Like many things in life, when it comes to body fat moderation is key. Your body needs fat tissue to help its vital systems including the cardiovascular, endocrine, reproductive and central nervous systems, function properly. But too much body fat is harmful and can lead to increased risk for chronic conditions such as heart disease, diabetes and arthritis.
Now, regenerative medicine specialists are putting fat’s natural healing abilities to work to address common orthopedic conditions such as joint and tendon injuries.
What is Micro-fragmented Adipose Tissue?
Fat or adipose tissue is rich in healing cells like mesenchymal stem cells or MSCs, growth factors and other proteins that can assist in healing tissues. Innovative procedures, like Lipogems® uses the body’s own fat with a patented system that processes and resizes the adipose tissue. A small amount of fat is collected from the buttocks, abdomen or “love handles.” There is minimal manipulation of the tissue with no enzymatic digestion or addition of other biological or pharmacological agents.
The processed tissue is called Micro-fragmented Adipose Tissue (MFAT) and it is injected into injured areas using imaging guidance to help provide cushion and support the healing of damaged tissues. The entire procedure is performed in a doctor’s clinic without the need for sedation.
What Are the Outcomes for Lipogems®?
There are more than 70 research studies published in the peer-reviewed medical literature using this treatment with up to 3 years of follow-up. More than 90 percent of San Diego Orthobiologics Medical Group patients who underwent Lipogems® experienced significant relief with the treatment and were able to resume normal, pain-free physical activity. More than 35,000 procedures are performed worldwide with a low rate of minor complications and no major complications reported. There is no risk of rejection and low risk of infection since you are using your own tissue. Individual outcomes vary based on the extent of the injury or damage as well as the patient’s overall health and fitness levels.
Fat-derived cell based therapies is a great non-surgical treatment option for patients with orthopedic injuries or conditions who failed standard therapies. Learn more about these therapies here and here. Schedule a consultation with our innovative Regenerative Medicine doctors to determine if you are a good candidate for these treatments.
Drs. Christopher J. Rogers and Mary A. Ambach of San Diego Orthobiologics Medical Group together have successfully treated thousands of patients with Lipogems® and other cell-based treatments for more than three decades. They are published authors and stem cell researchers. Their facility in Carlsbad contains the most advanced Regenerative Medicine technology in San Diego and offers same-day treatments with the highest level of safety and efficacy.
The musculoskeletal system is the body’s interconnected network of bones, muscles, tendons, ligaments and connective tissues that helps you move and perform tasks of everyday living. But if injury or disease such as degenerative arthritis cause parts of the system to break down, the result can be pain, swelling, weakness and stiffness.
The good news however, is that the body has regenerative properties that we can harness to treat orthopedic injuries involving the joints and soft tissues in the back, neck, knees, hips, elbows, shoulders, wrists and ankles.
Orthobiologics are natural substances such as cells, cell molecules and tissues derived from the patient’s own body that are harnessed to stimulate healing of orthopedic injuries or conditions.
What are the different types of Orthobiologics used in clinical practice?
Platelet Rich Plasma(PRP): Concentrated solution of platelets derived from the patient’s own blood which contain a significant amount of growth factors and proteins that promote tissue regeneration, decrease inflammation and encourage blood vessel formation.
Cell Based Therapies: Cells taken from the patient’s own fat tissue (Microfragmented Adipose Tissue) orbone marrow (Bone marrow Aspiration Concentrate) contain adult stem cells that have the unique ability to renew themselves and develop into other cell types. They promote tissue healing, control inflammation and fight infection.
Do Orthobiologics Work?
A nationwide review of nearly 9,500 patient assessments submitted by 65 physicians practicing regenerative medicine in 43 clinics in 25 states revealed that:
73 percent of the patients treated with platelet rich plasma reported a meaningful reduction in pain within 12 months following treatment, especially those with tennis elbow (lateral epicondylitis) and knee osteoarthritis.
70 percent of the patients treated with adipose tissue therapy reported a meaningful reduction in pain within 12 months following treatment, with strong evidence shown by those treated for knee osteoarthritis.
61 percent of the patients treated with bone marrow aspirate reported a meaningful reduction in pain within 12 months following treatment, particularly those with knee osteoarthritis and low back pain.
This first-of-its-kind comprehensive review of patient-centered data reveals that for many patients, the regenerative power of orthobiologics provides new hope in treating orthopedic conditions without surgery. These outcomes, along with hundreds of published research on these treatments, provide evidence that the body’s own natural healing properties is a significant tool that physicians can use to provide orthopedic pain relief and to help their patients live a healthy, active live.
Drs. Christopher J. Rogers and Mary A. Ambach of San Diego Orthobiologics Medical Group together have successfully treated thousands of patients with PRP and cell-based treatments for more than three decades. Dr. Rogers is a co-author of “An Overview of Regenerative Treatments for Orthopedic Conditions: 2021 Outcomes Report” which aims to encourage innovative and effective regenerative treatments for orthopedic conditions.
Dr. Christopher Rogers was honored to speak at the April 2021 La Jolla Golden Triangle Rotary Club meeting. Topics of the lecture included a history of stem cell therapy in San Diego and an update on FDA-approved clinical trials for knee osteoarthritis. To see a copy of the lecture, visit the San Diego Orthobiologics Medical Group YouTube channel or view the video linked below!
