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MFAT Injections

At FoRM Health, located in Portland, Oregon, we specialize in providing cutting-edge regenerative medicine treatments that provide lasting relief and enhance overall function for patients dealing with chronic injuries or joint pain. One of our most advanced options is MFAT (Micro-Fragmented Adipose Tissue) injections containing stem cells.

When conservative approaches are not sufficient to address musculoskeletal conditions, we may consider regenerative injections that contain stem cells to help stimulate a healing response. While PRP (Platelet-Rich Plasma) is well-established and effective for many conditions, MFAT injections may be a better option for more advanced cases, such as moderate to severe arthritis, meniscal tears, or substantial partial tendon tears. MFAT can also be combined with PRP for an even stronger regenerative potential.

What is MFAT?

MFAT stands for Micro-Fragmented Adipose Tissue, a minimally processed form of fat tissue rich in mesenchymal stem cells (MSCs), growth factors, and bioactive molecules. This unique composition makes it an ideal regenerative medicine treatment for repairing and regenerating damaged tissues.

Adipose tissue is an abundant source of stem cells and contains essential components like the extracellular matrix, which supports cell survival, growth, and healing. The cellular matrix plays a crucial role by:

  • Providing structural support to tissues
  • Acting as a scaffold for new tissue growth
  • Enhancing cellular communication and coordination for healing

The MFAT Injection Process

When MFAT is injected into a damaged ligament, tendon, joint, or fat pad, your body’s own fat can help promote healing and repair. The process involves:

  1. Harvesting: A small amount of fat tissue is gently removed from areas like the abdomen, flank, or gluteal region via a mini-liposuction procedure.
  2. Processing: The harvested fat is processed using a specialized system* to concentrate the healing components while maintaining the natural structure of the fat tissue.
  3. Injection: The concentrated MFAT is injected into the target area using advanced imaging techniques such as ultrasound, ensuring precise delivery of the cells and supporting tissue matrix.

*FoRM Health in Portland Oregon currently uses the FDA-cleared miniTC device for MFAT preparation in a same-day, sterile procedure. Since fat, stem cells, and other molecules are taken from the same person being treated, the risk of complications and tissue rejection is minimal.

The Advantages of MFAT Injection Therapy

MFAT injection therapy is more than just a stem cell treatment. In addition to stem cells, MFAT also contains:

  • Extracellular Matrix (ECM): A natural scaffold that helps support tissue repair and regeneration.
  • Vascular Components: Promotes blood flow and tissue oxygenation, aiding in healing.
  • Growth Factors: Proteins that stimulate tissue repair and reduce inflammation.
  • Pericytes: Cells that help support the blood vessels and further enhance the tissue repair process.

This combination of elements provides not only stem cells but also an entire regenerative environment that supports long-term healing and tissue repair.

Conditions Treated with MFAT Injections

MFAT is used to address a wide range of musculoskeletal conditions, including:

  • Osteoarthritis: Common in the knees, hips, and shoulders but also beneficial for facet joints, ankles, thumbs, and more
  • Tendon Injuries: partial tears of the rotator cuff, Achilles tendon, or more advanced cases of tennis elbow or similar tendon damage
  • Ligament Injuries: Partial tears and chronic sprains
  • Meniscal and Labral Injuries
  • Chronic Joint Pain: Often related to degenerative conditions, cartilage deficits, or past injuries

Benefits of MFAT Injection Therapy

  • Minimally Invasive: Requires a simple outpatient procedure with minimal downtime.
  • Comprehensive Healing: Combines stem cells, growth factors, and the extracellular matrix for a multi-faceted healing approach.
  • Uses Your Own Tissue: Reducing the risk of rejection or complications.
  • Long-Term Relief: Patients often experience sustained pain relief and improved joint function over time.
  • Natural Support for Tissue Repair: The matrix and vascular components help create a supportive environment for cell survival and repair.
  • Stem Cell Viability: Adipose stem cells don’t seem to lose viability as we age compared to other sources, such as bone marrow

Who is a Good Candidate for MFAT?

MFAT is an ideal option for patients looking to treat joint pain, injuries, or degenerative conditions without undergoing surgery.* Suitable candidates include:

  • Those with osteoarthritis and joint degeneration
  • Individuals recovering from sports injuries involving partial tendon or ligament tears, or chronic tendonitis
  • Certain cartilage deficits
  • Patients seeking alternatives to surgery for joint or ligament damage.

