Blogging from the Caymans Again…

By Chris Centeno, MD /

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This is the sunset last night from the back porch of where I stay in Grand Cayman. I’m down here again for the next two weeks. Why? Regenexx Cayman is the world’s most advanced interventional orthopedics site. Let me explain.

Culture-Expanded Stem Cells

Stem cells can be grown to greater numbers in culture. The vast majority of what we do to treat orthopedic injuries and diseases uses the patient’s own bone marrow stem cells in the same day. However, for certain conditions and when there are many areas to treat, growing the stem cells to higher numbers can make a big difference.

The World’s Most Advanced Interventional Orthopedics Site

Stem cells that have been culture expanded are not permitted to be used in the U.S. However, there are a slew of countries in Central and South America as well as Asia and a few in Europe that allow this type of therapy. However, none of those sites have physicians trained in interventional and nonsurgical orthopedics. In fact, most have local physicians who have no specific training in this area. What is interventional orthopedics, and how does it differ from surgical orthopedics? See my video below:

Details from This Two Weeks

This next two weeks, I’ll be treating a professional athlete, several patients with severe hip arthritis, and many patients who need multiple areas treated with stem cells. The professional athlete has his cells stored here, so he’s coming in for an off-season tune-up. The hip arthritis patients all have disease that is far too severe for same-day stem cells. Finally, patients with many sites to be treated would never be able to be treated with high concentrations of stem cells in all of these different areas.

Insurance Coverage

While all of our Regenexx US-based procedures are covered under the employer contracts we are signing every day, this out-of-country treatment is not covered. There are no plans to add this at this time, as in the next few years, it will be available in the U.S. Hence, all treatment down here at this licensed Grand Cayman site is the patient’s responsibility.

The upshot? The sunsets are beautiful, the air is warm, and the sound of the surf lulls me to sleep each night. Add in that this is the most advanced interventional orthopedics site, it’s no wonder why I travel down three times a year to see some of my patients.

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12 thoughts on “Blogging from the Caymans Again…

  1. Ted Martin

    In your “Blogging from the Cayman’s Again” you wrote, “There are no plans to add this at this time, as in the next few years, it will be available in the U.S.” Are you saying that you expect culture-expanded stem cells are going to be approved for use here in the U.S. in the next few years?

    1. Regenexx Team

      Hi Ted,
      There are no plans to add this at this time, as in the next few years, it will be available in the U.S.

  2. jonathan smithson

    Did i read that right that the cultures treatment will be available in the US in the n3xt few years?

    1. Regenexx Team

      Hi Jonathan,
      There are no plans to add this at this time, as in the next few years, it will be available in the U.S.

  3. Paul Prochaska

    of course I was speaking about the cultured stem cell procedure…

    1. Regenexx Team

      Hi Paul,
      There are no plans to add this at this time, as in the next few years, it will be available in the U.S.

  4. Dale Glover

    Wanted to clarify my understanding of a comment made above regarding expansion of services.
    Are you saying that in the next couple of years cultured stem cell treatments will be offered by your company at U.S. locations?

    1. Regenexx Team

      Hi Dale,
      There are no plans to add this at this time, as in the next few years, it will be available in the U.S.

  5. Aston

    How soon will stem cell expansion be available. Any thing in the works with the FDA? I don’t expect insurance to cover it anytime soon but could expansion reduce costs of these procedures since you could get more treatments in one or more areas with 1 harvest?

    1. Regenexx Team

      Hi Aston,
      There are no plans to add this at this time, as in the next few years, it will be available in the U.S.

  6. Brian Gates

    I had 81 joints (I think) treated in the Grand Cayman in December. Most of them are doing fantastic and getting big results. A few didn’t appreciate it when I tried to increase my activity level. See you in the next few years in the U.S. One day you’ll do a patient success blog post on me!!

    1. Regenexx Team

      Hi Brian,
      Wonderful to hear! That’s a deal!

Chris Centeno, MD

Regenexx Founder

Chris Centeno, MD is a specialist in regenerative medicine and the new field of Interventional Orthopedics. Centeno pioneered orthopedic stem cell procedures in 2005 and is responsible for a large amount of the published research on stem cell use for orthopedic applications.
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