Regenerative medicine is a game-changing area of medicine with the potential to heal damaged tissues, offering solutions and hope for patients who have conditions that were beyond hope of repair. These regenerative techniques may also help you avoid surgery.
Great progress has been made in medicine, but current evidence-based and palliative treatments are increasingly unable to keep pace with patients' needs, especially given our aging population. There are few effective ways to treat the root causes of many diseases, but certain injuries and degenerative conditions can now be addressed using regenerative medicine techniques. However still in many cases, physicians can only manage patients' symptoms using devices or using other non-regenerative modalities of care. We also use non-controlled medications such as anti-inflammatories and other.
Regeneration involves delivering specific types of cells or cell products or other proliferants solutions to diseased tissues or organs, where they will ultimlatelet Reich Plasma (PRP), or other proliferant solutions. Bone marrow concentrate (BMAC) are an example of cell base therapy.
Regenerative medicine holds the promise of definitive, affordable health care solutions that heal the body from within. Stem cells have the ability to develop — through a process called differentiation — into many different types of cells, such as cartilage cells, ligament cells, bone cells, muscle cells and so on. Stem Cells in the form of BMAC are a key component of regenerative medicine, as they open the door to new clinical applications. However other regenerative procedures do not use Stem Cell or cell products. Regenerative Medicine has to do with developing completely new ways to treat and manage chronic diseases including degenerative bone and joint conditions. Regenerative medicine includes several modalities of treatment including Prolotherapy, PRP and Stem Cell therapy with BMAC.
With its many healing functions Ortho-biologic therapy has proven to be a viable treatment alternative for many orthopedic related problems. For the uninitiated, the term ortho-biologics refers to all treatments that utilize molecules, cells or tissues to aid in the healing and reparative process of a musculoskeletal injury or chronic orthopaedic condition. These includes cell-based therapies and platelet rich plasma (PRP). Ortho-biologic therapy involves the application of concentrated forms of platelet rich plasma (PRP) or bone marrow aspirate (BMAC). It can be used to treat acute injuries like sports injuries or long term degenerative disease like osteoarthritis, and degeneration of the spine.
The concentrated platelet rich plasma (PRP) release growth factors and cell mediators that that have been shown to greatly promote the repair of damaged tissues.
Concentrate bone marrow aspirate (BMAC) provides stem cells that are capable of differentiating into bone, cartilage, muscle tendons and ligaments. They have also been shown to have the capability of generating new blood vessels to damage tissues.
In Saint Augustine Florida, it was Dr. Dieguez who introduced these non-surgical modalities using orthobiologics, and he has used them for close to ten years in the treatment of musculoskeletal conditions, spine conditions, sport injuries and orthopedic conditions. The success rate is around 70 to 80% but only if you pick the patients correctly and use the latest techniques. We do not make false claim about the procedures we perform and yes they do not work for everyone and there are failures. Additionally, even in the successful patients, the procedure may have to be repeated years later just like at times you have to have revision of a knee replacement because it is not working right or because the prosthesis is worn out. Nothing last forever! There is approximately a 20% or 30% failure rate even in the best hands. Additionally not all patients are good candidates for these procedures. That is why it is so important to pick the patients correctly. You want to give them the best chance of success.
Depending on the case it may include conventional precision-guided injections in any of its forms, such as Prolotherapy with Dextrose, injections of PRP or Autologus Stem Cell procedures with bone marrow aspiration (BMAC). We use the EmCyte corporation protocols. It can be conventional steroids injection using minimal nanogram dose.
In this ever-changing field, we always strive to stay within FDA and Florida Board of Medicine regulations at all times. We want to bring you the latest treatments not frowned upon by the FDA and the Board of Medicine. We do not manipulate the cells obtained in any way shape or form since that would constitute the creation of a drug and this is a highly regulated process. All procedures are performed in our procedure room under the strictest aseptic techniques. We do not make false claim about the procedures we perform and yes they do not work for everyone and there are failures. The failure rate is between 20 to 30%. Additionally we do not use any amniotic fluid product or cord blood or placental products. We only use autologous stem cells (BMAC) harvested from your own bone marrow with minimal manipulation and nothing added to them. It is all done in a little over an hour in our fully equipped procedure room using aseptic technique.
One of the most promising new fields of science and medicine is the area of cell therapies and their use in regenerative medicine. These new technologies, most of which are in early stages of development, hold significant promise for transformative and potentially curative treatments for some of humanity’s most troubling and intractable maladies. The prospect of clinical tissue repair strategies is a tangible reality.
However, with all of the medical potential, also comes novelty and uncertainty as this field matures. There are a small number of unscrupulous actors who have seized on the clinical promise of regenerative medicine, while exploiting the uncertainty, in order to make deceptive, and sometimes corrupt, assurances to patients based on unproven and, in some cases, dangerously dubious products. These dishonest actors exploit the sincere reports of the significant clinical potential of properly developed products as a way of deceiving patients and preying on the optimism of patients facing bad illnesses. This puts the entire field of regenerative medicine at risk. Products that are reliably and carefully developed will be harder to advance if bad actors are able to make hollow claims and market unsafe science.
At the same time, it is incumbent upon the FDA to separate with bright lines new treatments that are: 1) medical products subject to the FDA’s regulation and 2) therapies that are individualized by surgeons/physicians in such a way that they are not subject to FDA regulation. This is the key between what is legal and what is not.
This is why we do not use any umbilical cord products or amniotic fluid product being sold out there. They are not FDA approved because there are no live and functional cells in those umbilical cord blood products or amniotic fluid products that are being sold. This is something that Dr. Chris Centeno from Regenex in Denver Colorado has confirmed and now Lisa Fortier's lab at Cornell has also confirmed. Marketing and using these products for Stem Cell Therapy is basically fraudulent.
The cell therapies that we use are individualized, and are not subject to FDA regulation. This applies when cells or tissues are taken from and given back to the same individual or when the cells or tissues do not undergo significant manufacturing, are intended to perform the same basic functions, and are not combined with another drug or device and their benefits and risks are well understood. In these circumstances, the products may not require premarket review under current law.
For that reason we do not manipulate the cells obtained from you the patient, in any way shape or form. That would constitute the “creation of a drug” according to the law and this is a highly regulated process by the FDA and other agencies. For the above reasons we only use autologous stem cells harvested from your own bone marrow with minimal manipulation and nothing added to them. The only thing we do is centrifuging the aspirate that we harvest from your bone marrow to create a bone marrow concentrate (BMC), which has many more Stem Cells. It is all done under local anesthesia. Dr. Dieguez himself, performs all the procedures in our procedure room under the strictest aseptic techniques. You walk in and out in about one hour.
Having worked for the Florida Department of Health as an expert witness for the prosecution services unit reviewing cases and being very aware of the addiction problem we have in our country, Dr. Dieguez rarely if ever prescribes narcotics and other controlled addictive medications. If he ever does, it is only if absolutely necessary after a minor surgical procedure and and never for longer than 3 to 5 days.
We exclusively do minor surgical interventional procedures such Prolotherapy, Platelet Rich Plasma, BMAC injections and other joints and spine injection. With that been said, if what you are looking for are narcotics or other controlled substances, don’t expect to get them in this office. Don't waste my time or yours. Or your money for that matter! This is not a pain clinic! Here you will go out empty handed. And remember, we will not hesitate in reporting drug seekers to the authorities. Also we do not prescribe Marijuana or any of its derivatives either at this time!