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Prolo/PRP/Stem Cell Injections

 

Are you tired of pain and problems with your joints, back, muscles?? We offer the very latest in treatment using your OWN tissues to help YOU! This now includes options for neurologic, bowel, lung, back pain issues via cellular therapy.

Stem Cell Therapy

Biocellular treatment refers to the very latest advances in non-invasive Medicine by using your own healing mechanisms. By use of important biologic additives from your platelets PRP), combined with your own (autologous) adult adipose (fat) stem cells & stromal cells, many patients are returning to work and leisure activities earlier and without need for open surgery! Carefully and accurately placed, these elements provide the most important growth factors and signal proteins critical to the natural wound healing process. By providing these in a concentrated form and accurately placed (ultrasound guidance) insures the best chance for you to heal and regenerate damaged and aging tissues of your body. Uses in helping arthritis, back pain, leg pain, bone and joint problems, sport injuries, shortening post-surgery healing.

Cell Therapy refer to a group of systemic diseases and disorders ranging from neuro-degenerative (Multiple Sclerosis, Huntington’s, Altzheimers, Parkinsons, Dementias, etc.), Generalized pain (SRD, Causalgia, Fibromyalgia, etc.), concussion-TBI, Lung Diseases (COPD, Asthma, etc.), and others. These involve the same process of gathering a group of your own adult stem & stromal cells (by micro lipoaspiration), cell separation and concentration and administration via IV line.

Check out our Regeneris Brochure

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Stem Cell Handouts

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Platelet Rich Plasma (PRP)

Platelet Rich Plasma is a product derived from your own blood. We draw anywhere from 60-240 cc of blood and process it in a sterile processing container that is spun in a centrifuge in order to separate the different layers of the blood out. The Red Blood cells go the bottom, the platelets containing growth factors reside in the middle layer known as the Buffy Coat, and the Plasma is on the top.

The effectiveness of PRP is largely dependent on the quantity of platelets obtained in this process. The type of centrifuge and kit that we use at Well Life is able to concentrate platelets by 5-7 times their baseline which is enough to stimulate the production of new blood vessels and connective tissue in the area treated.

The other variables that can change the effectiveness of PRP are the levels of white and red blood cells found in the PRP. In general, Red Blood cells are inflammatory and do not contribute any regenerative effects. These are minimized in our processing of the PRP by utilizing a two spin technique, that first removes the Red Blood Cells and then concentrates the platelets. In the end we are left with a Pure Prp that is ideal for both musculoskeletal and aesthetic indications.

One other immunomodulatory substance known as Ozone gas, is added to most PRP treatments in order to further refine the chemical milieu. O3 is a free radical that is able to reduce levels of inflammatory growth factors found in degenerative conditions and increase anabolic growth factors that aid in the healing process. Aside from that, Ozone quickly becomes
Oxygen in the tissue, which dissolves into the tissue leaving an oxygen rich environment for healing.

The most important variable in determining the effectiveness of PRP is the correct placement of the product. Using a high definition ultrasound, we are able to accurately place the PRP into the desired location. Determining the desired location involves a clinical exam and diagnostic ultrasound prior to the treatment. This is where the skill of the practitioner can make the difference between an effective treatment and one that may be ineffective or not address the underlying cause and be likely to recur. As an Osteopath and Prolotherapist, Dr. Ehle looks at the musculoskeletal system with an extra layer of attention to the effect of soft tissue strain patterns, hidden tendon weaknesses mediating distant bio-mechanical problems, and
ligamentous laxity predisposing to tendon and joint pathology. Proper bio-mechanical alignment is assessed in order to address the abnormal forces that caused the pathology in the first place.

Lastly, Platelet Rich Plasma is utilizing your bodies innate healing capacity in order to achieve the desired effect. Utilizing PRP in the context of functional medicine allows us to optimize your molecular machinery so that you are primed for healing when we put the PRP in all the right places.

Micronized Dehydrated Amniotic/Chorionic Membrane Allografts

AmnioFix® is a composite amniotic tissue membrane minimally manipulated to protect the collagen matrix and its natural properties. AmnioFix® reduces scar tissue formation, modulates inflammation in the surgical site, enhances healing, and acts as a barrier.

Human amniotic membrane comprises the innermost layer of the placenta and lines the amniotic cavity.

AmnioFix is a human amniotic membrane graft. There have been more than 120,000 allografts distributed for soft tissue applications in eye surgery, dental surgery, orthopedic surgery and wound care. Other forms of amniotic membrane have been used for almost 100 years. AmnioFix is amniotic membrane supplied in a powder form so surgeons may deliver the benefits of the tissue through an injection.

Soft tissue injuries are often caused by either a trauma or overuse of the affected area. Micro-tears in the tissue form and become inflamed and the scar tissue may form and impede a full recovery. Conservative treatments options usually help heal the injury, but if additional treatment is necessary, you may consider AmnioFix or EpiFix injection therapy. AmnioFix and EpiFix contains naturally occurring agents that reduce inflammation and scar tissue formation and enhance healing of micro-tears in the soft tissue.

The AmnioFix injection is performed in the office as an outpatient procedure.

