Regenerative medicine encompasses a wide menu of options and combination of options best suited to your problem. Below are some examples of the various options and combinations available at the Regenerative Medicine Specialists. Our doctors can help you chose the right treatment option for you and your circumstances. In office, same day.
Stem cells exist throughout our bodies and are normally in a dormant, resting state but with the potential to activate and differentiate. When necessary, they are capable of differentiating into almost any type of body cell required, depending on local conditions and signaling molecules (cytokines and growth factors) present. They also produce and release a myriad of signaling proteins themselves which attract and activate other stem cells, increase blood flow, and promote regeneration and proper healing. When a lizard loses its tail, these are the types of cells responsible for growing it back. Stem cells can be found in the circulating blood and local tissues but are especially concentrated in the bone marrow and fat. In particular, mesenchymal stem cells (MSCs), which are prone to becoming cells that produce connective tissues like bone, cartilage, tendon, and ligament are found in the highest concentrations in the fat. Hematopoietic stem cells, on the other hand, are more prevalent in the bone marrow. Both types are important for tissue healing and play different roles which we will not belabor here. The central point is that stem cells can heal chronic injuries and degeneration that are causing pain and disability. Our doctors can help you decide which treatment option is best for you and your circumstances.
Lipoaspirate concentrate is obtained under local anesthesia in our office setting. It is not painful but requires more skill and time than simple venipuncture for PRP and therefore is more expensive.
Bone marrow aspirate concentrate (BMAC) is also obtained under local anesthesia in our office setting. Sometimes a special x-ray machine called a fluoroscope is used to help guide the extraction device, but is often times not required. BMAC extraction is not painful, but is more time consuming and requires more skill than PRP and lipoaspirate and therefore is more expensive as well.
Stromal Vascular Fraction (SVF) is obtained from the patient in almost the same way as lipoaspirate but requires more complex and time-consuming processing which renders it more expensive to produce. However, it has the highest concentration of stem cells and factors and can also be given intravenously and thus used for a wider array of applications