Stem Cell Institute of America Review: Chiropractic Amniotic Bait and Switch

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stem cell institute of america review

I recently got an e-mail from a colleague that explained that he had seen an explosion in local chiropractic clinics offering amniotic “stem cells.” I’ve blogged on this phenomenon in the past. While there’s nothing wrong with a chiropractor learning the ropes of stem cell use and hiring competent physicians to do good work, that’s not what we’re seeing here. What we’re seeing instead is a moneymaking venture from start to finish being hawked by chiropractic management groups that promise to boost the revenues of struggling clinics. This sales pitch starts with a faulty premise—that the amniotic fluid they’re injecting has stem cells—and is exploitative in every way. One such outfit is Stem Cell Institute of America (formerly known as Stem Cell Clinics of America, or SCCA). So this will be a Stem Cell Institute of America review as told firsthand by a knowledgeable physician who attended one of their seminars and then my expert commentary on what was relayed.

What Are Amniotic Stem Cells?

When a baby is born, there’s fluid in the birth sac. When this liquid is fresh from a delivery, there is a low concentration of stem cells present. However, once it’s left to sit in a hospital, processed in a tissue bank, irradiated to kill pathogens, frozen for storage, and shock-thawed in a doctor’s office, not much living remains. In fact, our research and that of a third-party nonprofit shows that there are no living cells, let alone stem cells.

The E-mail from My Colleague

This arrived in my e-mail inbox this week unsolicited: “Chris, I had one of those…Chiropractors put on a marketing show for the public in a hotel down the street from my office…My PA and I attended the meeting of 10 unsuspecting older citizens from my town and he introduced himself as doctor ” so and so” from the “Stem Cell Centers of America”. They are injecting a Cryopreserved Amniotic Fluid injection for joints and soft tissues and IV. In his snake oil presentation he describes how BMC and adipose stem cells are multipotent but the “live stem cells” in ?XXXX? are pluripotent, don’t ever die, keep growing once injected in, require no targeting because these cells are much smarter than MSCs from fat and bone marrow and will regrow whatever your joint needs. This will regrow you a new joint. You will be pain free to have a normal active life style once again. Because in the end who has time to be in pain and go from doctor to doctor or risk serious side effects and death from risky medications and surgery?” Oh yea, and they are charging 5K a shot for a non-guided injection of this 2cc vial of fluid! I spoke to him afterwards and he admitted he’s a chiro and part owner of the company SCCA. I explained to him that his statements are not grounded in any science and he said all their clinics are operating as data centers with patient registries and they have over a hundred studies in progress!”

My Stem Cell Institute of America Review: Let’s Dissect the Science of the Seminar Presentation