*Note: Certain orthopedic conditions absolutely require, or would better be addressed by, surgical intervention. We require a comprehensive intake, exam, and imaging before considering MFAT injections in our Portland clinic.

Why Choose FoRM Health for MFAT?

At FoRM Health, we specialize in regenerative medicine. Our Portland, Oregon, clinic offers advanced therapies like MFAT, which contains stem cells, PRP, and prolotherapy. Our skilled physicians use ultrasound imaging and precision techniques to ensure optimal delivery of the healing components. We personalize every treatment plan to address your specific condition, whether working with our in-house rehab team or coordinating with your preferred physical therapist post-procedure, helping you achieve the best possible outcomes for recovery.

Interested in MFAT Injections?

Schedule with Dr. Ryan Minarik, ND
Can’t wait? Schedule a Thursday appointment with FoRM Resident Dr. Jessica Binshaieg, ND (supervised by Dr. Ryan)

To learn more about MFAT injection therapy and how this treatment can benefit you, contact FoRM Health today. Our team is here to help you navigate your options for a pain-free, active life.

FDA Disclaimer

Micro-Fragmented Adipose Tissue (MFAT) Injections are processed and administered in accordance with the FDA’s guidelines under 21 CFR Part 1271 as a Human Cells, Tissues, and Cellular and Tissue-Based Product (HCT/P). The MFAT procedure involves minimal manipulation of your own adipose tissue and is intended for homologous use, meaning it is used to support the repair, replacement, or reconstruction of damaged tissues.

It is important to note that while MFAT injections are permitted for certain applications under these guidelines, they have not been specifically evaluated or approved by the U.S. Food and Drug Administration (FDA) for the treatment of orthopedic conditions or joint pain. This therapy is used based on clinical judgment, supported by emerging research and patient outcomes.

Supportive Studies (not comprehensive)

  • Meta-Analysis of Adipose Tissue Derived Cell-Based Therapy for the Treatment of Knee Osteoarthritis: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8228374/
  • Microfragmented Adipose Tissue Injection (MFAT) May Be a Solution to the Rationing of Total Knee Replacement: https://pubmed.ncbi.nlm.nih.gov/34211557/
  • Autologous and micro-fragmented adipose tissue for the treatment of diffuse degenerative knee osteoarthritis: https://sdomg.com/wp-content/uploads/2018/09/Autologous-and-micro-fragmented-adipose-tissue-for-the-treatment-of-diffuse-degenerative-knee_Russo_2017.pdf
  • Microfragmented Adipose Tissue Injection (MFAT) May Be a Solution to the Rationing of Total Knee Replacement: A Prospective, Gender-Bias Mitigated, Reproducible Analysis at Two Years: https://www.hindawi.com/journals/sci/2021/9921015/
  • Comparison of the Effect of MFAT and MFAT + PRP on Treatment of Hip Osteoarthritis: https://pubmed.ncbi.nlm.nih.gov/35207329/
  • Is intra-articular injection of autologous micro-fragmented adipose tissue effective in hip osteoarthritis? A three year follow-up: https://pubmed.ncbi.nlm.nih.gov/36302901/
  • Functional Outcomes Following Microfragmented Adipose Tissue Versus Bone Marrow Aspirate Concentrate Injections for Symptomatic Knee Osteoarthritis: https://stemcellsjournals.onlinelibrary.wiley.com/doi/full/10.1002/sctm.18-0285
  • Autologous Microfragmented Adipose Tissue for the Treatment of Knee Osteoarthritis: Real-World Data at Two Years Follow-Up: https://www.mdpi.com/2077-0383/11/5/1268/pdf
  • Functional Outcomes Following Microfragmented Adipose Tissue Versus Bone Marrow Aspirate Concentrate Injections for Symptomatic Knee Osteoarthritis. https://stemcellsjournals.onlinelibrary.wiley.com/doi/10.1002/sctm.18-0285
  • Regenerative Repair of Damaged Meniscus with Autologous Adipose Tissue-Derived Stem Cells. https://www.hindawi.com/journals/bmri/2014/436029/
  • The role of adipose-derived mesenchymal stem cells in knee osteoarthritis: a meta-analysis of randomized controlled trials. https://journals.sagepub.com/doi/10.1177/1759720X221146005
  • Osteoarthritis of Knee Managed with Allogeneic vs Autologous MSCs: Efficacy and Safety Analysis: https://pubmed.ncbi.nlm.nih.gov/36507199/
    Long-Lasting Anti-Inflammatory Activity of Human Microfragmented Adipose Tissue: https://www.hindawi.com/journals/sci/2019/5901479/ (in vitro)
  • Autologous Micro-Fragmented Adipose Tissue as Stem Cell-Based Natural Scaffold for Cartilage Defect Repair: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6923561/ (rat)
  • San Diego Orthobiologics website study summary: https://sdomg.com/fat/

