- We strive to provide complete care for our patients. Learn more about all the services we provide.
You are using an outdated browser. Please upgrade your browser to improve your experience.
Regenerative medicine is an emerging branch of medicine with the goal of restoring organ and/or tissue function for patients with serious injuries or chronic disease. A growing crisis in chronic pain in our active and aging population have driven a search for new and alternative therapies beyond painkillers, steroids, and surgery. Something that can actually address the root of the problem, not just cover it up.
Regenerative medicine holds the promise to create and repair parts of our bodies damaged due to age, injury or disease. Areas like arthritic knees, damaged spinal discs, or painful hips that are resistant to other treatments. One area of regenerative medicine involves the use of "Stem Cells" which have the power to naturally regenerate damaged tissues with may restore function not just mask pain.
Our office has been on the forefront of regenerative injection treatments as one of its early adopters. Our team of orthopedic specialists has been able to give some patients relief who have otherwise been disabled due to pain. While this is by no means a miracle it does hold promise to improve the lives of patients who have been told that surgery or pain medications are their only choice.
There are different types of stem cells, many of which hold great promise for tomorrow, and others that are being used today including "Adult Stem Cells". Adult stem cells are the repair cells that our bodies use to mend wounds and heal ourselves. Adult stem cells have been shown to be effective for treating a wide variety of diseases, including some orthopedic and neurologic diseases. Adult stem cells can be safely collected in the office from various sources in the human body, such as fat, peripheral blood, and bone marrow. Once they are collected they can be transferred to the area of need through the simple non-invasive process of an injection.
There are two main methods of obtaining adult stem cells for use, one is from one's own fat and one from bone. For stem cells from bone, the area of skin over the side of the iliac crest, an area near the belt line is numbed. Once the skin is numbed, the deeper structures are also anesthetized including the surface of the bone where a needle is then gently introduced. The clinician then samples a small quantity of blood from the bone marrow (know as "Bone Marrow Aspirate Concentrate"). This is then "spun down" in a special centrifuge to isolate and concentrate the stem cells along with other important substances for healing. This procedure, done entirely in the office on the same visit, can obtain hundreds of thousands of stem cells which can then be precisely injected back into the problem area. This begins the bodies own repair process.
The second method of obtaining stem cells is through the process of sampling a small amount of abdominal fat in a "mini-liposuction" type procedure. Fat is a rich source of stem cells and can be minimally processed in a way to obtain a composite of tissue and cells that include adult stem cells. Much like the bone procedure, the concentrated material is then injected into the area of tissue damage such as the knee, hip or the spine to help reduce pain and improve function. These injections are done using real-time ultrasound and x-ray imaging (fluoroscopy) to guide the stem cell placement with pinpoint accuracy.
Right now the world of stem cell therapy is exploding with new orthopedic advancements all the time. Many of the procedures have not yet been FDA approved* but there has been exciting success using stem cells to treat some cases of chronic joint pain (like knee, hip, ankle, foot, elbow, hand, shoulder), chronic neck and lumbar spine pain (like degenerative disc disease, disc herniations, sacroiliac joint pain), and ligament and tendon injuries (rotator cuff tears, Achilles tendon issues, tennis elbow). We are even used stem cell therapy to help patients recover faster from traditional orthopedic surgeries so they get can get back to activities faster. It seems the potential usefulness appears to grow as we learn more how to use these amazing cells.
Many clinicians are just starting to experiment with stem cell therapies while we have been using these and other regenerative treatments for over 10 years. Not only do we have extensive experience, we utilize treatment procedures that can increase our success rate even further. Techniques such high-resolution ultrasound imaging that give us a real-time way to guide injections to the root cause of the patient's problem. This is a major breakthrough over "blind" injection techniques. Not only can we see where the target area, we can use ultrasound imaging at the exact time of the treatment to ensure better success. Another option is real-time X-ray guidance when ultrasound is not enough. In summary, our board-certified doctors have both the experience, the access to the most advanced imaging systems to get you better faster.
* Note: The only stem cell-based products that are FDA-approved for use in the United States consist of blood-forming stem cells (hematopoietic progenitor cells) derived from cord blood. These products are approved for limited use in patients with disorders that affect the body system that is involved in the production of blood (called the “hematopoietic” system). Bone marrow also is used for these treatments but is generally not regulated by the FDA for this use. All medical treatments have benefits and risks, but unproven stem cell therapies can have known and unknown risks. Potential known complications include: Administration site reactions, the ability of cells to move from placement sites and change into inappropriate cell types or multiply, failure of cells to work as expected, growth of tumors, and risk of contamination of the cells. Even if stem cells are your own cells, there are still safety risks such as those noted above. Source: FDA.gov/ Stem Cell Treatment Warnings / Updated November 2017
Now accepting new patients
You saved me - without you I could never have completed my book. You are a true healer in every sense of the word. Thanks for being there when I needed it the most!!
Dr. Drew DeMann is the best doctor in the world. I couldn’t have completed the New York City Marathon without him. He is part of my All-Star team.