  1. Injecting amniotic fluid IV—Yikes! This seems to have been borrowed from the magic-fat-stem-cell clinics I’ve blogged about. Given that the dead cells in these shock-thawed amniotic-fluid vials have large amounts of exposed collagen, which activates the fibrinogen in blood to produce a fibrin clot, injecting this stuff IV is ill-advised. All it will take is one clot to form and make its way into the lungs and everyone will have a bad day…In addition, in regard to the amniotic-fluid product being used, it says this on their website: “XXXX® should not be injected into the spinal canal, in vital organs (including the heart and other areas of the central nervous system), nor the circulatory system.” Didn’t someone read the product labeling on this stuff?
  2. The stem cells in amniotic fluid are somehow different from the cells in your body’s bone marrow or fat and grow forever in your body once injected. The stem cells that are likely active for orthopedic purposes in fresh amniotic fluid are mesenchymal stem cells (MSCs). They’re slightly different from those in your bone marrow or fat and obviously younger. There is a second type as well, which the chiropractor seems to be trying to discuss, called amniotic-fluid stem cells (AFSCs), which are a different animal. They can grow longer than adult MSCs and do form more different tissue types, but there are practical issues. First, unlike MSCs from bone marrow, there is no clinical research showing that these fresh cells help real-world orthopedic problems. Second, as I’ve blogged before, there are no living cells in these vials of “amniotic stem cells” being used by these clinics, so a dead AFSC is a dead cell capable to doing nothing. Finally, even if through some miracle some AFSCs survive in some of these vials, you don’t want someone else’s cells growing forever in your body. One of the nice things about MSCs is that they will only grow enough to cover an area and then stop, providing a very nice safety feature. Note that while Regenexx has published the world’s largest safety paper in orthopedic bone marrow MSC use, not a single paper exists on the safety of AFSCs when injected to treat arthritis in real treated humans.
  3. Amniotic tissues have issues between what’s claimed and reality. I’ve blogged on these amniotic “stem cell” product before. In summary, many physicians claim amniotic fluid and membrane have live cells. The problem is twofold. First, none of these products that we’ve tested have any live, functioning cells. The research scientist at the Interventional Orthopedics Foundation noted that amniotic tissue has a bizarre property of looking alive on the most simple live-dead stain test. Once you look with more sophisticated tools, everything is really dead.
  4. Stem cells will grow you a new knee! This is a novice mistake we see many medical providers just entering this space make. If you have severe arthritis, no matter what type of stem cells are used, you will not be grown a new knee—that’s simply not how stem cells work in severe-arthritis patients. Given that there are no stem cells in the stuff this chiro group is hawking, you’re definitely not getting a new knee out of this procedure.
  5. This is a blind injection. You’re going to pay $5,000 for someone to inject dead amniotic tissue into your knee, which a chiropractor with no cell-biology background or research experience erroneously tells you will grow you a new knee, but the doctor or nurse practitioner they’ve hired to inject it uses a blind technique? This means that since no guidance is used, he or she has no idea whether this stuff is really in your knee joint!
  6. This company has over a hundred studies in progress! I’ve researched the group running these seminars, calling themselves Stem Cell Institute of America. They’re headquartered in Canton, Georgia. On Google they list themselves as a “Research Institute” and here’s the street view: stem cell institute of america reviewNote that their “Research Institute” is sited right next to the gift shop on main street (they’re to the right, in suite #204). What other businesses are listed at this same address? “Physicians Business Solutions” (PBS). What is PBS? Is it a research institute? No. PBS is a company that helps chiropractors add a physician or nurse practitioner to their practice to add “more freedom and greater profitability.” It also helps to “Add exciting and in demand services to your practice” (like stem cells). They will also help you sell braces out of the office and help you learn how to bill insurance companies for medical services. The group is listed on this “Chiropractic Products” page, along with supplies for the office. Does this group have any research studies listed on Nope. Have they published any in-vitro or clinical research to back up their claims? Nope.

Performing Minimally-Invasive Procedures in a Chiro Office?

First, there are a few chiropractors out there who I know are trying to do a good job with orthopedic stem cells. Second, Stem Cell Institute of America doesn’t appear to be in that category. Their business plan includes running many national seminars aimed at the elderly. Once they have a patient who’s interested, a physician or nurse practitioner comes to a chiro office to perform an injection. However, to get a sense of why that’s an issue, compare and contrast that to one of our procedure rooms:

Orthopedic stem cell procedure room

None of the things you see here is common in a chiropractic office, nor is such an office a sterile environment. So what risks are generated by performing a stem-cell-injection procedure in an environment where if something goes wrong, the nearest stocked crash cart is across town at the local hospital?

No Lab Means No Ability to Check the Claims of Sales Reps

As I’ve blogged in the past, medical sales reps and used-car salesmen have much in common. In my career, I have been told countless things by reps just to make the sale, things that weren’t remotely true. In this case, PBS doesn’t have its own research facilities to check the claims that amniotic stem cell companies make. They don’t know enough about basic cell biology to know that that the chart above includes bogus data. They have no ability to perform independent live-dead stain tests, flow cytometry, or tissue culture to check the manufacturer’s claims. So they’re literally at the mercy of the guys selling the product. As a result, by telling elderly patients that this stuff has loads of stem cells that will grow them a new knee, they’re misleading patients in the worst possible way.

The upshot? There isn’t really any scientific or face validity to what Stem Cell Institute of America is selling. The amniotic fluid they’re selling as a miracle stem cell cure for arthritis that can regrow a new knee joint has no credible data showing it contains viable cells or that it can regrow a new knee. They are also injecting it IV, against the labeling of the product, which is a serious safety concern! Finally, based on our research to date, this $5,000 shot of dead amniotic-fluid cells is likely to be about as or less effective than a $1,000 PRP shot that any of these elderly people could get down the street through their local sports-med clinic. Buyer beware!

This blog post provides general information to help the reader better understand regenerative medicine, musculoskeletal health, and related subjects. All content provided in this blog, website, or any linked materials, including text, graphics, images, patient profiles, outcomes, and information, are not intended and should not be considered or used as a substitute for medical advice, diagnosis, or treatment. Please always consult with a professional and certified healthcare provider to discuss if a treatment is right for you.

