Stem Cell and PRP
in La Quinta CA
There is a lot of buzz about stem cells and personally I think it is the future of treatment
For certain arthritic and degenerative conditions. We have seen many patients who were told that surgery was the only option completely recover and start golfing or playing tennis again.
Although there are many possible conditions that stem cells and PRP may be able to treat, Dr. Olesnicky chooses to focus on arthritic joints, torn tendons and ligaments in various places in your body.
Stem cell treatment used to be extremely expensive until the FDA has allowed Amniotic Fluid Injections. Stem cells in this treatment are provided by the amniotic sac of donated placentas during childbirth. This not embryonic cells from a fetus. The amnion is harvested from the placenta and prescreened along with testing the donor. It is then sterilized to the point that it is actually 1000 times more sterile than surgical instruments!
The other two stem cell options that are legally available in the US are fat and bone marrow stem cells and bone marrow will typically cost four to six times as much as amnion since it requires minor surgery and a very expensive machine for processing.
HOW DOES AMNIOTIC STEM CELL TREATMENT WORK?
Stem cells are undifferentiated cells accompanied by growth factors. Think of undifferentiated as a blank cell with many possible templates so that cell could be turned into anything your body chooses and growth factors make the cell change into the new cell.
Imagine being able to actually regrow a torn tendon, meniscus, ligament or cartilage? If surgery is off the table or something you would like to avoid this could be a viable option for you.
Are Stem Cell Injections Safe?
Yes. Amniotic stem cell treatment has been used by ophthalmologists to aid with corneal surgery for over 20 years. It also has applications in plastic surgery assisting in burn patient healing. To date, more than 10,000 injections have been performed without a single reported adverse side effect. As with all treatment options, the biggest risk of a stem cell injection is that it does not alleviate all your pain but does afford one more option prior to surgical intervention.
- Amniotic stem cell therapy is a preferred type of stem cell therapy because the cells come from an immunoprivileged site (newborn babies). This means that patient-rejection is extremely rare.
- The use of amniotic stem cells is well researched, safe, and effective.
- All amniotic stem cell donors go through a rigorous screening process, as determined by the Food and Drug Administration (FDA) and American Association of Tissue Banks (AATB).
What Benefits Does Amniotic Stem Cell Therapy Offer?
Amniotic stem cell therapy is very safe and effective. Learn more about several benefits this treatment has to offer:
- Amniotic stem cells contain no steroids. Instead, the injections rely on naturally occurring anti-inflammatory agents, such as cytokines.
- Amniotic stem cells contain hyaluronic acid, which lubricates cartilage and promotes new cartilage growth.
- Amniotic stem cells contain growth factors, which stimulate tissue growth.
- With amniotic stem cells, there is no threat of patient rejection.
- Lastly, amniotic fluid is a highly concentrated source of stem cells, which makes this type of stem cell injection preferable over embryonic stem cells and the patient’s own stem cells (from fat or bone marrow).
Am I A Candidate For Stem Cell Therapy?
Patients suffering from any kind of joint, tendon, or ligament pain may be considered as candidates for amniotic stem cell therapy. Patients with severe degenerative osteoarthritis may not be eligible for stem cell therapy. Upon evaluation, Desert Medical Care Providers may be able to provide you with recommendations for other types of treatment options.
Does Insurance Cover Stem Cell Therapy?
Most insurance companies do not cover Amniotic Tissue injections at this time unless you have a health savings account or flexible spending account as part of your insurance plan. As such, this is fee for service due at the time of treatment. Many insurance companies, however, may cover the initial consultation as well as some aspects of the treatment, such as the injection fee, radiographs, and use of ultrasound guidance if necessary during your appointment.
May 15, 2015
Friends and Neighbors:
I have suffered with bone on bone in my left knee and reduced cartilage in my right knee for over ten years.
After numerous medical visits, none of my primary physicians or orthopedic specialist ever recommended Hyaluronic Acid injections or Amniotic Stem Cell injections. Their repeated recommendation was always knee replacement surgery.
