Thursday, December 22, 2016

Stem Cell Treatment Las Vegas Garcia

In describing stem cell therapy, the first step is to define and explain what a stem cell actually is. A stem cell is frequently referred to as a “blank” cell. It is capable of changing or growing into another more definitive type of cell in the body, such as a skin cell, a muscle cell, or a nerve cell. A stem cell is microscopic in size and can only be seen under a microscope. Stem cells are exciting news in both medical and scientific circles. These cells they can be used to replace or repair damaged tissues and cells in the body. They can serve as a built-in repair system for the human body, replenishing other cells as long as a person is still alive. A collection of stem cells can be harvested and stored for future use. The stem cell is essentially free of genetic defects and it is so immature in its form that they can be transplanted into people of all types without worrying about rejection such as in a blood transfusion or an organ transplant. Stem cells have the potential to multiply and create more of the same cells, but this can only be done in a lab where culture media and other chemicals are added to promote this growth in numbers. With proper techniques, the stem cells can be caused to mature, forming more definitive cells such as muscle, nerve or liver cells. While still in the early research phase, these techniques show huge promise. Now a patient cannot go to a physician and receive these differentiated cells to treat their medical issues. Although this all sounds like it is brand new, therapy with stem cells has been around for many years. The fist example of stem cell therapy was the treatment of people with blood-system cancer, like leukemia, where they were first treated to kill off all of the diseased cells with chemotherapy and then they received stem cells form a matched donor to replenish the lost cells. These transplanted cells originated from human adult donors or form umbilical blood collected during childbirth.

Using stem cells to repair certain parts of the body is commonly referred to as stem cell therapy or regenerative medicine. Researchers can grow stem cells in a lab for use in clinical trials. There are many clinical trials going on around the world about the potential future uses of stem cells. Practicing physicians can presently do what are referred to as autologous stem cell transplants. In this case, stem cells are collected form the patient and returned to the patient into a specific area in a higher concentration. How this can be performed is through what is commonly referred to as adipose-derived stem cell therapy. In this procedure a small amount of fat, or adipose tissue, is harvested from the person’s body. The fat cells are then separated from the tissue between them that holds the fat cells together. Think of the fat cell being a tile on the floor and the tissue I am referencing is the grout that holds the tiles together. In this case, that grout is called stromal vascular fraction (SVF). It is in the SVF where the stem cells reside. The SVF contains other proteins in it besides just stem cells. These are cytokines, growth factors, and mesenchymal cells. Mesenchymal cells are, like stem cells, multi-potent, and can differentiate into other types of tissue such as cartilage or bone cells. The SVF with its healing properties can be the administered to the patient directly into an injured area such as into a knee joint or given through an intravenous line. In cases such as this, the patient is treated in one day with no manipulation of the cells. It is an autologous transplant, coming from the same person, so there is no risk of rejection or allergy. The SVF provides the elements need for tissues to heal as it contains stem cells, mesenchymal cell, cytokine and growth factors. At the Regenerative Medicine Institute of Nevada we provide SVF therapy as well as Cytokine Growth Factor Therapy with Platelet Rich Plasma (PRP) therapy to assist our patients heal from a myriad of different medical problems or acute and chronic injuries.

