Phone:  239 430 3668
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Self Service # (239) 420-7170 
Fax: 239 692 9436

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730 Goodlette Road, suite 102
Naples, FL 34102

Q:
I was impressed by the doctor's videos on YouTube.  I noticed the PRP/stem cell video on a patient's ankle.  My condition has been chronic, lateral left ankle interstitial peroneal brevis tear and ATF tear.  Surgery is not option according to 3 F&A surgeons I saw.  I'm 68 yrs. female, petite. Do you think PRP alone or with stem cell injections?  Why amniotic vs. adipose/or bone stem cells?  Also does a patient  go thru several interval injections?  and, you didn't mention in the video if patient has to be in cam walker or boot after these injections.  thank you so much for your time.
A:
Thank you for your email.
Stem cell vs PRP.  I would say Stem cell is much stronger than the PRP, if something such as a tear is involved, I recommend Stem cell injection.
Difference of commercially available stem cell (amniotic) vs fat or bone stem cell of the patient is that the patient’s stem cell count drops with age.   
Amnio stem cell is consistent in nature and predictable.  Casting or not.  depends on amount of tear.   I would say yes in your case.
I recommend two stem cell units with casting for 4 weeks.
Nothing is a guarantee but stem cells and differentiate into tendon and ligament cells.
Hope this helps.
Q:
What are stem cells?

A:
Stem cells are the foundation cells in our bodies. Throughout our lives, we continue to rely on  stem cells to repair injured tissues and replace cells that are lost every day.

Stem cells have the capacity to divide in a way that generates more stem cells and to differentiate or turn into specialized cells that make up our tissues and organs.

 Q:

Where do stem cells come from?

A:
Amniotic stem cells come from amniotic tissue and fluid. These are pluripotent stem cells, meaning they can divide into more stem cells or can become any type of cell in the body.

For clarification, amniotic stem cells that we use are derived from the amniotic sac -- not an embryo. While most people may have ethical concerns about embryonic stem cell therapy, most everyone agrees that the use of amniotic stem cell therapy raises no ethical or moral questions. Harvesting amniotic stem cells is a highly regulated procedure to help ensure the health and safety of the donors and recipients.
Q:
Are stem cell treatments dangerous? What are the risks?
A:
As with all medical procedures, there are certain risks including injection site pain, rejection is rare as  amniotic tissue are antigen free. Stem cells have the potential to divide many times and differentiate into many cell types. 

Q:

How are stem cells used for treatment of musculoskeletal problems?

A:
Stem cell treatments are being used for bone fractures. Stem cells may stimulate bone growth and promote healing of injured bone.

Mesenchymal stem cells may develop into cells that are specific for connective tissue. This would allow for faster healing of injuries of the ligament and tendon, such as Achilles tendon ruptures.  We have been treating full ruptures with stem cells and recovery is 4 weeks vs 8 weeks with surgery!  This has been a great advancement. 
Q:

What happens during a procedure?

A:
During a simple procedure, concentrated amniotic stem cells are thawed from -80 C, then mixed with local anesthetics, then they are injected into the area of injury. The entire procedure takes less than 15 minutes. The patient is awake the entire time and experiences no pain from the process. 
Q:
What is Marrow Cellution?
A:
The is a patent-pending technology that overcomes the limitations of a traditional bone marrow needle by allowing the user to aspirate in a measured and controlled manner over a large geography inside the marrow space, while restricting peripheral blood infiltration.  The result is a bone marrow harvest that is rich in stem cells.
Q:
How do the stem cells know what to do?
A:
Stem cells follow a process called cell-signaling. The healthy cells in the site become the indicators for the newly injected cells. Once the new stem cells learn of their purpose, they immediately go to work with their new job functions to repair and replace.  In damaged bone, for instance, the injected multipotent stem cells develop into bone cells to aid in tissue repair. Cells delivered into a joint will develop into cartilage cells. This the the process of natural healing.

 Q:

How long does it take to see improvement?
Stem cell therapy relies on the body’s own regenerative healing to occur. Every patient is different and the regenerative process may take several weeks then several months before results are peeked.    In some cases, more immediate responses are possible.   Personally , from family and physician patients of mine they feel significant relief in 4 -6 weeks from their ailments ;furthermore,  they do get immediate small scale improvement from day 1. 

Q:
Will insurance pay for these procedures?

NO, insurances including medicare of any state will not pay for stem cells, PRP, ESWT, Radiofrequency for neuromas.  All these therapies are FDA approved and regulated but insurance companies will not pay for such.   We will give you a receipt as well as your medical notes to give to your insurance carriers, but we are not responsible nor will we ever tell you verbally or otherwise that insurance may cover these modalities.    

It is shame for they will cover surgery without a question, but not such great progressive technologies.

WHAT IS
stem cell therapy?

 Stem cells hold the promise of treatments and cures for many diseases and conditions that affect millions of people.





What is Extra Corporal Shockwave Therapy (ESWT)?
Extracorporeal Shock Wave Therapy or ESWT is a revolutionary technology that uses shockwaves to treat chronic, painful conditions such as chronic heel pain and Achilles pain.
 
Platelet-rich plasma or PRP is blood plasma that has been enriched with platelets. It helps stimulate healing of bone and soft tissue.
Regenerative medicine holds the promise of revolutionizing healthcare by harnessing the body's own regenerative capabilities to repair, replace, or regenerate damaged tissues and organs. In Naples, Florida, regenerative medicine offers hope to individuals seeking innovative solutions for a range of conditions, from orthopedic injuries to chronic diseases. Through cutting-edge techniques such as stem cell therapy, platelet-rich plasma (PRP) treatments, and tissue engineering, regenerative medicine in Naples is transforming the landscape of healthcare, offering patients the opportunity for enhanced healing and improved quality of life. With its potential to address unmet medical needs and provide long-term solutions, regenerative medicine is poised to shape the future of healthcare.

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