After my first consultation with Dr. Hashimoto & Dr. Olesnicky, he treated my pain with both injections as well as a custom made knee brace. As a result, I now have less pain. I want to thank Dr. Hashimoto and his staff for their assistance.
Glenn A. Pearson
Platelet Rich Protein
Platelet Rich Plasma Therapy (PRP) is a non-surgical treatment for soft tissue injuries and joint pain. PRP stimulates the body’s natural healing forces. Often a patient using PRP will be able to avoid more invasive procedures such as surgery. Chronic soft tissue injuries can be treated with PRP as an alternative to steroids.
What Is PRP?
PRP, or Platelet Rich Plasma, is a substance made from your own blood to trigger healing. Platelet Rich Plasma Therapy is a relatively simple, non-surgical treatment for joint injuries and arthritis. It merges cutting-edge technology with the body’s natural ability to heal itself.
The PRP is a concentration of platelets, which can jump start healing. Platelets contain packets of growth hormones and cytokines that tell the tissues to increase rebuilding to enhance healing.
When PRP is injected into the damaged area, it stimulates a mild inﬂammatory response, which triggers the healing cascade. This leads to restored blood ﬂow, new cell growth, and tissue regeneration. This may ultimately result in faster healing of soft tissue injuries.
Where does PRP come from?
A sample of blood will be taken from a vein in your arm under sterile conditions. The blood will be placed in a centrifuge, which is a device that spins the blood. This helps to separate the blood cells from the plasma, and allows concentration of the platelets. This concentration of platelets increases healing growth factors approximately 6 to 8 times greater than normal.
The preparation takes about 15 minutes. The ﬁnished PRP product is then available for injection into the injured joint or tendon under ultrasound guidance.
Because PRP is prepared from your own blood, there is no concern for rejection or disease transmission. In fact, PRP contains a high concentration of white blood cells, which helps to fight infection.
What are the potential benefits?
PRP enhances your healing potential. It is proving to often be an effective and natural alternative to steroid injections. Patients can see a signiﬁcant improvement in symptoms as well as a remarkable return of function. This may eliminate the need for more aggressive treatments such as long-term medication or surgery.
What Can I Expect During My Treatment?
You will visit with the doctor, who will ask about your medical history and give you a brief exam to determine that you are a good candidate for PRP therapy. We will obtain the blood sample and prepare the PRP.
The doctor will examine the area to be treated, sterilely prepare it, and apply numbing medicine. Using ultrasound guidance, the PRP will be gently injected into the injured area and joint support tissues.
After your treatment, you will stay for a 15 to 20 minute observation period. At check-out, you will schedule a follow-up appointment and we will review discharge instructions. The process may be repeated 1 to 2 times over a six to sixteen week period
What Can I Expect After the PRP Treatment?
You may have mild to moderate discomfort which may last up to 1 week. There may be temporary worsening of symptoms due to a stimulation of the inﬂammatory response, which is necessary for healing. Your doctor will instruct you in the use of ice, elevation, reduced activity, and analgesic medications for comfort while the PRP is initiating healing. Also physical therapy or a therapeutic exercise program will be prescribed.
What Should I Do When I Get Home Following the Procedure?
Because Platelet Rich Plasma releases growth factors, it is important to not disturb the area of injection for at least 48 hours. We ask that you refrain from activities other than necessary walking or driving in order to receive the maximum beneﬁt of the PRP growth factor stimulation. It is helpful if you can be sedentary for 48 hours, and refrain from any vigorous activity for up to 2 weeks following each procedure.
What Medications Can I Take?
Please do not take any anti-inﬂammatory medications such as Ibuprofen, Aleve, Motrin or Aspirin. You may take Tylenol or you may be prescribed an appropriate analgesic, if necessary. If you are on an 81-mg. daily dose of aspirin for cardiovascular reasons, please do not take it within the ﬁrst 48 hours.