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Regenerative Medicine

All of these treatments can be outpatient procedures but can also be done in the office. The treatments may but mostly are not covered by insurance. More than one treatment session may be required to achieve desirable results and results are not guaranteed.

STEM CELLS - cells of the body (somatic cells) which can divide and become differentiated. When an organism grows, stem cells specialize, and take specific functions. For instance, mature tissues like skin, muscle, blood, bone, liver, nerves, all have different types of cells. There are three types of stem cells: adult stem cells, embryonic (or pluripotent) stem cells, and induced pluripotent stem cells.

Adult stem cells can be derived from bone marrow, adipose tissue, and blood. Some companies sell stem cells from amniotic fluid, placenta or cord tissue but these cells usually die during storage and transport making them more growth factors rather than effective stem cells. 

PLATELET RICH PLASMA (PRP) - is a concentrate of platelet-rich plasma protein derived from whole blood, centrifuged to remove red blood cells. Platelets naturally promote healing by signaling other cells to heal the injured tissue. 

PROLOTHERAPY - injection of an irritant into the injured area, which temporarily increases inflammation. The hope is that the additional inflammation will facilitate further healing and help tissue go through the stages of healing. 

Prolotherapy uses dextrose, a simple sugar as the irritant.

Note: Compared with other regenerative medicine treatments, such as stem cell and PRP injections, there is not a lot of clinical research regarding prolotherapy and its effectiveness.

EXTRACORPOREAL SHOCK WAVE THERAPY (ESWT) - involves delivery of radial shock waves to injured/chronic non healing soft tissue to reduce pain and promote healing. Radial shockwave treatment has also been shown to induce human mesenchymal stem cell self-renewal and enhances cartilage healing. It can be used alone or in combination with an injection.

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