Treatments

Here at RegeneSpine, we know how much pain can affect your life and relationships.

 

Outcomes Matter

At RegeneSpine, Evidence Based Medicine is very important. If a patient is selected as a candidate for one of our regenerative procedures, it is important that they are willing to participate in our outcomes recording. Each patient is expected to complete a survey prior to their procedure, as well at several increments afterward. If a patient is unwilling to participate in our outcomes research, this is a disqualification for our program. Reliable outcome measures are vital to our patient’s recovery and the future of Regenerative Medicine.

Platelet Rich Plasma?

PRP (Platelet Rich Plasma) Therapy

What is PRP?

Platelet Rich Plasma (PRP) therapy is believed to work through the release of growth factors and cytokines (subtances secreted by the immune system that affect cells) that recruit reparative cells and enhance the healing process. This treatment is used in disorders of the spine, joints, ligaments, tendons, and other tissues.

What is the procedure?

A small amount of blood is withdrawn form the patient. This blood sample is then treated to separate the platelets from the other cells found in the blood. The concentration of platelets is then increased by several hundred percent. The resulting highly concentrated mixture of platelets, plasma and other factors is then injected back into the patient in a very precise fashion, under ultrasound and/or x-ray guidance to treat the area of pathology.

What is the after care?

Patients are advised to avoid NSAIDS (non-steroidal anti inflammatory medications) and steroids in the period before and after the procedure the body’s own natural healing to take place. Specific restrictions and exercises may be suggested according to the area treated.

Stem Cell Therapy

What are Stem Cells?

Stem Cells are undifferentiated cells that can give rise to more cells of a differentiated cell type. There has been some controversy in regard to stem cell treatment. This controversy comes from the use of embryonic stem cells, derived from human embryos. This type of stem cell is not used at our Regenerative Spine and Joint Institute. We utilize our patients’ own adult mesenchymal stem cells.

How do Stem Cells work in Spinal and other musculoskeletal conditions?

Mesenchymal Stem Cells (MSCs) are believed to enhance tissue repair via the production of growth factors and cytokines, and the recruitment of other factors to attract other cells to stimulate tissue repair. Stem Cell Therapy is used in disorders of the spine, joints, ligaments, tendons, bones, and other tissues.

What is the procedure?

A sample of the patients’ own bone marrow is aspirated via a needle, usually from the back of the iliac bone in the low back/pelvic region. The bone marrow is then treated to concentrate the amount of mesenchymal stem cells (MSCs) into a bone marrow aspirate concentrate (BMAC) which also contains platelets, cytokines, growth factors, and other substances. This bone marrow aspirate concentrate (BMAC) is then injected back into the patient in a very precise manner using ultrasound and/or x-ray guidance.

What is the after care?

Patients are advised to avoid NSAIDS (non-steroidal anti inflammatory medications) and steroids in the period before and after the procedure to allow the body’s own natural healing to take place. Specific restrictions and exercises are suggested according to the area treated.

Insurance coverage

RegeneSpine Regenerative Spine and Joint Institute participates with Medicare. We also participate with some worker’s compensation insurance plans. Patients with most commercial insurance plans are seen on an out-of-network basis. Unfortunately at this time, many regenerative procedures such as Platelet Rich Plasma and Stem Cell therapy are not covered by health insurance.

Lipogems TM

Your adipose tissue, aka fat, contains a vast number of supportive and reparative cells that help promote a healing environment throughout the body. With the Lipogems TM system, a small amount of your adipose tissue is removed and treated to be reinjected into the body in areas of musculoskeletal pathology such as arthritis.

Epidural Injections

An epidural injection is a minimally invasive procedure in which an injection is performed under x-ray guidance into the epidural space of the spine using steroids or a regenerative solution that can help relieve neck, arm, back, and leg pain caused by inflamed spinal nerves due to spinal stenosis or disc herniation. There are several types of epidural injection, which may be performed via the interlaminar (posteriorly, between the vertebra), transforaminal (from the side via the nerve foramen or opening) and the caudal (sacral area) routes.

Joint Injections

We treat disorders of the joints with regenerative modalities. Some of the most commonly affected joints include the knees, hips, and shoulders. Joint problems that can be treated in a regenerative fashion include not only arthritis, but problems with ligaments and menisci, as well as labral and cuff injuries. We perform the majority of these injections under direct visualization using ultrasound or x-ray guidance.

Epidural Injections

An epidural injection is a minimally invasive procedure in which an injection is performed under x-ray guidance into the epidural space of the spine using steroids or a regenerative solution that can help relieve neck, arm, back, and leg pain caused by inflamed spinal nerves due to spinal stenosis or disc herniation. There are several types of epidural injection, which may be performed via the interlaminar (posteriorly, between the vertebra), transforaminal (from the side via the nerve foramen or opening) and the caudal (sacral area) routes.

