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11/Dec/2017

Patricia chooses hormone balancing for optimum health
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The hammer dropped for Patricia when, aged 72, doctors detected a small tumor under her left breast after a routine mammogram.  Following surgery she faced the frightening prospect of chemotherapy and the allied effects of a declining auto-immune system.  We will shortly be releasing a video highlighting her personal  journey, which includes her life-changing decision to enter a customized hormone balancing program with Dr. Coleman.

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11/Dec/2017
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Maryclaire, age 64, had been struggling for years with debilitating knee pain in both knees. The pain has been causing a limp and severely restricting her basic movements, such as walking and climbing stairs. Since the onset of pain, she has not been able to exercise, and is gaining weight as a result. As a former ballet dancer, she was previously a very active person and one who desperately wanted to enjoy some of the simple pleasures in life, pain free.

After Doctors offered No Hope, other than Permanent Surgery with a Total Knee Replacement, with all of its risks, she decided to explore alternative treatments, with MedicalMasters.org in Bonita Springs, FL.

After a Comprehensive Medical Exam, or what is called a 100-Point Health Check Up, Dr. Steve Coleman D.O., confirmed that she would be a good candidate for same-day stem cell treatment. Although she was a bit afraid of the procedure, she made the courageous decision to try something different, something more than just a traditional, invasive surgery.

The 3 hour, Level 1 procedure (No general anesthetic, done under sterile conditions), involves the pain free harvest of her very own cellular material, including PRP from Blood, Her Own Fat Cells, and Bone Marrow. Her own cells are then re-injected back into both knees, with a very advanced technique, specific to Prolotherapy Trained Physicians.

No manipulation of her Native Cells was performed. No Drugs, other than anticoagulants and anesthetics were used.
While results will differ from patient to patient, most people treated by Dr. Coleman have significantly positive results within one to three weeks. In the short term, significant worsening of pain, is quite normal but not universal.

Longer term results, over six to nine months, generally offer even greater mobility and pain reductions for patients undergoing stem cell therapy.

“I am ecstatic! I am walking perfectly and pain free just two weeks or so after the initial procedures. My left knee has virtually no symptoms at all, while my right has some slight discomfort but is dramatically improved. It’s quite incredible,” said Maryclair.

“If we are able to help patients have less pain, and perform activities of daily living with less limitations, that is a Win-Win situation, for one human being.

“If we can do all that while lessening surgical risks, and reducing massive costs to the healthcare system, it is a Triple Win for patients and society”.

“In Maryclaire’s case I am extremely grateful, that her results are ahead of schedule, and I hope to help keep her dancing for years to come,” said Dr. Coleman.

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11/Dec/2017
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BONITA SPRINGS, FL (MEDICALMASTERS.ORG) AUGUST 08: Dr. Steve Coleman, D.O., medical director of MedicalMasters.org recently returned from a ground-breaking mission to Honduras with fellow U.S. physicians to treat disadvantaged communities suffering from age-related conditions, (including knee joint pain), using cellular therapies such as ProloTherapy. The trip offered far-reaching benefits for local Bonita Springs residents back home in the U.S. as MedicalMasters.org continues pioneering new stem cell treatments for aging Americans using the very same injection technology.


This was the 47th annual two-week trip to Honduras organized by the Hackett Hemwall Patterson Foundation, in association with the University of Wisconsin, consisting of a large international group of dedicated physicians, nurses and assistants.

The one common denominator shared by the entire medical team was a deep desire to help people that are less fortunate and in need of care, particularly a concern for older patients suffering from -osteoarthritis and other age-related joint pain conditions.

“The work we have done in Honduras was humbling, to say the least. People came to us by bus, car or bicycle, from as far as 6 hours away, just to see our team for a single prolotherapy treatment,” said Dr. Coleman

“For many of these patients, this would be their only chance to see a doctor for at least another year.”
Dr. Coleman and the others physician volunteers literally saw hundreds of patients each day, most of which were treated using a powerful cellular technology called prolotherapy, which involves injecting sterile sugar water into affected joints, including the knee, hip and shoulder.

