Stemcelldoc's Weblog

August 26, 2010

Thumb Pain: Stem Cell Therapy

Our thumbs are critical.  They enable  us to perform important functions such as shifting gears on our bikes, planting poles in mogul fields and opening bottles of wine.

Repetitive activities including texting can led to thumb pain and dysfunction.

Arthritis of the thumb, knows as the CMC (carpometacarpal) joint is  more common in women.

Conservative therapy includes physical therapy, trial of non-steroidal anti-inflammatory medications, night splints and corticosteroid injections.

Surgical therapies include large invasive procedures which include fusion of the joint, tendon wrap or joint replacement all of which are painful and have limited success.

Now patients have a non surgical alternative.  The Regenexx procedure allows patients to use their own mesenchumal stem cells for many orthopedic conditions including thumb arthritis.  We have completed a 1 year follow-up on 6 patients who underwent the Regenexx procedure.  The average reported relief by the patients was 70% with over 80% of them reporting more than 50% relief and 66% reporting more than 75% relief.  No of the patients went on to surgery.

Salute to our own regenerative properties.

January 25, 2010

Resolution of Thumb Pain with Stem Cell Therapy

LK is 60 y/o patient who presented with a 1 year history of bilateral thumb pain, constant in duration, 4/1o in severity, progressive in nature localized at the base of the thumb.  Pain was sharp and stabbing in character and preventing him from buttoning his shirt.  Prior therapies had included a trial of NSAID and chiropractic care.  MRI of the thumbs was significant for moderate to advanced arthritic changes at the base on the thumb(CMC joint).  LK was told that surgery was his only option:  fusion of one joint and tendon wrap at the other.  Both surgeries are significant with extensive rehabilitation and poor outcomes.

Patient elected to proceed with the Regenexx procedure which allowed him to use his own mesenchymal stem cells.  At six months post injection of his own stem cells,  LK reports a 90% reduction in pain and  increase in range of motion.  Friends and work associates have stopped asking him about his swollen thumbs.  Buttoning a shirt is no longer an issue.

 Through the use of his own stem cells, LK has had significant reduction in his thumb pain, increase his range of motion and avoided a significant surgery. The time has come to embrace joint restoration instead of all therapies directed at joint replacement.

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