Monday, November 14, 2016

Rotator Cuff Injuries - Causes, Symptoms and Treatment

Reduction of pain and a restoration of function is the goal of any Rotator Cuff treatment. There is no one perfect option for all patients. In cases where an MRI, a common imaging modality, has shown a tear of the Rotator Cuff, some type of treatment will be required beyond just ice and a short period of rest. The most common tendon of the Rotator Cuff injured is the supraspinatus. Prompt diagnosis of a Rotator Cuff tear is essential to lessen the invasive nature of any treatment option. When a tear of the Rotator Cuff occurs, the surrounding muscle often atrophy, or shrink, losing strength This finding points to the need for physical therapy to keep the range of motion as well as to rebuild the muscles without further damaging the tendons of the Rotator Cuff. There are specific exercises that a physical therapist can help you with that can strengthen the Rotator Cuff tendons. These exercises help to maintain movement and attempt to slow the atrophy or loss of muscle around your shoulder. Many physicians believe that stronger muscles can help avoid further Rotator Cuff damage. The first steps in treatment and physical therapy combined with OTC NSAIDs. The risks of surgery, namely infection, permanent stiffness, complications related to anesthesia and in many cases a lengthy recovery time as well as a recurrence of the tear, prompt many who have a Rotator Cuff injury to seek out non-surgical option.
A Rotator Cuff partial tear is often treated by an orthopedic surgeon with something called a debridement. This is where frayed edges of the tendon are trimmed and if a bone spur is causing the injury, it can be burred down. The debridement of the tendon does not make the tendon heal any faster though. If the edges of the tendon are torn but sill adjacent to one another there can be different options available. Unfortunately, if the Rotator Cuff tendons are completely torn and widely separated, usually a major surgical intervention is called for.
We at REGENERATIVE MEDICINE INSTITUTE OF NEVADA have found that our Cytokine Growth Factor Therapy enhanced with PRP can often shorten the recovery time of a Rotator Cuff injury. Brining into the joint a concentration of growth factors not normally in the joint can help the healing of the partially torn or well-opposed Rotator Cuff tendons. This can avoid surgery in many cases and involves no anesthesia. A quick in office procedure where the cytokines and growth factors are mixed with PRP and then injected directly into the injured shoulder can lead to a faster recovery with no surgery.

Tuesday, September 20, 2016

Rotator Cuff Tear Las Vegas Garcia

A tear of the rotator cuff in a patient leads to pain and in most cases a limitation of motion and activity. On average, there are yearly about 2 million people that seek out and evaluation by a physician for shoulder or rotator cuff pain. The shoulder is a ball-and-socket joint. The actual rotator cuff is a group of four muscles around the arm bone that allows you to lift and rotate your arm. There is a sack of fluid, called a bursa, in this area. This bursa may be inflamed or painful when an injury to the rotator cuff tendons occurs. The tendons of the rotator cuff often become partially torn with injuries or over-use. This can cause pain and limitation of motion. Unfortunately, this fraying of the tendons can result in a complete tear of the tendon when a quick motion is performed or a heavy object is lifted. At times, a rotator cuff tear can occur from a fall on an out-stretched arm. Over-use of the rotator cuff, like that seen in athletes or people that do repetitive motions at work, can result in rotator cuff injuries. Signs and symptoms patients should look for when they think they may have a rotator cuff injury are pain while resting or sleeping, in particular when laying on the shoulder, pain with moving your arm in certain directions, loss of strength in the arm during certain motions, as well as crackling sounds when using your arm in certain movements. Some patients may eventually require surgery to repair the rotator cuff but is a large percentage of patients, therapy and anti-inflammatories will help the patient function. Caution should be taken with cortisone injections into the area as while it can temporarily decrease the pain, it can allow faster degradation of the tendons and speed the partial tear converting to a full tear. In cases where surgery is required, the post-operative course can complicated by infection, permanent stiffness, anesthesia complications, a lengthy recovery period, as well as a failure of the repair and a return of the pain.

We at the Regenerative Medicine Institute of Nevada use alternative methods and have had great success in staving off the need for surgery and the use of some of the medications that can have serious side effects. We offer options to the patient that utilize adipose derived stromal vascular fraction, (SVF) components. The SVF is derived from the patients’ own fat cells and their supporting structures and contains Cytokines, Growth factors, Stem cells, as well as Mesenchymal cells. This SVF is harvested using a small liposuction procedure under local anesthesia and then the SVF is prepared and either injected directly into the joint or given through an intravenous line. These treatments, because they use the patients’ own tissue, offer no chances for rejection or allergic responses. We also offer additional options with Cytokines and Growth Factors from a tissue bank and mix it with Platelet Rich Plasma (PRP). This Cytokine Growth Factor Therapy in combination with the PRP involves no fat harvesting. This procedure, like the SVF, has no fear of rejection no allergic response. Both of these options provide choices for the patient looking to avoid prescription medications, cortisone injections, or surgery. The SVF or Cytokine Growth Factor Therapy with PRP can be repeated as the aging process allows continued damage to the tendons and burs in the rotator cuff.