“The experience was humbling on both a professional and personal level. Walking through the streets, people stop, look at us and thank us spontaneously,” said Dr. Coleman.

Honduras Map: Medical Prolotherapy Mission With Dr. Steve Coleman

The experience also allowed him to perfect complex injection techniques that also apply to stem cell procedures he has introduced to his Bonita Springs Clinic, MedicalMasters.org. Not many physicians get the opportunity to obtain such a high level of field training that involve treating dozens of patients each day.
The most patients that the team of 7 Doctors treated in one day
was 204. The steep learning curve helps patients back home in the U.S. who get the benefit of Doctors who have been able to do this procedure hundred or thousands of times, before performing it on you or a loved one.

“The patients in Honduras benefit since they may not ever get to see a doctor outside of this mission, and the people back in the USA get the benefit of such stringent and painstaking training. I now apply these advanced injection techniques to my Stem Cell patients here in Bonita Springs. It is a true win-win for everyone”

Typically, local residents would begin lining up at 6 a.m. each day with first consults beginning at 8 a.m. Patients are registered, triaged and then examined by our physicians to determine if prolotherapy is going to be helpful for their condition.

Prolotherapy is performed by experienced physicians, often with a novice prolotherapist observing and assisting. Patients will continue to be seen until about 6:00 pm – but often much longer depending on the need. “We would never turn away a patient who has taken a six hour trip to see us, and who sometimes has waited all day just to see a doctor. Imagine getting in line at 6AM and not being able to be treated until 6PM. That is the level of need that we saw every day.”

After the last patient is treated, the clinic is cleaned up and made ready for the next day. The entire group meets for dinner together in the evening and then after dinner, the physicians have a lecture on prolotherapy.

The assistants often have “set up” work to do to prepare for the next day.    After a long day of hard work, our group then heads to their lodging for a well-deserved rest…. to get ready for the next day of more hard work!

“Even though my Spanish is still evolving, I can almost be brought to tears by the warm thanks people give us. It’s extremely humbling to be able to make such a difference in a person’s life who you really don’t yet know,” said Dr. Coleman.

There is an incredible amount of pre-planning that goes into making it all happen. Mary Doherty, who is the executive director of the foundation, does much of the work herself, and with the help of several very dedicated staffers.”

“The benefit to my medical practice has been to be trained by true masters and thought leaders like Dr. David Rabago MD and many other very talented physicians. You just can’t get training like that here in the USA,” Dr. Coleman said.

The inspirational trip to Honduras has already redefined some of the workflows and strategies used within MedicalMasters.org to treat U.S. patients. In particular, Dr. Coleman has introduced a customized hybrid package of cellular technologies to treat joint pain including prolotherapy, PRP and stem cell therapy. He has also used the organizational and operational skills learned in Honduras to speed up treatment times and train staff to more efficiently handle patient concerns and treatment plans.

In an effort to give back to the local Bonita Springs community, MedicalMasters.org is offering a $1000 promotional stem cell therapy discount to residents between August 23-30, 2017. This limited Summer promotion is also an important vehicle to educate local residents on the benefits of same-day stem cell treatments which offer great promise for treating joint pain.

Please contact Dr. Coleman or the University of Wisconsin if you would like to volunteer or even to just support the future medical missions to Honduras which take place in March each year.


11/Dec/2017
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Over the last several years many prominent professional athletes have elected to be treated with  Stem Cell Therapy,  instead of major surgery for the career threatening injuries they have suffered with. They are hoping to  alleviate or minimize post-injury pain and downtime. Except in some rare conditions that require immediate surgery (like a meniscal root tear) Stem Cell Therapy can improve outcomes and reduce costs of treatment, while accelerating the time to return to the field or court.

