Regenexx-PL Low Back Successes

By Chris Centeno, MD /

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One of the most common spine injections used to help prevent spine surgery is an epidural steroid injection. This procedure involves placing the medication “epidural”, which literally means on top of the dura (the dura is the covering of the spinal cord and nerve roots). Placing medication in this location helps to reduce swelling around the spinal nerve usually caused by a bulging or herniated disc. The main downside of this approach is that the medication that’s often used (high dose steroids), while a potent anti-inflammatory, can inhibit healing. What if there was another way to help reduce swelling around the nerve with a regenerative medicine approach, meaning injecting something that may help repair tissue and prompt the development of new blood vessels? Instead of high dose steroids, we have offered our patients the option of using Regenexx-PL for the past two years. PL means platelet lysate, which is the patient’s own concentrated platelet solution where the platelets are cracked open to make sure all of the growth factors are immediately available. In addition, the pro-inflammatory platelet bodies are removed. We’ve seen clinical results that are the same or better than high dose steroid injections, without the concern of many of the downside risks of high dose steroids (which can include Cushing’s syndrome or the accumulation of excessive epidural fat, further pressing on nerves). In addition, in our clinical opinion, these Regenexx-PL injections often result in longer, sustained relief.

DD is a good example of the kind of changes we’ve noted with Regenexx-PL epidural injections. This patient is a 30 year old male attorney with a two month history of lower back, buttock, and leg pain which was constant, with radiation of those symptoms into the right ankle. Bending, coughing, and sneezing all made the pain and symptoms worse. The patient had failed chiropractic and taking medications didn’t help. Three Regenexx-PL injections were undertaken every 1-2 weeks with fluoroscopic guidance at the symptomatic levels. At 2-3 month follow-up, he reported 80% reduction of lower back pain and 35% reduction in his leg pain. He was sent back to physical therapy.

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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Shoulder

Shoulder

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.

  • Rotator Cuff Tears and Tendinitis
  • Shoulder Instability
  • SLAP Tear / Labral Tears
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Cervical Spine

Spine

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.

  • Herniated, Bulging, Protruding Discs
  • Degenerative Disc Disease
  • SI Joint Syndrome
  • Sciatica
  • Pinched Nerves and General Back Pain
  • And more
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Knee

Knees

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.

  • Knee Meniscus Tears
  • Knee ACL Tears
  • Knee Instability
  • Knee Osteoarthritis
  • Other Knee Ligaments / Tendons & Overuse Injuries
  • And more
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Lower Spine

Spine

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.

  • Herniated, Bulging, Protruding Discs
  • Degenerative Disc Disease
  • SI Joint Syndrome
  • Sciatica
  • Pinched Nerves and General Back Pain
  • And more
Learn More
Hand & Wrist

Hand & Wrist

Hand and wrist injuries and arthritis, carpal tunnel syndrome, and conditions relating to overuse of the thumb, are good candidates for regenerative treatments. Before considering surgery, consider an evaluation of your condition with a regenerative treatment specialist.
  • Hand and Wrist Arthritis
  • Carpal Tunnel Syndrome
  • Trigger Finger
  • Thumb Arthritis (Basal Joint, CMC, Gamer’s Thumb, Texting Thumb)
  • Other conditions that cause pain
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Elbow

Elbow

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

  • Golfer’s elbow & Tennis elbow
  • Arthritis
  • Ulnar collateral ligament wear (common in baseball pitchers)
  • And more
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Hip

Hip

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.

  • Labral Tear
  • Hip Arthritis
  • Hip Bursitis
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Foot & Ankle

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.
  • Ankle Arthritis
  • Plantar fasciitis
  • Ligament sprains or tears
  • Other conditions that cause pain
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