Stem Cell Treatments

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STEM CELL TREAMENTS

What QUESTIONS to ask when considering a Regenerative Medicine Clinic?

  • Do I want to use my own stem cells (versus another person’s)?
  • Do I want to use stem cells from their natural environment (versus those that have been processed, frozen and thawed)?
  • Do I want the provider to be an M.D. or D.O. (versus a nurse practitioner or physician assistant)?
  • Is the provider certified in Pain Medicine?
  • Is the Pain Medicine certification recognized by the ABMS(American Board of Medical Specialties)?
  • Are the injections done with ultrasound(US) guidance?
  • Is the provider certified in US?
  • Has the provider done thousands of US procedures?
  • Has the provider done hundreds of regenerative procedures?
  • Does your provider understand the current research?
  • Can your provider discuss the technical terms such as autogenic, allogenic, homologous, minimally manipulated…?
  • Has your provider read the November, 2017 FDA guidelines regarding what is legal/appropriate in the USA?
The answer to all of the above is

YES,

WHEN YOU DECIDE TO HAVE YOUR PROCEDURES DONE AT PAIN CARE
BOISE WITH WILLIAM G BINEGAR, MD.
To better understand STEM CELLS, see below:
There are 3 Classifications of STEM CELLS:
  • Human Embryo—Highly controversial due to ethical issues and availability. Not used.
  • Induced Stem Cells—A process that can convert almost any cell into a stem cell by gene manipulation. This could lead to cancer. Also not used.
  • Adult Stem Cells. There are 3 types:
  • Adipose or Fat-- Starts with the highest number of stem cells. Unfortunately, the processing of fat to get the stem cells can be difficult. The FDA has outlawed using enzymes. Mechanical separation may be considered, but is very time consuming(3-4 hours). The final product does NOT have many platelets and/or growth factors. Therefore, an extra step such as adding PRP from your blood is required. Also fat stem cells in several studies revealed they do not convert to cartilage as easily as bone marrow stem cells. The FDA also requires that any harvested tissue perform a similar function in the eventual recipient(termed homologous). That is why fat stem cells may be considered for aesthetics (such as when used as a filler for wrinkles), but scrutinized when used for musculoskeletal problems.
  • Bone Marrow—Using this tissue has many advantages. As mentioned above they more easily convert to cartilage than fat stem cells. Because bone marrow does not require processing, they remain in their natural environment. This allows them to be able to continue to communicate with surrounding cells, making them more functional. When collecting bone marrow, we also collect the platelets that live with them. Platelets(see PRP section) release growth factors helping things to grow. This process from collecting the bone marrow to injecting in your joint, typically takes less than 30 minutes. Pain Care Boise recommends using Bone Marrow for your STEM CELL treatments.
  • Umbilical Cord/Blood-- Although confusing, this is an adult stem cell from the delivering mother. There are many CAUTIONS against the use of this product as listed below:
  • This product may have some living cells. However, they are NOT “good functioning” cells. And many of the cells are “damaged” by the freeze/thaw process, which could lead to “problems” in the recipient.
  • The companies have not received Section 351 status, which means they have NOT proven efficacy.
  • Most companies have received Section 361 status, which means they have been tested for communicable diseases. Unfortunately, there have been reported diseases such as hepatitis with Section 361 products.[Why take the chance with someone else’s cells, when you can use your own?
  • Given all of the above the FDA has NOT approved this product.
  • So why is the product used in some clinics? There is the sales pitch of using “younger cells”. Remember many of the cells are damaged and/or not functioning well. Another reason you’ll see this offered is simplicity for the provider. The provider simply draws the product from of a vile and injects (oftentimes without ultrasound or x-ray guidance). You’ll often see the product used clinics with an NP/PA or a doctor not well trained or educated in regenerative medicine.
The STEM CELL treatment offered at Pain Care Boise is simple, safe and effective! Our provider is experienced and keeps up-to-date with the cutting edge of stem cell technology and research. Obtaining your own readily available stem cells is easily done in a timely manner with image guidance.

Disorders commonly treated
by STEM CELL injections:

  • Rotator cuff tears complete
  • Anterior cruciate ligament tears
  • Achilles tendon tears
  • Hamstring tendon tears
  • Many other tendon or ligament injuries
  • Osteoarthritic joints
  • Cartilage defects
  • Meniscus tears
  • Tendon tears complete
  • Degenerative Discs Spine