To a professional  athlete, every game missed is money not made and stats unearned.   Sportsman are thus increasingly looking to the science of regenerative medicine to get back on the playing field quicker.   

To put this in perspective we’ve highlighted some notable names in sport that have or will undergo Knee Stem Cell Therapy.  The progress made in treating sports injuries is often an early signal of the beneficial treatments that will shortly emerge for the general populace.

In fact, some of the regenerative knee treatments mentioned below are available right now in the USA, even though they are technically considered experimental.

2011

Peyton Manning Has Stem Cell Treatment For Neck

Peyton Manning, 4-time NFL MVP, traveled to Europe for Stem Cell Treatment after two surgeries on his neck did not help address a painful bulging disk. Physicians harvested his own bone-marrow which was then re-injected back into his neck area.

2012

Bartolo Colon Tries Stem Cell Therapy For Elbow & Shoulder Joint

Bartolo Colon, New York Yankees pitcher underwent Stem Cell Therapy in Florida. Fat and bone marrow cells from his own body was re-injected into the elbow and shoulder joints to help repair ligament damage and a torn rotator cuff.

 

2014

Chris Johnson Tries Stem Cell Therapy For Left Knee

The Jet’s Chris Johnson, a running back tore the meniscus in his left knee. His own stem cells, the body’s universal building blocks, were transplanted back into the knee joint to speed up the healing process.

2014

Rafael Nadal Tries Stem Cell Treatment for Spine & Back

Rafael Nadal, one of the greatest tennis players in history, received stem cell treatment on his ailing back in Barcelona using his own fat and bone marrow cells.

2015

Garret Richards Tries Stem Cell Therapy For Elbow Joint

Garret Richards, Los Angeles pitcher, underwent Stem Cell Treatment. Stem cells taken from bone marrow in his pelvis were injected back into elbow joint. He had previously undergone surgery for a ruptured patellar tendon during a baseball game.

2017

AJ Foyt Tries Stem Cell Therapy for Ankle & Shoulder

Racing legend, A.J Foyt, an 82-year-old four-time winner of the Indianapolis 5000 announced he would undergo stem cell therapy to help repair his ankle and shoulder.   Foyt said: “Dan Pastorini (the former NFL quarterback) did it and it helped him. Peyton Manning (the former Indianapolis Colts and Denver Broncos quarterback) did it for his neck and it really helped him. Tony Dorsett (the former Dallas Cowboys running back) did it, so I think I should try it.”

Can regenerative medicine help the man in the street?

Several, but not all of the treatments outlined above, are currently available in Florida for a small spectrum of patients that suffer from joint disease or osteoarthritis. This also includes those who may be experiencing joint pain due to post-operative surgeries or injuries incurred earlier in their lives.  This includes meniscus tears in the knee or ball-and-socket joints such as the shoulder.

Same-day FDA/FTC compliant stem cell treatment plans are most notably effective for patients whose condition is not yet bone-on-bone. The National Institute of Health (NIH) aptly describes Regenerative Medicine as “the most recent and emerging branch of medical science, dealing with functional restoration of tissues or organs for the patient suffering from severe injuries or chronic disease.”

The NIH notes that the spectacular progress in the field of stem cell research has laid the foundation for cell based therapies of disease which cannot be cured by conventional medicines (or surgery).

This of course has drawn the attention of several prominent athletes, including those mentioned above.   It has always been true that athletes tend to be more progressive in experimenting with the latest medical advances before they are fully absorbed or adopted by the public.   

For most of us, as we age, osteoarthritis is a burgeoning concern affecting over 50 million people in the United States, particularly the knee joint.   Athletes and non-athletes all rely upon knee cartilage to act as a cushion between the various bones in the joint. It’s a tough, flexible and mostly reliable material that gets damaged by high-impact collisions or repetitive tasks common to many sports and daily activities.   