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Services Menu

Orthopedics

  • PRP Injections
  • MFAT Injections
  • Prolotherapy
  • Sports Acupuncture & Dry Needling
  • Chiropractic
  • Physical Therapy
  • Shockwave Therapy
  • Massage Therapy
  • MSK Ultrasound
  • Ultrasound-Guided Nerve Hydrodissection

Functional Medicine

  • IV Nutritional Therapy
  • Neurofeedback
  • Acupuncture
  • Nutrition
  • Hormone testing & Functional Labs
  • Massage Therapy

Aesthetics

  • Age Defy Aesthetic Memberships
  • PRP + PRF Skin Rejuvenation
  • PRP + PRF Hair Restoration
  • Injectables
  • Cosmetic Laser
  • Advanced Aesthetic Care
  • Clinical Skincare

We Love Our Patients

“As a self-declared sun-worshiper it is fair to say I had significant sun damage and my face just looked older than my years. I started working with Dr. Herman and O’Brien Cox and the results have been amazing! At a party I was asked if I changed my hair because I looked 10 years younger but I can assure you it was not my hair. These two talented professionals will change your life …or at least your face. I promise you, you won’t regret the investment. I am beyond thrilled.”

–Age Defy Member

“I have loved participating in the Skin Rehab Program! I received 3 treatments per month customized to meet my skin care needs and goals.  With consistent treatments and home care, my skin is smoother, much more even skin tone (fewer dark spots and redness), firmer, and glows.  It just looks so much healthier!  I’m so happy with the results!”

–Look Better Member

“I am fairly new to acupuncture and dry needling and I cannot tell you how lucky I feel to have found THE Trusted Authority when it comes to these modalities. The experience at FoRM has been consistently amazing from beginning to end. I have not been able to stop sharing my experience and the benefits of going to see Dr. Minarik and his team with everybody that I know. They truly listen, are incredibly knowledgeable, candid and they set you up for longtime success/relief.”

–Sports Acupuncture Patient

So thankful for (Dr.) Paul Molina, his help every week has helped keep me together as a professional athlete. Very professional and overall a great person and friend. Would definitely recommend to anyone and everyone.

–Professional Athlete

Dr Kai Herman and her staff are amazing!  I have been under Dr Herman’s naturopathic care for years. I fully trust Dr Herman with my medical needs and when I heard she was doing PRP facials, I knew I could also trust her with my face/skin care needs. The procedure itself was seamless and done in a comfortable, relaxed setting.  The downtime was minimal.  The results were impressive.  I noticed tighter, firmer skin and an improved complexion.  This will definitely be part of my anti-aging skin care routine!

–PRP Skin Rejuvenation Patient

Acupuncture and Chinese Medicine used to be a place I would turn when my primary care provider was unable to address my concerns. After seeing Natasha, I now think of her first.

 

–Natasha’s patient

“Hilary is very thoughtful and a great listener when providing a customized solution. I was new to acupuncture and she was patient and communicative. She really cares for her patients. I’d recommend her to anyone.”

–Acupuncture Patient

“Dr. Herman thoughtfully and thoroughly addressed all of my concerns and recommended testing and treatments my PCP has never mentioned. I look forward to continuing my care with her.”

–Functional Medicine Patient

“Dr. Minarik is incredibly knowledgable. He’s been helping me for the last year and he’s top notch. I’ve been impressed with his understanding of both eastern and western treatment options.”

–Dry Needling & PRP Injections Patient

“Dr. Minarik is very skilled and knowledgeable about prp and prolotherapy. He is very thorough and precise in his treatments. He has a very good bedside manner with patients and explains his findings and treatments very thoroughly.”

–Orthobiologic Injections Patient

“Dr. Herman is amazing! I completed 2 laser resurfacing treatments and am loving the results. Many friends and family members have commented on how great my skin looks! Thanks, Dr. Herman!”

