While all of that would be good if true, regrettably it’s all fiction. You’ll be told that the clinic uses a product that is “FDA Approved” that comes from live births and contains million of young and vital stem cells. If you end up at a stem cell seminar offering rotator cuff stem cell procedures, you’ll likely hear that your stem cells are too old, hence you need to use amniotic or umbilical cord stem cells. See the images in my video below starting at 10:57: While we know from a few different studies that stem cells can help heal rotator cuff tears when combined with surgery, is there evidence that rotator cuff stem cell injections can heal tendons without surgery? We have several before and after MRIs we’ve done through the years after using precision image guidance to inject high dose stem cells into the tear. Finally, other surgeons have successfully used a technique known as marrow stimulation whereby they poke holes in the bone to get local bone marrow stem cells to seep into the surgical repair (8). We’re just starting to see academic surgeons begin to publish on using BMC in surgery with good results (9).
A “re-tear” is where the tendon later tears despite being surgically repaired. He injected BMC after surgery and reported that the retear rates dropped in half (7). The first physician to use stem cells plus surgery was Hernigou in Paris, France. While a few patients with massive tears are clear surgical candidates, patients who could respond to stem cell injections alone often get surgery and patients who need surgery plus stem cells can often get scammed by clinics offering fake treatments (more on that below). That same debate spills over into the use of bone marrow stem cells as there are now injection-based methods to promote healing and those were stem cells are added to surgery. The big unsettled controversy right now is whether you need surgery for most rotator cuff tears. Rotator Cuff Stem Cell Treatment with Surgery Hence, we see every day in the clinic that precise injections of our high-dose BMC can help most patients avoid surgery. Since we first published that seminal paper in 2015, others have published showing similar results (5) This is supported by basic science studies in animals showing that bone marrow concentrate (BMC) helps build stronger tendon tissue and reduces some of the problems with healing tendons. Those results below show that when we compared a precise injection of the patients own bone marrow stem cells into the rotator cuff tear versus physical therapy, unlike surgery, the rotator cuff stem cell injection is the clear winner: We demonstrated excellent results in more than a hundred patients and followed that up with a randomized controlled trial that is just being completed now. We published the world’s first research paper on the use of the patient’s own bone marrow stem cells (aka bone marrow concentrate) on patients with rotator cuff tears and with and without osteoarthritis (4). Rotator Cuff Stem Cell Treatment without Surgery the first would be without surgery and the second would be with surgery. When it comes to bone marrow stem cells helping rotator cuff tears heal, we can divide this research into two types. So if you went to a seminar and they promised you that the research is robust showing that these birth tissues can heal rotator cuff tears, regrettably that was a false statement. In particular, no research has been published on amniotic or umbilical cord tissue as a source of stem cells. All of the research done to date for rotator cuff stem cell treatment that is legal in the US and Europe has been using the patient’s own stem cells, usually from bone marrow. Does Stem Cell Therapy Work for Shoulders?īefore I dive into whether stem cell therapy works for shoulders, we need to make sure you know what we’re reviewing. This likely works both by the cells acting as a general contractor (by giving chemical orders to surrounding cells) and a host of other mechanisms including turning into tendon cells when needed.
They are the all-purpose repairmen of the body and these cells have the ability to help tendon injuries heal (3). Mesenchymal stem cells are a type of cell found in many areas of your body including the bone marrow, fat, and other tissues.
Hence, the promise of using rotator cuff stem cell treatment is to enhance the body’s natural ability to heal. Despite this, an analysis of eleven high-level research studies demonstrated that surgery wasn’t any better than physical therapy at restoring function (2). The most common treatment for a rotator cuff tear that doesn’t respond to physical therapy is surgery to sew or anchor the torn part. Find a Location Avoiding Surgery: The Idea Behind Rotator Cuff Stem Cell Injections 77 clinic locations offering non-surgical Regenexx solutions for musculoskeletal pain.
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