Statistics show that as much as 30 percent of the population will incur some form of knee degeneration by the time they celebrate their 55th birthday, an unwanted ‘present’ that unwraps itself in pain and ultimately knee replacement surgery.

California, one of the most progressive states in the U.S. has shown some leadership in regenerative medicine field recently with news that The California Stem Cell Agency approved close to $33 million for clinical stage research projects testing treatments that include arthritis of the knee.

The agency reports that the goal of the research is to regenerate knee cartilage using a mesenchymal progenitor cell treatment. Funding is aimed at manufacturing the product to ultimately secure Food and Drug Administration approval for a phase one safety trial.

A treatment for the public would likely be years in the future, but options are available immediately in other states like Florida for traditional Prolotherapy, PRP and knee stem cell treatment that involves same-day harvesting of fat cells and bone marrow cells for reinjection back into affected joints such as the knee or elbow.

Some of the athletes referenced above have opted for this technique which is becoming increasingly popular in high-impact sports such as football, basketball and ice hockey. Those athletes that seek more progressive or experimental procedures (currently undergoing clinical trials and awaiting FDA approval) will often fly to Europe or other international destinations to benefit from accelerated healing programs relating to stem cell therapy.

While our clinic at MedicalMasters.org does not advocate miracle cures or non-compliant FDA/FTC stem cell procedures we are encouraged by the positive feedback patients report after undergoing stem cell transplants extracted from their fat and bone marrow cells. Some patients report a 50% improvement in knee mobility after undergoing intermediate/lower-level treatments such as prolotherapy, which is not quite as powerful as stem cell therapy but uses a similar injection process.

While results will differ depending on age and current knee condition the increasing embrace of knee stem cell therapy by professional athletes is a key indicator that regenerative medicine has adopted a leadership position in tackling joint-related injuries and degeneration which hinders all of us from enjoying daily  activities such as walking, running and those in more elite sports such as football, from becoming rock star athletes and legends in the game.

NOTE:  Our clinic follows all FDA guidelines in the preparation and handling of cellular therapies including stem cells. All procedures done in the clinic are Level 1(Local anesthesia) type procedures, which are the safest class of procedures for the patient. This means the patient remains fully conscious during the procedure and that only local anesthetics are used, similar to what a dentist does when numbing a tooth prior to repair. Please visit this page for more information about our current Stem Cell Promotion.

 

Ask a Question

  • Important: We will send you occasional updates about our medical clinic and services

    Don't worry. We will never share your address with third parties or spam you. Occasionally we will send you updates about our clinic medical plans or any key feedback from Dr. Coleman that may benefit you regarding your health. You can UNSUBSCRIBE from our lists at any time. We take your privacy seriously and thank you for contacting us.
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11/Dec/2017
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We have a number of courageous patients who enter our Clinic every day including Bobby, a 68-year old prostrate cancer survivor who was experiencing pain in his right knee due to two previous meniscus tears.   Follow-up knee surgery had not helped, leaving him with nagging pain that was impacting some of his favorite activities including long walks which he used to help regulate his weight.   After investigating both Stem CellTherapy and PRP he decided to undergo Prolotherapy with Dr. Coleman at MedicalMasters.Org.

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11/Dec/2017
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This article is prompted by a question posed to us by a fan on Facebook:

QUESTION: Why does Insurance not cover Stem Cell Therapy procedures. Is that because it has not had any validated research. Or, because it is performed by a chiropractor? I have an interest in learning more. I’m a physical therapist with very limited experience with patients who have had stem cell procedures, some has not been positive. I need to understand because patients are always asking questions. I realize stem cell therapy is new and therefore not reimbursed by insurance. My concern is effectiveness.

ANSWER: Thank you for your question and allowing us to respond. The research is ongoing and insurance companies typically take a while to catch up to new promising treatments, including “SAME-DAY” #StemCellTherapy.

