The Expectation of Today’s Informed Patient - A True Doctor/Patient Relationship.

By Sam Denny

The expectation of today’s informed patient has changed significantly over time due to the greater engagement by the Orthopedic Specialist. The expectation we hold true to our practices at Texas Interventional Orthopedics and Regenerative Medicine, a Regenexx affiliate, is to establish a true Doctor/Patient relationship. This can only be achieved with a direct one on one consultation that can last up to an hour or more.

 In that hour the physician should review the obtained history, clinical findings, and explain in detail a review of any image findings such as CT, MRI, and exams for the patient. We use state of the art technology while relaying the findings and recommendations in a easy to understand manner. The patient should feel that a relationship of trust has been established given our methodical approach at Texas Interventional.

The physician, when using this latest and greatest stem cell concentration method, should utilize his specialized interventional skills to correlate both ultrasound and MRI 3D reconstruction to accurately place a minimized needle, precisely, in the area that needs to be treated. This being said, it’s important to note that stem cells have to be precisely delivered. They can’t be sprayed in a general location like pixie dust. We pride ourselves upon educating patients as to whether or not they are a candidate to receive minimally invasive needle-based procedures, done with precision guided technology, rather than an invasive surgery.

 The Process

The procedures for most patients are well tolerated. This non-surgical, state of the art, advanced treatment involves first extracting bone marrow to harvest the stem cells. The knowledge involved in completing said procedure can be a bit tricky, but at Texas Interventional we separate ourselves from the rest. Dr. Quraishi is experienced with a repertoire of specialties including Radiology / General Radiology, Ultrasound, Vascular & Interventional Radiology. The knowledge gained from the specialties listed above transitions beautifully to the work he performs at Texas Interventional Orthopedics & Regenerative Medicine, which is the Premier Regenexx Affiliate Facility in the state of Texas

 -       The harvesting of the stem cells can take 40-60 minutes, although the actual procedure is only a portion of that time. The process of concentrating the stem cells takes 10-25 minutes. The concentrated stem cells are then injected into the structures that a physician and patient would like to see healed. The injection can take 1-5 minutes depending on the specific structure/location injected

 Is it Painful?

Pain is usually minimal and generally well tolerated. Local anesthetic techniques are used on the skin. However, anesthetics are known to deactivate some components, so clinicians have to purposely avoid putting them in certain areas. The final site of injection typically has minimal pain

 What do I do before the procedure?

The main understanding that patients need to know before the procedure is to avoid non-steroidal anti-inflammatories (NSAIDs) for 5 days before the procedure. Examples include over the counter medicines, such as ibuprofen (Motrin) or naproxen (Aleve), and prescription strength NSAIDs, such as Mobic, Diclofenac, Arthrotec, etc. It is believed that these medications can decrease the effect of the healing process that we are trying to stimulate. In most cases, patients can drive themselves to and from the procedure. Plans may need to be made to avoid work or sport activities for a few days after the procedure.

 What Happens Afterwards?

Stem cell injections are designed to restart the healing process. Part of that process is restarting inflammatory actions. Therefore, most patients may experience soreness for 2-3 days following the procedure. This can be a sign that the procedure is working. Icing for 10 minute increments, once per hour, may decrease soreness. Over the counter pain medications like Tylenol can be used for patients who do not have contraindications to that medication. In rare cases, the provider will prescribe other pain medications.

Most people need to take 2-3 days away from any strenuous activity involving the area of the body where the procedure is performed.

Often, rehabilitation exercises will likely be prescribed to start a few days after the injection. This may be done at home or formally with a physical therapist.

 Worldwide, stem cell therapy has been recognized by the medical industry as the biggest breakthrough in natural healing. They’re regenerative in nature. Current research is looking at how these stem cells can delay progression of arthritis or possibly repair the body using its own natural response to damage. Since the cells can be harvested from your own body. They represent a natural way of healing  When stem cells are injected into an area that needs healing, your body’s natural response is to accelerate the process and repair the damage. It is a non-surgical procedure that involves the removal and then injection of your own naturally occurring stem cells.