Patients frequently ask how the physicians at StemCell ARTS stand out from other physicians performing regenerative procedures. A recent chapter written by Dr. Mayo Friedlis and Regenexx founder, Dr. Chris Centeno, provides evidence to help answer that question. Dr. Friedlis and Dr. Centeno co-wrote a chapter for the Physical Medicine and Rehabilitation Clinics of North America journal focusing on regenerative medicine. Specifically, this chapter focuses on how to perform a better bone marrow aspiration.
Bone marrow aspirations are a crucial step in the stem cell procedure process offered at StemCell ARTS. The stem cell series of injection is a three step process completed during span of 7-10 days. There is one injection every 2-5 days. The second visit of the series is the stem cell procedure. The patient comes to the office in the morning for the stem cell aspiration. This procedure typically takes about an hour. It takes approximately two hours to process the sample and the patient returns to the office that same day for the reinjection of the stem cells into the injured area. The reinjection can take anywhere from 30 minutes to one hour. Performing a successful and efficient bone marrow aspiration is essential to promoting the best possible sample for reinjection. Factors that StemCell ARTS physicians utilize to perform a better bone marrow aspiration includes the use of guidance, both fluoroscopic and ultrasound, newer techniques to help yield higher stem cell counts, patient preparation, proper equipment, and numerous other considerations.
When contemplating stem cell treatment for an injury or disorder of the spine or joints, it is important to ensure that the physician is applying proper techniques. The alternative could include a subpar bone marrow aspiration that would result in a less than optimal reinjection sample. If a patient is going to incur the cost and the commitment to undergo a stem cell procedure, the physicians at StemCell ARTS make sure they have the technology and skills to create the best experience for the patient and offer the best chance for success following the procedure. If you are thinking about stem cell treatment for your musculoskeletal injuries, consider StemCell ARTS and a physician who literally “wrote the book” on the topic.
When beginning the process of researching regenerative treatment options, patients can be presented with an overwhelming amount of information. This information can often result in more questions. Am I a candidate for regenerative therapies? How can these therapies help treat my condition? What can I do to help make my treatments more successful? Luckily, StemCell ARTS is able to help provide patients with a one-stop-shop to help patients get these questions answered. Dr. Chris Centeno, founder of Regenexx, created a guide that explains how Regenexx is pioneering the new field of Interventional Orthopedics, where the use of regenerative biologic treatments, such as adult stem cell therapy and platelet rich plasma, are being used to help repair and strengthen damaged tissues. Utilizing a vast amount of internal data and research, the Orthopedics 2.0 book helps patients better understand their own conditions and how regenerative therapies can play a rital role in their recovery.
You might be asking yourself, “how do I get my hands on this great book?” StemCell ARTS is here to help. Next time you’re in the office, ask the staff for your own copy to take home with you. Looking for more information before scheduling your consultation? We have provided a link below to download your own free digital copy. Happy Reading!
For those interested in getting involved in an exercise routine, it is hard not to come across the world of CrossFit. Over the past couple years, there has been a significant increase in this fitness regime that combines resistance and aerobic exercise. Unfortunately, CrossFit often gets a bad rap due to its perceived propensity to cause injury. Shoulder injuries are particularly common due to the athletes performing snatches and other complex overhead movements. Typically, when one sustains shoulder injuries, such as rotator cuff tears, the first visit is to a surgeon. Research has shown that surgery may not be the answer. Fortunately, StemCell ARTS offers patients suffering from shoulder injuries an alternative to treating their shoulder conditions, while avoiding invasive surgical procedures.
Why is this so important to CrossFit athletes? Or anyone, for that matter?
Avoiding surgery also allows the patient to avoid the downtime and recovery that is typically associated with shoulder surgery. Patients are able to get back to the activities that they love, sooner than the patients who undergo surgical procedures. For CrossFit athletes, this means getting back in the gym faster and the ability to keep improving on their fitness. For patients outside of CrossFit, they are able to continue their day to day activity, without much interruption following a regenerative procedure.
Below, you will find a link to an article that features a CrossFit athlete treated by one of the physicians at StemCell ARTS. Bill, a high-level CrossFit athlete was able to avoid surgery to repair his rotator cuff by electing to proceed with the stem cell procedure offered at StemCell ARTS. Click the link below to read more about how Bill is doing following his stem cell procedure and learn more about why shoulder surgery may not be the way to go.
Regenerative therapies are gaining more and more popularity within multiple modalities of the health care field. Orthopedic practices, in particular, are seeing an increase in patients due to professional athletes sharing their experiences with stem cells and platelets for treatment of sports injuries and orthopedic conditions. With orthopedic surgeons, sports medicine professionals, etc. offering regenerative therapies, how does a patient determine which practice is best?
At StemCell ARTS, we use the Regenexx method of processing to produce, what we believe, is the most concentrated and pure version of stem cell and platelets to inject at the patients’ site of injury. What does the Regenexx method of processing mean? Most practices utilizing regenerative therapy as a form of treatment use machines called “bedside centrifuges” to process the regenerative samples. These samples can be full of red and white blood cells and only produce a concentration of 5-7x the concentration found in the human body. By processing the samples by hand, StemCell ARTS is able to produce a pure sample, free of red and white blood cells. We can also increase the concentration to much higher levels.
Not only is Regenexx and StemCell ARTS ahead of the game when it comes to the processing of regenerative therapies, but are also responsible for over 33% of all published articles regarding regenerative therapies. Regenexx is a research consortium that combines the knowledge and experience of over 30 physicians across the country. Regenexx researchers compile this information to consistently examine and improve the method of processing and injection of regenerative therapies.