Our clinic is Federal Trade Compliant (FTC) in that we do NOT  make false claims of unusual medical cures or show only outcomes that are better than average. We attempt to present a fair and balanced set of options for our patients, giving true informed consent which includes the good, the bad and other outcomes.

Informed consent in its truest meaning is defined by giving the patient all of their options which include:

  • Do Nothing
  • Do Surgery (with all risks explained including the very serious risks of General Anesthesia, Bleeding, Infection, Trauma to nearby structures, Blood Clots after surgery, Failure of Surgery etc
  • Do less invasive procedures: Synvisc injection (knee fluid augmentation with protein solution) , Prolotherapy (sterile sugar water injections) PRP, and Stem Cell Therapies
  • Regular Medical therapies: Anti-inflammatory medications, narcotics or Tylenol.
  • Physical Therapy and Rehabilitation focused medical therapies
  • Osteopathic or Chiropractic Manipulation

Our clinic follows FDA guidelines in the preparation and handling of all cellular therapies including stem cells. All procedures done in the clinic are Level 1 procedures which are the safest class of procedures for the patient. This means the patient remains fully conscious during the procedure and that only local anesthetics are used.

Regarding the medical effectiveness of stem cell procedures the National Center for Bio Technology Information has this to say in a mini review:

“Total knee replacements come together with high effort and costs and are not always successful. The aim of this review is to outline the latest advances in stem cell therapy for knee osteoarthritis as well as highlight some of the advantages of stem cell therapy over traditional approaches aimed at restoration of cartilage function in the knee,” said Dr. Kristen Uth and Dr. Dimitar Trifinov, co-authors of the review.

They conclude: “Stem cell therapy may not become a standard treatment for knee Osteoarthritis until the end of the decade due to various aspects regarding the clinical safety (e.g., risk of complications after the procedure, compatibility of donor stem cells) and the affordability of this treatment for the general public.”

This is an HONEST appraisal of where we currently stand with Stem Cell Therapy. While there are some risks to any procedure and affordability concerns, this is true of any new medical technology.  Lastly, we should not forget that there are many situations that arrive after surgery that create unexpected expenses and negative outcomes.

It is estimated that 1/3 of patients who undergo knee and hip replacement surgeries should never have taken them in the first place. Unseen costs and complications arise which should make us pause to consider alternatives. We are typically finding that patients are experiencing positive results from hybrid Stem Cell Therapies, including #Prolotherapy and #PRP which in our opinion carry less risk than invasive knee surgery . If we are able to help patients have less pain and perform activities of daily living with less limitations, that is a win-win situation.  If we can do that while lessening surgical risks it is a triple win for patients.

We will only advise Stem Cell Procedures if we feel your body will holistically and positively respond to the treatment. We see ourselves as Functional Medicine proponents seeking long-term and lasting results for our patients. Finally, as discussed in the article above, we do not typically advocate Stem Cell Therapies for severely damaged, bone on bone type of knee osteoarthritis, although some patients have responded positively in that situation, despite having little visible cartilage. Hope wins…!


NEXT ACTION STEPS…

  1. Read what to expect during stem cell therapy
  2. Take advantage of our current price discounts for Stem Cell Therapy
  3. Read our story of how Medical Masters came about
  4. Review some of our medical treatment plans

Contact Us in Bonita Springs, FL

  • Important: We will send you occasional updates about our medical clinic and services

    Don't worry. We will never share your address with third parties or spam you. Occasionally we will send you updates about our clinic medical plans or any key feedback from Dr. Coleman that may benefit you regarding your health. You can UNSUBSCRIBE from our lists at any time. We take your privacy seriously and thank you for contacting us.
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11/Dec/2017
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Following her first hormone pellet insertion, Diana shares her experience regarding the procedure with Dr. Steve Coleman, an expert in Regenerative Medicine. “It was quick and easy,” said Diana. “I am excited about it and can’t wait to see how I feel in the next week, or less.”


