy)

Pain along the sciatic nerve — from the lower back through the buttock to the leg. Usually caused by a disc herniation or stenosis.

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Spinal Stenosis

Narrowing of the spinal canal compressing the spinal cord or nerve roots. Causes pain, weakness, and neurogenic claudication.

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Spinal Stenosis

Narrowing of the spinal canal causing leg pain while walking (neurogenic claudication). MIBRAR® reduces inflammation and edema in the stenosis zone.

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Spondylolisthesis

Slippage of a vertebra relative to the one below. May cause compression of neural structures and spinal instability.

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Stroma

Supportive tissue structure (collagen and cell framework). In Lipogems®, adipose stroma is preserved — the natural niche for stem cells.

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Subchondral

Located beneath cartilage. Subchondral edema — early sign of necrosis. Subchondral fracture — stage 3 AVN.

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SVF (Stromal Vascular Fraction)

A mixture of stem cells, endothelial cells, and growth factors obtained from adipose tissue by enzymatic method.

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SVF (Stromal Vascular Fraction)

Cell concentrate from adipose tissue obtained enzymatically (collagenase). In the EU requires ATMP licensing.

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Synovial Fluid

Fluid inside the joint providing lubrication and cartilage nutrition. MIBRAR® restores synovial fluid composition in OA.

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Synovitis

Inflammation of the synovial membrane with excessive fluid formation (effusion). A sign of arthrosis, injury, or autoimmune process.

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T

Tendinopathy

Chronic tendon damage (degeneration, not inflammation). CGF stimulates Type I collagen synthesis for tendon repair.

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Trigger Point

Painful muscle knot causing referred pain. Multiple trigger points in fibromyalgia. CGF injection resolves spasm and inflammation.

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Tumescent Anesthesia

Local anesthesia method: infiltrating large volume of diluted anesthetic. Used for fat harvesting in Lipogems®. Safer than general anesthesia.

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U

Ultrasound-Guided

Needle insertion under real-time ultrasound control. Ensures precise targeting of joint, tendon, or nerve without radiation.

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V

VEGF (Vascular Endothelial Growth Factor)

Key stimulator of angiogenesis. Found in CGF. Critically important for AVN treatment.

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Viscosupplementation

Hyaluronic acid injection into joint to restore lubrication. Temporary effect (6-12 months). MIBRAR® is a long-term alternative.

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W

White Zone (Meniscus)

Inner meniscus portion without blood supply. White zone tears don't self-heal. MIBRAR® can stimulate regeneration in 60-70% of cases.

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