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28 thoughts on “Stem Cell Institute of America Review: Chiropractic Amniotic Bait and Switch

  1. Renae Erskine

    so what can i do if ive given my $5000 to an orthopedist making these claims and went in blind, injected my knee with dead amniotic fluid cells???
    please advise me on doing something.
    Renae Erskine

    1. Regenexx Team Post author

      Best to take this up with your orthopedist. By all means show him this and our other many blog posts on this topic.

  2. DaveNT

    Great investigative report! You would think regulatory authorities would crack down on this, seeing as how they effectively force patients to go offshore for certain (legitimate) stem cell procedures.

    1. Regenexx Team Post author

      Thanks DaveNT! It’s a complicated issue. Regulatory authorities often miss the point in deference to the ability to regulate…

  3. Laurence Kahn, DC

    I am a Doctor of Chiropractic (DC) practicing in Illinois. I am also a Regenexx patient. I am very surprised that chiropractors anywhere in the nation are performing “stem cell injections” because, compared to many other states, Illinois has a quite liberal scope of chiropractic practice and, in my opinion, injections of any type are beyond the scope of chiropractic practice for much, if not all of the nation.

    If this is true, any chiropractor performing such injections is engaging in unlicensed practice of medicine (again, in my opinion.) Any DC who does such a thing deservedly risks prison and the loss of his or her license. To me, it seems like such a perilous course that I have trouble imagining any chiropractor embarking on it. Of course there are a few criminals in every profession, including chiropractic.

    A less egregious, but still (in my opinion) unethical method, is to make an arrangement with a similarly scruples-deprived medical doctor, to engage in some type of self-referral scheme where the DC refers to the MD and gets a cut. As I said, there are crooks in every profession. Please note that such a scheme would require one schnook from each profession. Believe me, I hate to see it.

    Like practically all physicians, chiropractic or medical, I am anxious for my patients to get appropriate care. I therefore frequently give my patients names of MD’s whom I believe are eminently competent and ethical. I would be surprised and very disappointed to run into any other chiropractors who feel differently.

    I believe this improves the care my patients receive and enhances my reputation, these things being the only compensation I will accept for the referral.

  4. Jim

    Thanks for the eye opening (hopefully) truth. I just attended one of the “Dinner seminars” this week with the follow up Free consultation. They make it seem so real. I am a skeptic, so naturally I am doing my research, and thankfully I came across this article. Can’t believe everything you hear.

  5. Mia

    My mother in law just had this procedure done and I am horrified. My mother in law is elderly, she went to the seminar and was told all these “miraculous” things at the seminar. And yes she paid 5 thousand dollars. In the morning I plan on calling the Louisiana state board of chiropractors, and also the FDA. Please tell me what else that I can do?

    1. Regenexx Team Post author

      Yes, if the representation was made to your mother in law that this was a stem cell procedure, this was consumer fraud. The chiropractor performing the presentation has a duty to ensure that he knows what he is asking his provider to inject. Given that the dead cells and growth factors injected are likely no better than and likely less potent than a simple platelet-rich plasma shot that retails for about 1K and usually only provides very temporary relief in someone that age, then you have every right to report this chiropractor and the provider who performed the procedure to their respective licensing boards. If you need any documentation, I would be happy to provide that information.

  6. Aruna

    Finding your blog after we just went to their seminar at a fancy restaurant. Thanks so much for sharing. ???? Oh well, at least the meal was great…

  7. Katie

    I went this weekend to one of their seminars and wanted so much to believe what the “Doctor” was tell us, a room with 30 seniors. The cost of 5K was way beyond what I could afford to pay, so left disappointed, thinking I missed a chance to be relieved of pain. Had to do some research on the internet and found your blog. The “Doctor” did not tell us he was a chiropractor and so was his practice. Glad I didn’t go forward by wasting my time or money for the snake oil this guy was selling. Thanks….oh and the meal wasn’t so good!

    1. Regenexx Team Post author

      Glad as well. The truth will set you free!