Ask a Question

  • Important: We will send you occasional updates about our medical clinic and services

    Don't worry. We will never share your address with third parties or spam you. Occasionally we will send you updates about our clinic medical plans or any key feedback from Dr. Coleman that may benefit you regarding your health. You can UNSUBSCRIBE from our lists at any time. We take your privacy seriously and thank you for contacting us.
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11/Dec/2017
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As the United States approaches 1 million new knee replacement surgeries per year, we have to ask if this is always necessary?

Some studies suggest that less than one-third of all surgeries are effective and would perhaps have been better handled using alternatives, including Stem Cell Therapy.

The root cause for knee joint pain is usually rooted in a previous sports injury (or something similar) and/or the increasing onset of osteoarthritis.

However, as long as the knee damage is not yet bone-on-bone, Stem Cell Therapy offers some life-changing alternatives to knee replacement surgery.

Once a patient undergoes our 100-Point Health Score we can determine if Stem Cells along with additional Prolotherapy and PRP treatment could offer you some relief. These are all Level 3, FDA-compliant, same-day procedures that we believe offer long-term options for new patients.
More Info on Stem Cell Therapy

Ask a Question

  • Important: We will send you occasional updates about our medical clinic and services

    Don't worry. We will never share your address with third parties or spam you. Occasionally we will send you updates about our clinic medical plans or any key feedback from Dr. Coleman that may benefit you regarding your health. You can UNSUBSCRIBE from our lists at any time. We take your privacy seriously and thank you for contacting us.
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11/Dec/2017
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Everything You Need to Know: Knowledge and Love Conquers Fear!

The Definitive A – Z Stem Cell Guide

Because you have made the courageous decision to have Stem Cell treatment for your joint problem, you need a detailed road map.
You have many questions and concerns, which we will now put to rest. Together, we can now talk through each, and every, step of the procedure. This will help you to feel comfortable knowing where you are in the process, and what we will be doing next. And, since you will be spending much of the day with us, I want you to know that you are in control. Fear Not. In summary, a stem cell procedure involves collecting your blood, fat cells and bone-marrow, preparing your cells correctly, and then reinjecting your cells back into the problem area.
Your cells can then begin to do their work of rebuilding and reinvigorating your joint.

TYPICAL TIMELINE

Day one: You may have significant pain from the procedures, but some people who are very lucky have almost no pain

Day two: Definite discomfort but no massive pain

Day three: Many people feel well enough to stop taking the pain medications

Day seven: Most people are feeling much better than Pre-Procedure

Consultation Day

First you will need to set up an appointment to see Dr. Coleman, so that he may take your history, do a thorough physical exam, review your labs and x rays, if applicable, and discuss the various treatment options for your unique condition. There are 3 main components to a complete stem cell treatment. The first is PRP, the second is Adipose (or fat) derived stem cells and the third is Bone-Marrow derived stem cells. If your joint problem is moderate to severe, you will likely need all of the above. This is called a complete stem cell treatment. Let’s break it down step by step.

Treatment Day

On the day of your procedure, you will be greeted by our very dedicated and caring staff. If you have a loved one or companion that would like to accompany you please let us know. You will need someone to drive you home after the procedure. We can arrange this if no one is available to help you. Once you are checked in, we will answer any other last minute questions or concerns. Please let us know at the time of your consultation if you are nervous or anxious about the procedure. If so, you may be given a mild anxiolytic medication, to take the edge off of your anxiety. This could be xanax or other medications. This is perfectly normal and safe and in no way impedes our performance of the procedure.

All procedures done in the office are defined as Level 1 procedures. This simply means that we use the safest local anesthetics and we monitor how the patient is feeling. Next you will have a blood pressure check and a glucose check if needed. We want your day to be safe and pleasant.

