Having Many Stem Cell Sources in the Toolbox benefits the Patient

by Chris Centeno, MD /

The Centeno-Schultz clinic has been using stem cells since 2005. That may not sound like a long time, but in terms of clinical stem cells use, it means that we were one of the first medical clinics in the United States to use stem cells for therapy. It also means that we have treated more than a thousand patients with cellular therapy and performed thousands of procedures for Regenexx-C, -SD, -SCP, -PRP, PL, and -AD. In addition, we don’t treat every disease that has a name, but only focus on orthopedics so that we can do one thing well, rather than everything poorly. As a result, we know that where you get your stem cells matters for what you intend the cells to repair. For orthopedics, bone marrow stem cells are the best source (Regenexx-SD). Orthopedic surgeons have known this for years, as the knee micro fracture procedure liberates these bone marrow stem cells into a cartilage defect. Adipose stem cells may be great for cosmetic use or to help nerves heal, but they dramatically under perform bone marrow stem cells in orthopedics. Orthopedic surgeons, for example, don’t perform a knee adipose micro fracture, transferring abdominal fat into the knee without liberating bone marrow stem cells, it just wouldn’t work. Adipose tissue used for a knee is better to provide structure (Regenexx-AD), for example to help prevent a meniscus from spitting out of a knee joint. Having some extra stem cells on hand (adipose has many), is also likely not a bad idea. In our experience, the very small stem cells found in peripheral blood (Regenexx-SCP) are best for healing things like small meniscus, ligament, and tendon tears. These are also easier to obtain (the patient just has a blood draw) and as a result less expensive to use. The bottom line is that any clinic using stem cells for orthopedic injuries should have multitude of sources to draw from to produce the best possible patient outcomes.

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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Regenerative procedures are commonly used to treat musculoskelatal trauma, overuse injuries, and degenerative issues, including failed surgeries.
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Many Shoulder and Rotator Cuff injuries are good candidates for regenerative treatments. Before considering shoulder arthroscopy or shoulder replacement, consider an evaluation of your condition with a regenerative treatment specialist.

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Knees are the target of many common sports injuries. Sadly, they are also the target of a number of surgeries that research has frequently shown to be ineffective or minimally effective. Knee arthritis can also be a common cause for aging athletes to abandon the sports and activities they love. Regenerative procedures can be used to treat a wide range of knee injuries and conditions. They can even be used to reduce pain and delay knee replacement for more severe arthritis.

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Many spine injuries and degenerative conditions are good candidates for regenerative treatments and there are a number of studies showing promising results in treating a wide range of spine problems. Spine surgery should be a last resort for anyone, due to the cascade of negative effects it can have on the areas surrounding the surgery. And epidural steroid injections are problematic due to their long-term negative impact on bone density.

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Most injuries of the elbow’s tendons and ligaments, as well as arthritis, can be treated non-surgically with regenerative procedures.

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Hip injuries and degenerative conditions become more common with age. Do to the nature of the joint, it’s not quite as easy to injure as a knee, but it can take a beating and pain often develops over time. Whether a hip condition is acute or degenerative, regenerative procedures can help reduce pain and may help heal injured tissue, without the complications of invasive surgical hip procedures.

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Foot & Ankle

Foot and ankle injuries are common in athletes. These injuries can often benefit from non-surgical regenerative treatments. Before considering surgery, consider an evaluation of your condition with a regenerative treatment specialist.
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