At the Centeno Schultz Clinic we have previously discussed treatment of anterior cruciate ligament (ACL) dysfunction. Anterior cruciate tears have been successfully treated with stem cell therapy.
Below is another successful case of ACL repair utilizing stem cell therapy. BT is an 18 y/o college football player who sustained an acute anterior ligament tear. He declined surgical repair and underwent Regenexx SD with placement of his own stem cells into the ACL in November 2012. Three months post injection a repeat MRI was performed at the same imaging center. Below are the pre and post images of the ACL along with the MRI reports.
The ACL in the pre-procedure MRI is irregular and disorganized with a visible tear. After Regenexx treatment the ACL fibers are uniform and well-organized. The postprocedure MRI formal report notes ”previously described anterior cruciate ligament tear appears to have resolved”.
This corresponds to BT’s clinical presentation who describes no pain or swelling. Regenexx SD enabled BT to avoid a major surgery and extensive rehabilitation. A new option is now available for ACL dysfunction.
Tears of the Anterior Cruciate ligament (ACL) are game changers and often are repaired surgically. Surgical repair is associated with surgical risks and involves signficant rehabilitation and patience. Stem cell therapy has been successfully used in the repair of ACL tears as previously blogged.
Another successful case is BT who is a 17 y/o collegiate football player who sustained a complete rupture of the ACL in November 2012. He declined surgical repair and underwent Regenexx SD in 11.2012. He is returning to clinic next week but he forwarded the new MRI report which is posted below. It reports repair of the ACL tear 3 months following stem cell therapy. Stay tuned as I will post images next week.
At the Centeno-Schultz Clinic stability is critical as evidenced in our SANS approach: Stability, Articulation, Neurologic and Symmetry. Joint stability is essential for optimal clinical outcomes.
Accurate needle placement is equally important and is accomplished through direct visualization either by MSK ultrasound or x-ray or both.
The posterior cruciate ligament is large ligament in the knee that provides restraining force to straight posterior translation of the tibia relative to femur. It originates from anterolateral aspect of the medial femoral condyle and attached onto the posterior tibia.
VM is a 32 y/o snowboarder seen in clinic today with knee instability and pain. MRI was significant for partial tearing of the PCL and swelling at its tibial insertion.
Below is an x-ray image of the PCL injection. A posterior approach was utilized. The femoral nerve and vasculature was identified by MSK ultrasound. Thereafter a 25 gauge need was advanced into the PCL at the tibial attachment. A small amount of contrast was injected with filling of the PCL.
Patient hopes to return to riding soon and we are expecting snow this weekend.
At the Centeno-Schultz Clinic we acknowledge that lower back and leg pain can be debilitating. Treatment options include epidural injections utilizing platelet growth factors (Regenexx PL-Disc) which are intended to increase blood blow and decrease inflammation. Stem cell therapy is an alternative to low back surgery.
Our most recent data comparing the Regenexx PL-Disc procedure to traditional steroid epidural is shown below. The interesting points are that while 11 patients didn’t respond to steroid epidurals and switched over to the Regenexx-PL-Disc procedure, none switched the other way. In addition, note the dramatically higher increases in patient function with the Regenexx-PL-Disc.
Traditional steroid injections have signficant risks:
Increased risk of bone fracture
Changes in cortisol levels lasting weeks
Cause ligament breakdown and failure
Suppress stem cell function
Also alarming is the increase risk of osteonecrosis (bone death) associated with oral steroids.