Getting Your PRP and Blood Related Factors

The next step will be to have you comfortably sit, while we draw your
blood. The purpose of this is to give us the raw material (your very own blood) that we will use to derive your Platelet Rich Plasma or what is called PRP. Your PRP will be used just a little later when we are injecting your cells back into your body. Once your blood is drawn the technician will take it to the lab and begin to derive your PRP. This involves spinning the blood in a very special way and then Activating it with light, to rev up the platelets to make them especially ready to help your body heal your joint. And that is not all. The next two things we will add to your unique joint injection are your extra fat cells and something truly special….your bone marrow liquid, which contains many, many special cells and growth factors. This fantastic and totally natural concoction is the conductor that organizes and directs the symphony of healing that is about to begin.

Getting Your Fat Cells

The next step is a little bit more painful, since it involves getting a “bee sting” which is Lidocaine with epinephrine. This diluted solution is used to reduce pain, and also to reduce bleeding within the fat cells. This is called Tumescent anesthesia. Fatty tissue is full of very small blood vessels. The diluted epinephrine nearly eliminates all bleeding, which makes the procedure safe and the recovery quicker, with less bruising. Once the anesthetic is instilled, we will put a small catheter on a syringe and jiggle it around, to withdraw some of your yellow fat. These cells are called Adipose Derived Stem Cells.

Don’t worry, it sounds worse than what you will likely experience. As many patients have told me, the anesthetic is the worst part. Think of it as a free mini-mini liposuction procedure, which it is. This only takes a few minutes and then you will have a sterile dressing applied. Later in the day you should expect a little leakage of clear or slightly blood tinged fluid from the site where we injected you. Isn’t it good to know that there is a reason why those extra fat cells exist? Yes! Just for us to use to help your body heal itself. So far so good. On to the next step.

Getting the Gold

The last step before we re-inject your cells is to “Get the Gold”.
Your bone-marrow is like “Gold” for you. It is the super special ingredient on the road to your recovery. This is the most uncomfortable part of the procedure, but the most crucial. Again this sounds much worse than it actually is, so I want you to understand, and not fear this key step to your healing.

First you will be placed comfortably on a treatment table with your face down and back side up. We will be working on your lower back area to either the left, or the right, of your spine on a very prominent bone called the Iliac Crest. The reason we use this specific bone is many fold.

It is easy to find, It is easy to anesthetize and easily gives the very maximum amount of bone marrow juice that we will need. There are very few other things near this bone site. There are no major arteries, or veins, or nerves near it, which is very good news. This makes it an ideal site to get the golden bone marrow, while not endangering any other structures.

The Technique is Very Specific

Once you are in position we will very carefully clean the area where we will be working. This is done with 99 percent alcohol and Hibiclens mixture. Using sterile gloves, the solution is poured onto sterile gauze and the area is scrubbed in a widening circular pattern from center to the outer area, beyond the furthest point we will be working. This is repeated carefully three times, or more, if there is any thing evident on the gauze. This ensures absolute sterility of the skin for the duration of our quick procedure. Next, the area is draped with a sterile cloth, which looks like a very clean white towel with a hole in the center. This allows us to keep the center sterile while our hands rest and position the needle. Once again we have a “Bee Sting” of Lidocaine local anesthetic to deal with. This goes on the skin and then deeper, all the way down to, and on top of, the bone surface. This is the most unpleasant part of the day, but the most important. This takes several minutes to let the anesthetic fully work. No rushing here. Once the bone surface is put to sleep, we can finish.

Next we use a small scalpel, to make a tiny nick in the skin and a bit deeper into the fat layer. The next part is a bit unsettling, because you will hear us and feel us pushing the special needle down and in to it’s exact position. There is some discomfort, but it is tolerable. We place the special bone-marrow needle on top of the bone. To get through the outer portion or “Table” of the bone, we use a tiny hammer to Tap, Tap, Tap our way into the bone cavity. It is done this way for maximum control, minimum pain, and speed. The quicker the procedure is done, the less it hurts. This technique also gives us the very best quality and quantity of Bone-Marrow. Gone are the old methods which were much more painful and took longer. One, two, three… tap, tap, tap, and we are in. Much less pain and much quicker to heal.