Dr. Christopher J. Rogers, co-founder of DataBiologics, LLC., is proud to announce a milestone in the collection of Regenerative Medicine data. DataBiologics, a patient-reported outcomes registry has collected more than 10,000 results from patients who received cell-based treatment. These included platelet-rich plasma (PRP), bone marrow concentration, and adipose-derived regenerative cells for the treatment of arthritis, tendon tears, and many other orthopedic conditions. To learn more about the DataBiologics registry and the results of these innovative treatments, click below to continue:
Muscle strain and muscle tears are not limited to sports injuries, they can also occur on the job or at home. One wrong move, a fall, or any injury can lead to significant muscle damage in the back, legs, or arms.
A strain or pulled muscle occurs when the fibers in the muscles are overstretched.When those fibers become stretched so thin that they break, it becomes a muscle tear.
Depending on the severity of the injury, it may take anywhere from a few days to several weeks to fully heal from these injuries.Muscle regeneration usually starts during the first four to five days after injury, peaks at two weeks, and then gradually diminishes three to four weeks after the injury.In severe cases, it may take surgery to repair a muscle tear.
Can cellular treatments help patients heal more quickly and naturally from these injuries?
How Do Cellular Treatments Promote Healing Muscle Tissue?
Cellular treatments for musculoskeletal injuries operate on the principle that the body has the ability to heal itself.Regenerative medicine specialists use certain cells in our body that are involved in healing to stimulate the repair of damaged tissues and augment the body’s healing response.
These innovative cell therapies have been successfully used to treat orthopedic conditions.
Platelet Rich Plasma: Platelets in blood release growth factors and proteins that promote tissue repair, while the plasma carries the hormones, electrolytes, and nutrients required to nourish cells during the healing process. Platelet-rich plasma treatments can be customized to create specific formulations for each type of tissue being treated (muscle, tendon, ligament, cartilage).
Stem Cell Treatments: Cells derived from the patient’s own bone marrow or adipose (fat) tissue produce molecules that stimulate the production of new blood vessels, awaken other stem cells and encourage newly forming cells to produce collagen and other proteins essential for creating new healthy new tissue.
The use of cell therapies for muscle injuries have been studied in many clinical trials. There is evidence that it can induce muscle cell proliferation, assist with tissue healing and shorten the time for athletes to return to sports after an injury.Nevertheless, more studies are needed to evaluate the use of PRP for muscle injuries.There are many exciting new potential therapeutic applications of cellular therapies like stem cell treatments in repairing muscle injuries without the need for surgery.Advances in tissue engineering and biotechnology will pave the way for this to become a reality in the near future.
Drs. Christopher Rogers and Mary A. Ambach of San Diego Orthobiologics Medical Group are nationally recognized experts in the field of regenerative medicine.For more than 20 years, they have been helping patients with joint and spine injuries overcome their pain through the latest advances in cell-based treatments.
In the last few years, there have been great advances in the field of Regenerative Medicine and Stem Cell Therapy.These treatments hold a great deal of promise for the treatment of a variety of orthopedic conditions.Most treatments are offered at your convenience in a medical clinic setting without the need for surgery.
What is Regenerative Medicine?
Regenerative medicine is a multi-disciplinary field that aims to restore damaged or diseased tissues by utilizing the body’s own natural healing process.By bringing together many different disciplines such as cellular biology, genetics, and tissue engineering, Regenerative Medicine has revolutionized the way physicians can treat orthopedic conditions.Stimulating our body’s natural ability to heal and promote tissue regeneration has replaced many traditional treatment options such as steroid injections or surgery.
Stem Cell Therapy
According to the International Society for Stem Cell Research’s (ISSCR) president, Douglas Melton, “Stem cell science is rapidly transforming how we think about the future of medicine. The field is actively working to address how we facilitate getting potential therapies from the lab to the clinic.”
Stem cells have the ability to develop into many different types of cells in the body, which is why stem cell therapy is important in the field of regenerative medicine.There is constant advancement of research in the use of stem cell for replacement of damaged tissue or transplants, drug testing and development and regenerative medicine.
How are Stem Cell Therapy and Regenerative Medicine Related?
There is a direct connection to stem cell therapy and the practice of Regenerative Medicine which harnesses the body’s ability to heal itself and regrow tissues.The different types of stem cells, namely embryonic, adult, and induced pluripotent stem cells, are used in the field of developmental biology to study how cells behave.Stem cells are also used to test new to drugs for the treatment of various diseases and medical conditions.In the field of orthopedics, adult stem cells play a crucial role in the cell-based therapies used to treat orthopedic injuries such as knee osteoarthritis.
What Orthopedic Conditions Can Be Treated with Cell-Based Therapies?
Knee pain due to osteoarthritis or meniscus tears
Shoulder pain due to rotator cuff tendon tears or tendinitis
Carpal Tunnel Syndrome
Golfer’s Elbow and Tennis Elbow
Sciatica
Chronic ankle ligament sprains
Low back pain due to disc degeneration or sacroiliac joint ligament injury
Regenerative medicine has entered the world of clinical practice thanks to quickly evolving technology and advancements in the understanding of how stem cells work in the body.As research continues, the field of Regenerative Medicine and stem cell therapy will continue to grow, providing doctors and their patients the ability to treat many conditions that were previously untreatable.