The video below includes commentary from Dr. Chris Centeno, founder of Regenexx, and describes how the idea of utilizing regenerative therapies for interventional orthopedics came to fruition. By understanding the story behind Regenexx, we hope that patients will see what sets Regenexx-affiliated clinics, like StemCell ARTS, apart from the rest!
A condition commonly known as “Tennis Elbow”, lateral epicondylitis develops as a result of overuse of the muscles in the forearm. Simple daily activities such as repeated lifting, twisting or gripping can cause inflammation of the tendons and occasionally result in a series of small tears, generating significant pain.
The elbow joint is comprised of three bones joining the upper arm with the lower forearm. This joint is supported by surrounding muscles, tendons and ligaments. As the inflammation increases, the pain can become severe and limit daily activities. Traditionally, to combat the pain, patients turn to over-the-counter anti-inflammatories or corticosteroid injections. While these measures may temporarily reduce the pain, they can also slow down the healing process. As the body’s ability to heal the area becomes inhibited, the inflammation can no longer be reduced, resulting in chronic elbow pain.
New regenerative treatments use a patient’s biological material to heal lateral epicondylitis. A recent study has found that patients suffering from elbow pain reported a significantly larger improvement in pain following a PRP injection, as opposed to a cortisone injection. Following the Regenexx PRP protocol, whole blood is drawn from the patient and isolated in the onsite lab; removing all of the contaminating red and white cells. From there, the platelets are concentrated and injected into the joint where the growth factors attract repair cells to the site of injury and start the healing process. Usually, within 2-3 sessions, patients experience an improvement in pain and function. Patients are able to return to normal activity without undergoing invasive surgery.
Cervical spine (neck) pain is a common condition, suffered by many people. Whether it’s spinal stenosis, a disc herniation, or simply overexertion, the pain can become debilitating and lead to long term suffering. The cervical spine is a vulnerable structure that is comprised of joints and ligaments, working together to support the head. Its susceptibility to injury can result in a number of conditions causing spasm, headaches, or shooting pains. Finding the source of the pain is the first step, since damage in one area can affect many supporting systems. In the majority of cases, cortisone injections can help in the management of neck pain. In other patients, surgical intervention may be recommended. However, there are those who suffer from severe or chronic pain who have exhausted conservative treatment measures, or still have pain post surgery, and are left searching for an alternative solution.
Newly developed biological treatments have provided an opportunity for chronic pain sufferers to experience a long-lasting, natural solution to their neck pain. Regenerative treatments, such as Platelet Rich Plasma (PRP) or Platelet Lysate, contain highly concentrated growth factors from a patient’s own blood to attract repair cells and initiate the body’s healing process. In some cases, Prolotherapy, a concentrated solution of Dextrose and anesthetic can be used in conjunction with the platelet procedures, or on its own. Prolotherapy helps stimulate the body’s natural ability to strengthen ligaments and tendon surrounding the cervical spine. The regenerative treatments offered by the physicians at StemCell ARTS can offer relief to patients looking for a solution to their chronic neck pain.
Slipman CW, Jackson HB, Lipetz JS, Chan KT, Lenrow D, Vresilovic EJ. Sacroiliac joint pain referral zones. Arch Phys Med Rehabil 2000;81:334-8. Objective: To determine the patterns of pain referral from the sacroiliac joint. Study Design: Retrospective. Participants/Methods: Fifty consecutive patients who satisfied clinical criteria and demonstrated a positive diagnostic response to a fluoroscopically guided sacroiliac joint injection were included. Each patient’s preinjection pain description was used to determine areas of pain referral, and 18 potential pain-referral zones were established. Outcome Measures: Observed areas of pain referral. Results: Eighteen men (36.0%) and 32 women (64.0%) were included with a mean age of 42.5 years (range, 20 to 75 yrs) and a mean symptom duration of 18.2 months (range, 1 to 72 mo). Forty-seven patients (94.0%) described buttock pain, and 36 patients (72.0%) described lower lumbar pain. Groin pain was described in 7 patients (14.0%). Twenty-five patients (50.0%) described associated lower-extremity pain. Fourteen patients (28.0%) described leg pain distal to the knee, and 6 patients (14.0%) reported foot pain. Eighteen patterns of pain referral were observed. A statistically significant relationship was identified between pain location and age, with younger patients more likely to describe pain distal to the knee.Conclusions: Pain referral from the sacroiliac joint does not appear to be limited to the lumbar region and buttock. The variable patterns of pain referral observed may arise for several reasons, including the joint’s complex innervation, sclerotomal pain referral, irritation of adjacent structures, and varying locations of injury with the sacroiliac joint. © 2000 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation
Osgood Schlatter’s Disease (OSD) is very common in young adolescents, affecting millions of young people a year, and represents damage to the tendon to cartilage connection on the bony prominence just below the knee cap. If it does not respond quickly to sports limitation, it often leads to substantial alteration of sports ability/participation for a year or more, affecting career development, athlete confidence and self-esteem development and peer relationships for the young athlete. It also causes chronic pain and sports limitations even in adulthood in a substantial number of athletes as well as an obvious deformity. The OSD study that Dr. Reeves designed and published in conjunction with primary author Gaston Topol in Argentina was directed toward investigating the potential to cure OSD early, to decrease the above consequences.
View the study here: http://www.aaomed.org/Osgood-Schlatter-Disease