–Aesthetics Patient

READY to FEEL Better?

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🍂 Fall at FoRM is here — and we've been busy. New 🍂 Fall at FoRM is here — and we've been busy.

New services. New equipment. New Membership. A very special announcement!

Here's what's new 👇

📊 SECA Body Composition Analysis
Your scale only tells you how much you weigh. SECA tells you what that weight is made of — muscle, fat, visceral fat + water. It's MRI-validated and trusted by leading hospitals.
👉 First analysis just $40 through October.

✨ The Laser Membership — Officially Launched
Summer's over. Your skin is ready for a reset. For $280/month, choose IPL for sun damage + discoloration, or Laser Hair Removal to get ready for next summer. 30 minutes every month, and you pick the treatment.

👶 Welcome, Charlotte Rosa!
Congratulations to Dr. Paul + Katie on the arrival of their first daughter 💛 Dr. Paul is back seeing patients October 7th.

💧 Coming Soon: An Elevated IV Experience at FoRM
A redesigned room, new chair + a calmer space to recharge and recover. Stay tuned.

Feel Better. Move Better. Look Better. 🌿
📲 Book through the link in bio.

#FoRMHealth #seca #BodyComposition #LaserHairRemoval #ipl
We’ve got a new machine coming online for our pati We’ve got a new machine coming online for our patients! 👀 

The SECA medical body composition scale is a precise look at your body composition including muscle mass, fat percentage, fat mass, water components & more. We want to reframe your health journey from only weight loss to finding your healthiest + strongest body composition! The SECA machine will help us tailor your treatment plans even more specifically to your needs. Another way we support you in feeling + moving better. 💪 💪 @seca_usa 

We’ll have the SECA available in October. Give us a call or DM us for more info!! 📞 503-232-5653

#bodycomposition #feelbetter #movebetter #seca #healthiswealth #functionalmedicine #formhealthpdx #feelstronger
Moving Better starts with personalized care that c Moving Better starts with personalized care that considers your individual needs. FoRM Health offers chiropractic services designed to support mobility, reduce pain, & improve overall function. Our sports chiropractor focuses on rehabilitation as much as he focuses on soft-tissue work and manual therapy. 

Link in Bio to our website: https://formhealthpdx.com/

#sportschiropractor #movebetter #orthopedicmedicine #rehabilitation #injuryrecovery #functionalmedicine #formhealthpdx #portlanchiropractor
Prolotherapy is a regenerative injection therapy f Prolotherapy is a regenerative injection therapy for acute injuries + chronic pain caused by various musculoskeletal conditions like sprains, back pain, + joint instability. Prolo involves injecting diluted sugar solution into damaged tendons & ligaments to stimulate your body's natural healing process. Prolotherapy can also act as a natural pain reliever! It can be an absolute gamechanger in your recovery getting back to what you love most. 🏄🏌️‍♀️🏂

Link in bio to learn more! #prolotherapy #regeneratuivemedicine #movebetter #nonsurgicalorthopedics #formhealthpdx #feelbetter #naturopathicmedicine #injuryrecovery
Nagging pain? Old injury hanging around much too l Nagging pain? Old injury hanging around much too long? We offer non-surgical regenerative medicine options including PRP injections, prolotherapy, trigger point injections, hydro dissection in addition to orthopedic care like physical therapy, chiropractic, shockwave therapy, dry-needling, acupuncture, + more! Come see us so we can get you back to doing what makes you feel best!! 🏌️‍♀️🚴🏄‍♀️

Link in Bio to learn more! https://formhealthpdx.com/.

#movebetter #orthopedicmedicine #functionalmedicine #functionalmovement #rehab #injuryrecovery #regerativemedicine #nonsurgicalorthopedics #healthiswealth #strength #athletes #sportsmedicine
Goodbye, summer — you were a good one. ☀️ Celebra Goodbye, summer — you were a good one. ☀️

Celebrating the season’s end with a photo dump of the highlights:

World Cup soccer⚽️ 4th of July Fireworks 
🎇Music fests 🎸 & garden parties
Long afternoons with a book📚. 
Berry-picking 🫐🍓& Coastal sunsets
Family time, nature hikes 🥾& summer-time sports 🏌️‍♂️
Christmas in July at FoRM 🎄

Our providers soaked up every last minute — & we’re carrying that warmth into fall. 🍂

Welcome, Autumn….Grounded mornings. Steady routines. A perfect season to restore & reset. 

