Setting an Ethical Framework for Preventative Orthobiologics

Anyone practicing legit high-level Interventional Oorthobiologics (IO) has had the experience of a patient asking to have an area or body part treated just because that patient has some degenerative changes on imaging but no symptoms. As a field, I would argue that we are the first physicians in history to begin addressing this dilemma…read more

Are They Really Injecting Your Disc?

I often write about what I experience on a day-to-day basis. One of the more interesting scams out there is a proliferation of ex-US “stem cell” clinics that are telling patients that they are injecting intervertebral discs when, in fact, most are never coming close to placing cells in the disc. Let’s dive into this…read more

Disc Injections With Platelet Raisins and Protein Syrup

The last blog I published was on the mounting evidence for using PRP to treat the common causes of spinal pain. However, in that literature review, one study stood out. That research was abruptly halted at eight weeks, which was curious. As I sat down to read and analyze this paper in more detail, it…read more

Can a Large Cervical Disc Bulge Be Treated with Platelets?

Just 5 years ago, the spine cases that I would accept for treatment with precise image-guided orthobiologics were determined by the severity of the MRI. Meaning more severe cases of disc bulges, stenosis, and degeneration were turned down and told to seek surgery. However, as time when on, some cases seemed to break that mold…read more

The New VAST Trial Results on VIA Disc

It’s my job as CMO of Regenexx to stay on top of the latest and greatest technologies out there that can be used to treat Degenerative Disc Disease in the spine. Today I’ll tackle one called VIA Disc. My goal is to dissect a recent and past paper to see if this is something we…read more

The Curious Case of the Bad Artificial Disc

I often write about what I experience day in and day out in the clinic. The case this morning is of a patient who had an Artificial Disc placed and developed new pain. After a few in-clinic x-rays, a problem with the disc was discovered. So let’s use this opportunity to review the concept of…read more

How to Avoid Surgery and Steroids for a Slipped Disc

If you see an orthopedic physician or orthopedic surgeon for back pain that turns out to be a slipped disc, the overwhelming chances are that you will be treated with steroids, and when that fails, surgery. But in the risk versus benefit equation that should govern all medical treatment, is that the best plan? Let’s…read more

Stem Cell Disc Injection: The Hammer and the Nail

There’s a saying in medicine, “When all you have is a hammer, everything looks like a nail”. Meaning that if all the doctor knows how to do for a given problem is one treatment, then he or she tends to use that treatment when it’s not appropriate. This morning I’d like to highlight a stem…read more
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