Orthopedic Regenerative (Stem Cell) Therapy Orthopedic Stem Cell therapy is an innovative way to use stem cells from your own body to treat your back or painful orthopedic ailments of knees, hips, shoulders, feet, or ankles. The goal of this out-patient procedure is to help you attain pain-free movement and heal faster.Stem Cell Therapy is not indicated for everyone. At your first visit, the medical staff begins with a history including the review of any test results (MRI, x-rays, blood tests) you may have. If you are not a good candidate for Stem Cell Therapy we will discuss other treatment options with you. If we determine that you are a good candidate for the therapy, we will answer any question you may have and explain how stem cell therapy works and what will happen throughout the process. What are stem cells and how do they heal? Stem Cells are produced in bone marrow and stored in abdominal fat pad. Stem cells have the remarkable potential to develop into many different cell types in the body. They serve as an internal repair system, dividing without limit to replenish other cells. When a stem cell divides each new cell has the potential to remain a stem cell or become another type of cell with a more specialized function (i.e. muscle cell, red blood cell, brain cell, ligament, tendons, cartilage etc). Stem cells can be induced to become a tissue or divide to repair and replace worn out or damaged tissue. What is Stem Cell Therapy indicated for? Stem Cell Therapy is an ideal non surgical alternative for those who suffer from: Mild and moderate osteoarthritis of ankle, knee, hip, spine (lumbar, thoracic, cervical), shoulder, elbow, wrist, TMJ… Partial Achilles tendon tear or laxity Partial ligaments tears: ACL, PCL, MCL and LCL of the knees Partial Meniscal tears Augment to ACL, PCL reconstruction Muscle strain and sprain Labral tear of hip and shoulders Avascular necrosis without femoral head collapse Degenerative Disk Disease Partial Rotator Cuff tears of the shoulders Lateral and Medial Epicondylitis of the elbows Wrist and Hands degenerative conditions Hair loss, baldness or weakened hair follicles for both men and women Why do we use both fat / adipose tissue and bone marrow? Recently, specialists have begun to utilize the potential of autologous adipose (fat)-derived from adult stem cells within non-manipulated fat graft structure, combined with high-density PRP concentrates to provide a potent biological therapeutic combination. With high levels of platelet-derived growth factors and cytokines, this combination provides both a living bioscaffold and a multi-potent cell replenishment source useful for enhanced musculoskeletal healing.Fat is a complex tissue that is not only easiest to harvest, but offers markedly higher nucleated, undifferentiated stem cell counts. This procedure can be done in the office. It is a safe, and sterile procedure that just takes a few hours. We perform this procedure on anyone who needs build up of cartilage due to osteoarthritis and many other joint, ligament, and tendon problems. This treatment using adipose (fat)and bone marrow stem cells from one’s own body because there no risk of disease transfer, no risk of rejection or allergic reaction. Recent studies have shown the greatest success by combining stem cells from both fat and bone marrow. This is now our standard procedure. What is the stem cell treatment process? Stem Cells are extracted by a form of liposuction from abdominal fat pad and hip bone by marrow aspiration. Both are done by unfer local anesthetic, with minimal discomfort. These cells are processed, concentrated and injected into the injured areas. The entire procedure takes about 3-4 hours. How long is the repair process? Stem cell therapy is a repair process which usually takes 2-3 months, but improvement is typically noted before then. Approximately 4-6 weeks after the stem cell injection, the procedure is repeated. These injections allow the stem cells to continue growing and multiplying into cartilage tissue. If I am thin, will I be able to get enough stem cells from the liposuction procedure? Yes. In fact healthier people may have more stem cells per cubic centimeter (cc) of fat than people in poor health. Will it hurt? And how long is the recovery time? We use only local anesthetic for the liposuction procedure, which is a tiny incision in your abdomen. The incision may be a bit sore, but most people can go about their daily lives immediately after the procedure. How often do I need to get it done? We found the ideal frequency to perform these procedures is every 4-6 weeks, which depends on severity of the condition, and the patient’s rate of healing. Are there any side effects? Since we use the patient’s own stem cells there is no risk of disease transfer, rejection, or allergic reaction. People who have reactions to needles from the anesthetic or IV may have their usual symptoms. Speak with our doctor about this before the procedure. Is there anything that can augment my results? We provide an analysis of the patient’s nutrition and other factors that will support maximum healing response to the procedure. How long does the treatment last? Depending on the nature of one’s disease and one’s overall health, the length of benefit can be months to years. The stem cells don’t stop working, but one’s lifestyle can augment or detract from the treatment. When will I start to notice results? Some people begin to feel results immediately, although it is more likely that it will take a few days or even weeks to begin to see significant effects on your health or to feel your symptoms lessen. You can expect more energy within 2-3 weeks and for deeper structural problems to improve, it may take 6-8 weeks.We, at American Stem Cell Center, worked with a number of high profile athletes and professional non-athletes over the years, getting back into action without the recovery, rehabilitation and extensive downtime required with surgery. Call 718-544-1444 today for a free 15 minute consultation to inquire how we can help you get on the road to a healthy, productive and pain-free lifestyle.