#FoRMhealth #movebetter #feelbetter #summervibes #pnwsummer
Arthritis is a common problem that keeps people fr Arthritis is a common problem that keeps people from moving. At FoRM Health, our mission is to help you overcome the obstacle of pain that limits activities. Between chiropractic care, physical therapy, and our regenerative injections therapies, we'll get you back to doing what you love, pronto! 💪🏃‍♀️💪 #arthritis #regenerativemedicine #movebetterfeelbetter #orthopedicmedicine #arthritissolutions #injuryrecovery #chronicpain #nonsurgicalorthopedics
Recovery looks different for everyone! & the right Recovery looks different for everyone! & the right support can help you move forward with confidence + a very efficient game plan to get you back to doing what makes you feel best 💪 

FoRM Health offers physical therapy designed to support mobility, strength, function, + recovery based on YOUR individual needs and goals. Visit our website to learn more. https://formhealthpdx.com/
Aging is a privilege! The goal is to feel well whi Aging is a privilege! The goal is to feel well while doing it. At FoRM Health, we have so many therapies to help you thrive in every decade. 🌻

From regenerative injections for arthritis to PRF for hair restoration to bio-identical hormone replacement, let us help you be your best self for decades to come! ✨✨

#feel better #lookbetter #movebetter #hormonehealth #hormonereplacementtherapy #regenerativemedicine #naturopathicmedicine #sellwoodmoreland #formhealthpdx
You just got hurt — now what? 🏃‍♀️ A hard cut on You just got hurt — now what? 🏃‍♀️

A hard cut on the court. A missed step off a curb. A deadlift that felt fine until it didn’t. However it happens, the first steps you take after an acute injury can make or break your recovery. Here’s FoRM’s 4-step framework ⬇️

🧊 Step 1 — 24 -72 hours post-injury
Skip RICE, try PEACE. 

Prevent further damage, Elevate, Avoid anti-inflammatories, Compress & Educate yourself on active recovery. Total rest & constant icing can actually blunt the healing your body needs to kick off.

🩺 Step 2 — Week 1
Get a diagnosis, not a guess. 

Book an orthopedic exam with one of our sport-specific NDs — Dr. Ryan, Dr. Brittany or Dr. Jessica — the sooner the better. They’ll help you formulate a comprehensive and appropriate conservative care recovery plan.

💪 Step 3 — Weeks 1 - 4
Be consistent with your care plan. 

Acute injuries heal well with the right support — PT, manual therapy, acupuncture +/or shockwave — to manage pain, restore range of motion & rebuild strength before it becomes chronic.

🎯 Step 4 — Not improving after a month? 
Consider Regenerative Injection Therapy.

Give conservative care 4–6 weeks. If it’s not clicking, it’s time to talk regenerative injection therapy — PRP or Prolotherapy — to stimulate a stronger tissue healing response at the injury site.

An acute injury doesn’t have to become a chronic one. The difference is usually just having a plan.

📅 Book your orthopedic exam — link in bio 

#FoRM #MoveMore #MoveBetter #SportsMedicine #InjuryRecovery
A lot of little stress reducing, metabolism boosti A lot of little stress reducing, metabolism boosting, confidence building, strength increasing habits really add up! These are some of the things your FoRM providers do to help themselves feel & move better as we all enjoy the privilege of aging. 

🌺 Bubbles Baths
🌺 Walking Pups
🌺 Sprint Training 
🌺 Learning New Things 
🌺 Infrared Sauna 

What are you currently using to feel better & stronger with age?? Let us know 👇 

#agewell #feelbetter #movebetter #lookbetter #naturalmedicine #healthiswealth #functionalmedicine #lessstress #reducestress #braingain #agestrong
Newly injured? 😩... These 4 steps will get you on Newly injured? 😩... 
These 4 steps will get you on the road to recovery!

- First 24 - 72 hours: PEACE not RICE. Protect, Elevate, Avoid Anti-inflammatories, Compress + Educate. 
- 1-2 weeks: schedule an orthopedic exam with Dr. Ryan, Dr. Brittany, or Dr. Jessica.
- Next 4-6 weeks, follow your recovery plan: Physical Therapy, Shockwave, Acupuncture, +/or Body Work.
- If you're not improving within the month, consider regenerative injection therapy with PRP or Prolotherapy.

#movebetter #form

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