Intradiscal Injections

An intradiscal injection is a minimally invasive procedure in which an injection is performed under x-ray guidance into the intervertebral disc. This injection may be diagnostic, whereby a local anesthetic is injected to see if the disc is a source of pain, or therapeutic, whereby platelet rich plasma (PRP), or bone marrow concentrate (BMAC/mesenchymal stem cells and other cells) are injected for pain relief.

Intradiscal Injections

An intradiscal injection is a minimally invasive procedure in which an injection is performed under x-ray guidance into the intervertebral disc. This injection may be diagnostic, whereby a local anesthetic is injected to see if the disc is a source of pain, or therapeutic, whereby platelet rich plasma (PRP), or bone marrow concentrate (BMAC/mesenchymal stem cells and other cells) are injected for pain relief.

Facet Injections

Facet joints, also called zygapophyseal joints are the small joints along the spine that provide stability and help guide motion. A facet joint injection is a minimally invasive procedure in which an injection is performed under x-ray guidance into a spinal facet joint for pain relief.

Radiofrequency Treatments

Radiofrequency ablations are minimally invasive treatments in which a needle probe is used to deliver energy via radio waves to heat up a nerve for the purpose of pain relief. At RegeneSpine, these procedures are used for the treatment of spine pain, sacroiliac pain, and pain in the hips and knees, including pain in the hips and knees that may persist after a joint surgery or replacement.

Coolief ™

Coolief ™ is a brand of radiofrequency ablation which is a minimally invasive treatment in which a needle probe is used to deliver energy via radio waves to heat up a nerve for the purpose of pain relief. The Coolief ™ system creates a larger lesion size than standard radiofrequency treatment. It is used for the treatment of spine pain, sacroiliac pain, and pain in the hips and knees, including pain in the hips and knees that may persist after a joint surgery or replacement.

Sacroiliac Joint Injections

A sacroiliac injection is a minimally invasive procedure in which and injection is performed under x-ray guidance into the sacroiliac joint for the relief of pain in low back or pelvic area.

Spinal Ligament Injections

A spinal ligament injection is a minimally invasive procedure in which an injection is performed under x-ray or ultrasound guidance into the ligaments of the spine and surrounding structures.

Trigger Point Injections

A trigger point injection is a minimally invasive procedure in which local anesthetic or other agent is injected into a tender area of muscle or trigger point.

Nerve Blocks

A nerve block is a minimally invasive procedure involving the injection of medication in the vicinity of a nerve to block the function of that nerve. In some cases, these may provide long lasting pain relief.


Spinal Cord Stimulation

A spinal cord stimulator is a device implanted in a minimally invasive fashion in which a pulse generator sends a signal to a wire placed near the spinal cord. An electrical impulse is sent to stimulate the nerves in the area where your pain is felt. This may be helpful for patients with chronic pain in the spine, arms, or legs.

Peripheral Nerve Stimulation

A spinal cord stimulator is a device implanted in a minimally invasive fashion in which a pulse generator sends a signal to a wire placed near a peripheral nerve. An electrical impulse is sent to stimulate the nerves in the area where your pain is felt. This may be helpful for patients with chronic pain in the ribs, arms, or legs.

Percutaneous Tenotomy and Percutaneous Fasciiotomy

Percutaneous tenotomy / percutaneous fasciiotomy is a minimally invasive technology used to treat chronic tendon pain by precisely targeting and removing damaged tissue without the need for conventional surgery. The site of tendon pathology is identified under ultrasound imaging. Under live ultrasound guidance, a small instrument is used to remove the damaged tissue allowing the body to heal within 4-6 weeks. This has been used sucessfully in helping patients avoid surgery in clinical cases of lateral epicondylitis (tennis elbow), medial epicondylitis (golfer’s elbow), achilles tendinitis, patellar tendinitis, plantar fasciitis, and gluteal tendinitis which is often referred to as trochanteric bursitis.

Spinal Cord Injury Treatment with Stem Cells

The treatment of spinal cord injury with stem cells has shown some promise. Although the RegeneSpine Team is involved research into the treatment of spinal cord injury with stem cell therapy, we are not currently performing these treatments. There are several ongoing clinical research trials. To see if you are a candidate for one of these trials, we suggest visiting a website such as regenerativeoutcomes.org or clinicaltrials.gov.

Supplements

We believe that with the guidance of Evidence Based Medicine, natural supplements may help to enhance the health and recovery of our patients, which can sometimes perform as well as, or even better than prescription medications which often have serious side-effects. Specific recommendations may be made by your doctor at the time of your visit according to your diagnosis and medical history.

Summer in the air

Summer
Capsule Edition

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Summer in the air

California
Beach
Vibes

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