  8. JoAnn

    Just attended one of those restaurant dinner “seminars” and was leery about the scare-tactics presentation where the high cost(s) of knee-replacement surgeries in the U.S. today were presented as well as the personal time commitment in regards to therapy and full recovery were also accented! Then the so called benefits of “stem cell” therapy were presented as such an overwhelming relief with much shorter periods of “pain-free relief” to be accrued for each and every patient treated with the stem cell injections. There was no pricing information other than the offer of a 20% discount on the first injection, and a 30% discount if up to 3 sites are involved! That’s it. What tops it altogether is that the brochure given listed only Med Cal Weight Loss with a local address———–no doctor name, no in-connection -with Stem Cell Institute Of America except for their name shown above the local address and a local phone number. Looks fishy to me.

    1. Chris Centeno Post author

      JoAnn, from what I have heard from others, this is common in these seminars.

  9. Darlene Milligan

    I just scheduled to attend one of these seminars. Any questions that I should specifically ask?

    1. Regenexx Team Post author

      These are important questions to ask of any stem cell provider:

  10. A chiro

    I just read their ad in a chiro magazine and went to their website to check it out. On the very first page of their website: Doctors and Practicioners Can Register For Our Upcoming Miracles of Stem Cell Physician .

    My goodness they can’t even spell Practitioner!!!!

  11. Michele Wiltchik

    You have referred to PalinGen Flow. Can You please tell me if this product is one that you have tested? It is also Palingen Flow, but by Amniotechnology:

    1. Regenexx Team Post author


      Yes, Please see the letter with results in the “PaliGen Flow and the Letter” paragraph:

  12. Howard Fox D.C.

    I have no idea who these physicians are that are performing these injections. However they are as culpable as the chiropractors that are used as sales people that you are choosing to vilify. Maybe your bias is showing a bit. Attack the providers MDs and PAs doing the invalid injections and stop attacking Chiropractic just for a novelty. Nice article otherwise.

    1. Chris Centeno Post author

      Howard, I have no intention of attacking chiropractors, as I agree with you that the mid-level providers performing these procedures and the MDs who are signing off are as or more culpable in these scams as the chiros they work for. In fact, I work with many local chiropractors and count them among my closest friends and colleagues. However, none of them are involved in these bait and switch ventures.

  13. cheryl

    I went to one of their “dinner seminars” and was awed by their presentation. They offered a free consultation, so I went. The “consultation” was done by a receptionist who assured me I was a good candidate. She wanted to set up an appointment at a different location for xrays. I told her I could probably not afford $10K for the procedure and she handed me a loan application. When I said I needed to do more research and think it over she got extremely pushy which sent up even more red flags. I think stem cells are going to be the new wave of medicine, but it’s very hard to know who to believe with all of the deception out there. It’s sad that they are taking advantage of people in pain and the elderly who are desparately looking for help.

    1. Regenexx Team Post author


      Unfortunately, your experience was typical. This will explain more:

  14. W. Stawarski

    Is this the same as umbilical cord stem cell treatment?

    1. Regenexx Team Post author

      In that they are both birth products and that we haven’t found live and viable stem cells in either, however, as their names describe they come from different structures. Please see:

  15. Amanda L

    At the present (experimental) stage of regenerative medicine should one disregard all products/practitioners offering this expensive treatment?

    1. Regenexx Team Post author

      There are no viable stem cells in these products. On the other hand, you have plenty in your own body that can be used for treatment.

  16. Shenique Mac

    What are your thoughts on the research done by Neil Riordan who uses amniotic and umbilical stem cells that are cryopreserved? He seems to have had great success with these stem cells in his research. Is your position that there are never any viable cells in anything cryopreserved?

    And in his book Stem Cell Therapy: A Rising Tide, he stated that umbilical MSCs were more potent than an adult’s own cells because of their robustness (the rate at which the cells multiply/double, the amount of trophic factors they produce, and cell senescence). Would you agree or do you think that a person’s own bone marrow cells are best with respect to orthopedic conditions?

    Lastly, have you or the IOF tested any materials made by any lab in the U.S that has living viable stem cells derived from amniotic tissue or umbilical cord blood?

    1. Chris Centeno Post author

      Shenique, if you mean the work in Panama, then those cells are isolated, culture expanded, and then cryopreserved. They are also handled appropriately upon recovery (in culture), hence, I would assume these are live and healthy cells by the time they are transplanted. That’s night and day different from those available in US which have no functional viability. On whether umbilical cord cells or yours are more clinically helpful, there is ZERO clinical data on that comparison. For the IOF data, see On the Riordan clinic, I just did a review which is here: As you can see, the claims on their website are not substantiated by the information contained there.

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