Once the Bone-Marrow liquid begins to flow, we know we are in the right spot and we then gently suck the bone marrow out with a syringe. We need several cc’s , so this will take a few moments.
Some patients report an odd discomfort as we remove the liquid. It has been described as a dull pressure type pain. Luckily this part takes just a few moments and we can withdraw and be done. Next we apply pressure to the incision area to minimize pain, swelling and bruising. Lastly, we apply a sterile dressing, and you are on your way to the last step. While you now rest, our work has just begun.

Preparing Your Cells for Their Super Critical Mission

Now that we have your PRP prepared by super gravity spinning, and light activation, the PRP is ready for injection. Next we turn our attention to your fat cells. They will be divided and sterilely placed into syringes for injection. Your freshly harvested Bone-Marrow, has been mixed with heparin to prevent degradation, and is also now ready for injection. Please note that according to the Food and Drug Administration, we can only do minimal manipulation of your cells prior to treating you. So, of course, that is what we have done. Our credo is to be FDA compliant, FTC compliant and Medical Board compliant. Since six out of ten patients getting Stem Cells are being treated for knee pain, we will use a knee as a typical example of a joint injection.

Preparing The Knee for Injection

The patient is comfortably seated on an exam table and the doctor can roll around on a low stool to enable him to see the knee at eye level. The knee area to be injected is sterilely prepared again with alcohol and Hibiclens, which studies have shown to be the best at sterilizing skin. Please note: there are many, many ways to inject the knee. There are simple techniques done by nearly every orthopedic surgeon and there are more advanced techniques used by doctors trained in Prolotherapy, like myself.

Nearly every structure in the knee can be targeted for injection if necessary. But many times a “general” knee injection, called an intra-articular injection, is the best choice. Some patients will also get a knee “wash out” (joint lavage) with sterile saline, prior to Reinjection of their cells. Some patients may also opt for additional healing factors called Cytokine Therapy to be injected simultaneously. Please ask us directly if you are interested in this treatment also.

The Last Lap: Reinjecting your Cells

Today, we will be using the Antero-Lateral approach for injection. Tomorrow, it might be the Antero-Medial approach. It just depends on the condition of the knee , which is to say where is there a space with less arthritis, allowing us to get the needle placed. This is why it is called the Art of Medicine, not the exact science of medicine. So, once the knee is cleaned again we inject the three different types of cells in the three different syringes: Bone Marrow, Adipose Derived Stem Cells, and PRP. The Bone Marrow provides stem cells and growth factors. The adipose tissue provides expansion of the joint space, lubrication and stem cells. The PRP provides the “Jump Start” of Healing cells and Factors (the concentrated platelets)

Wrapping It Up

The knee is then given a sterile dressing and an elastic wrap to keep the knee stable. After you are given post procedure instructions and supplements, you are ready for your ride home. You must have a driver on the way home. You have had a very big day, and we want you to rest comfortably this evening. We will see you for follow up in four weeks. If you have any problems, which is rare, please call the emergency contact number. You will likely be in a considerable amount of pain for the first several days after the procedure. Unless contraindicated, we will give you pain medications. We advise you to take the written script, even if you don’t think you will need or want it. These medications cannot be called in later that night. They must be a written prescription. You can always wait to have this filled, but we do encourage you to take the written prescription with you. We would hate to have to see you go to ER for a pain problem that could have been treated at home. Knowing you have the option to take these medications, may prevent you from needing it. True.

The End

Yes, this is a complex process and anyone who says it is easy, has never been a patient that has been through it, or a doctor who has performed it. Hopefully you will find that the final results are well worth the discomfort, the cost, and the time involved. If this procedure helps you to avoid a major knee replacement surgery in the future, it surely will have been worth the trouble.

Fear Not.

Steven Coleman D.O.

More Info on Stem Cell Therapy

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