Stem Cell Cures: Hype vs. Reality

By Chris Centeno, MD /

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Stem cell treatment review

I was watching a reality TV show with my wife the other night and a woman with severe Lyme disease said that she had undergone a stem cell treatment! I couldn’t come up with a mechanism for why that would work, but knowing the outfit that offered the treatment, I wasn’t surprised that they were preying on these patients. Then this cool graph appeared on Twitter which instantly quantified my angst about stem cells and the perception that they can potentially cure everything.

How All of the Hype Around Stem Cell Cures Began

First, any new technology that has big promise generates hype. While much of the scientific community doesn’t like physicians using stem cells to treat patients at this point in “history”, they’re the ones responsible for the initial hype. In hopes of increasing funding for embryonic stem cell research, they launched an expensive and carefully crafted campaign to build public interest. This lead to the “peak of inflated expectations” that we find ourselves in right now, which allows clinics like the one above to offer treatments that make little common sense.

The bacterial spirochete that causes chronic Lyme disease is likely also in the stem cells from this patient’s fat, so giving an IV fat stem cell treatment back to the patient only serves to further spread the bacteria to far flung areas. So whatever small anti-inflammatory effect the IV stem cells may garner, it is likely to be cancelled out by making the disease worse! And as of today’s date, not a single publication exists in the US National library of Medicine on this topic.

We’re still near the top of that peak of inflated expectations with hundreds of doctors a month being poorly trained in weekend courses on how to give patients basic stem cell treatments. These doctors really have no idea how stem cells work or how to correctly use them to maximize outcome and they know even less of what they’re capable of, other than treating them like magic pixie dust. So before we hit the “Trough of Disillusionment”, expect to see physicians selling stem cell treatments for just about every known human disease, regardless of whether it makes sense.

Reality Will Set In

About 3-5 years from now, we will hit that trough and hopefully this will be physician driven. Good doctors will wake up like a new years eve hangover and say, “What the heck was I thinking?”. Hopefully for their sake, it will be more like, “What happens in Vegas stays in Vegas” than the opposite. Stem cells will lose their luster as reputable physicians will have seen that they don’t cure everything. Then the tough work will begin of figuring out where stem cells really excel, where they’re useful, and what, like that morning after, was poor judgement.

After those several years, will come the “Plateau of Productivity”, where physician use of stem cells will pick up again, with a refocused and realistic effort to use these cells for what they can help and to maximize their effects. This will be the “Golden Age”, where a combination of autologous stem cells, mass produced products, and other new biologics will allow some really startling advancements to occur.

All of this Has Happened Before…

How can I predict it will all happen this way? I’ve lived it. When we first began using stem cells to treat orthopedic conditions a decade ago, we treated them like magic pixie dust as well, thinking they could cure everything. After a few years, reality set in. For a few treatments we went back to the drawing board to successfully re-engineer them, while for others we had to realize the limitations of the technology. Finally, a few years ago, we got to that “Plateau of Productivity” where we understood that the next phase would be all about maximizing the effects of treatments. As an example, this lead to our knee micro environment study where we’re looking at 25 growth factors and cytokines in the joint to predict which type of environments promote or hamper stem cell growth. At the same time, doctors just beginning to use stem cells are still treating them like magic fairy dust.

The upshot? At the end of the day, it’s painful to see things like a woman with Lyme disease being scammed. It’s also painful to see physicians advertising that they can cure any number of diseases that stem cells will likely never be able to tackle. Having said that, it’s also a bit interesting personally to go from pioneer and the only doctor in the U.S. doing this type of work on the bleeding edge, to the guy who is the experienced voice of reason!

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9 thoughts on “Stem Cell Cures: Hype vs. Reality

  1. Josephine Coatsworth

    As a patient with Lyme and a knee with arthritis stemming from an acl injury/graft 15 years ago combined with Lyme arthritis, is there any information as to whether stem cell injections would help or hurt my knee?

    thanks, Josephine

    1. Regenexx Team

      Josephine,
      Treating the arthritis resulting from the ACL graft is routine for us, however there is no research on how Lyme impacts stem cell health and capabilities. Having said that, we have treated several Lyme patients who have done well because we avoid injecting IV and instead inject only locally into the specific structures that need the cells.

  2. Jim

    Bonjour a tous,

    Jim here, I live in France and your blog topic is fortuitously timed. I too have a Lyme infected knee at the bone on bone stage of degeneration. This Wednesday, dec. 16th, I have my first face to face with the orthopedic for a knee replacement. I’m still walking so I have time to get educated with alternatives. Your site has been a fantastic educational forum for explaining a lot of stuff .

    Many thanks for keeping this a public education forum on everything new in stem cell development.

    1. Regenexx Team

      Jim,
      That’s been the goal, so thank you! Please read http://www.regenexx.com/blog/knee-replacement-questions/ before your appointment on Wednesday. As I recently shared with Josephine, while there is no research on the effect of Lyme on stem cells, we have treated several Lyme patients who have done well because we avoid injecting IV which would spread the disease, and instead only inject locally into the specific structures that need the cells.

  3. Josephine Coatsworth

    I’m really grateful for your perspective – Thank you!! – Josephine

  4. Taffy

    My son recently injured his knee and has a torn meniscus with blood and other effusion now. Could he benefit from your treatment? He’s down in Lima but feels he should return to states and get it taken care of. Thank you in advance for your reply!

    1. Regenexx Team

      Taffy,
      Yes, this would likely help, depending on the type of tear. Do you know what type of tear it is?

  5. Connie Shumway

    Is stem cell nutrition a real thing?

    1. Regenexx Team

      Connie,
      There are things you can do to improve the quality or quantity of your stem cells before a procedure for those motivated to do so, which include dietary suggestions. Please see: https://regenexx.com/blog/8-ways-improve-your-stem-cells-prior-treatment/

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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