Amniotic tissue has been used to treat injuries since the early 1900’s and is considered very safe. Amniotic membrane has been the subject of many scientific publications evaluating its use in:

  • Reducing Inflammation
  • Reducing Scar Tissue Formation
  • Enhancing Healing of Micro-Tears in Soft Tissue

The Amniotic membrane is a very particular material and an enriched source of the following:

  • Collagen types I, III, IV, V, and VII
  • Extracellular matrix (ECM), which contains specialized proteins fibronectin, laminins, proteoglycans and glycosaminoglycans
  • Growth factors such as epidermal growth factor (EGF), transforming growth factor beta (TGF-b), fibroblast growth factor (FGF), and platelet derived growth factor (PDGF).

All of the amniotic membrane tissue for AmnioFix is donated by healthy consenting mothers undergoing scheduled Caesarean section. Amniotic membrane is a sac surrounding the baby and is typically discarded after the baby is born. The recovery of the membrane does not affect the baby or the delivery process and therefore the donation process does not share the ethical concerns associated with embryonic tissue. All tissue donors are tested for infectious diseases, similar to the testing done for blood donation. The amniotic membrane then undergoes a validated patented process to thoroughly clean and preserve the tissue, called the PURION Process.

Prolotherapy

Dr Ehle was first introduced to prolotherapy in medical school. After seeing the potential benefits it could offer a patient suffering with pain, he sought out training in prolotherapy. Dr. Ehle has been doing Prolotherapy since 2010. He has been involved with several different medical groups, including the American Osteopathic Association of Prolotherapy Regenerative Medicine (AOAPRM) and American Association of Orthopaedic Medicine (AAOM), and spent two weeks in Honduras in 2013 with the Hackett Hemwall Foundation for their yearly prolotherapy medical mission trip and training, then went back in 2014 for 1 week as an instructor teaching other doctors prolotherapy.

Prolotherapy, which is short for “Proliferative Therapy,” is a technique designed to treat laxity (looseness) of joints, due to injury or aging of ligaments and tendons. Ligaments are the structural “rubber bands” that hold bones to bones in joints. Ligaments can become weak or injured, and may not heal back to their original strength or endurance. This is largely because the blood supply to ligaments is limited, and, therefore, healing is slow and not always complete. To further complicate this, ligaments also have many nerve endings and, therefore, the person will feel pain at the areas where the ligaments are damaged or loose. Stretched, lax ligaments cause chronic stimulation of these pain fibers. This is the underlying cause of many chronic pain syndromes that do not respond to conventional approaches. This technique triggers an acute inflammatory response in the tendons or ligaments, causing them to thicken and strengthen, pulling the joints and bones back in line.
Prolotherapy is an injection treatment method used to strengthen weakened ligaments and tendons. It is also used for connective tissues that have been overused or injured by common sprains, strains, sports injuries, musculoskeletal pain, disc degeneration, or common aging. This treatment is proven to be successful in stimulating fibroblast activity which causes new collagen.
This is a non-surgical treatment, for patients who do not want surgery or to be dependant on pain medication, that stimulates the body’s own healing mechanism, resulting in the rejuvenation and strengthening of tendons, ligaments and joints. Patients with shoulder pain, wrist pain, elbow pain, and knee pain, have found prolotherapy to be effective.
This is carried out with a high concentrate solution of dextrose (sugar), which is injected into the weakest point of any of these structures… where ligaments or tendons attach to the bone. Studies have shown these dextrose injections have no effect on blood sugar, and are not a risk for patients with diabetes. There is an important difference between acute and chronic inflammation. Chronic inflammation is an underlying cause of most diseases, including cancer, arthritis, and heart disease. Acute inflammation is our body’s natural response to infection or injury, and promotes healing. Local inflammation will cause increased stimulation, blood supply, and a flow of nutrients to the affected area. Then, it causes the tissue to repair itself. Prolotherapy produces this acute form of inflammation, which releases growth factors and induces an inflammatory reaction, which stimulates the normal repair and healing processes of the body. Chronic inflammation kills…acute inflammation cures. There is usually some increased pain for a few days after the treatment. This is treated with ice pack application and oral Tylenol. Anti-inflammatory medications should not be used after the injection. These include aspirin, Advil (ibuprofen), Aleve (naproxen), and other “NSAID” prescription medications. The body needs time to heal after each injection; therefore, the injections are administered, typically, three to four weeks apart.
How quickly the body responds depends greatly on individual lifestyle, dietary habits, and the severity of the injury. Smokers, for instance, may not have optimal results. The response to treatment varies from individual to individual, and depends upon one’s healing ability. Some people may only need a few treatments, while others may need 10 or more. The benefits can include a marked reduction in pain, and increased function that can last months or years.
The technique of prolotherapy was originally developed in the 1930s, and fully developed by Dr. George Hackett in the 1950s. This elegant, but simple, technique has grown dramatically in its popularity, due to its effectiveness.
You may drive home after treatment. Fees depend on the site or body part. Prolotherapy is considered experimental treatment, and is not covered by most insurance companies, including Medicare. It is usually reserved for problems that haven’t responded to traditional methods, including medication, physical therapy and cortisone injections.

By focusing your body’s OWN healing mechanisms, changes often are able to help in antiaging changes, healing, reduce pain of arthritis, back pain, and in many sites actually help regenerate tissues. We will be happy to address any questions you might have relative to the use of Biocellular Regenerative Medicine.

You may visit www.GetProlo.com or http://doctorreeves.com for further information.

 

The Video below is of Dr. Fields, a physician, with whom Dr. Ehle worked with, while on a medical mission to Honduras.

Here is a video produced by Dr. Jose Barreto, another physician, with whom Dr Ehle worked with in Honduras regarding research in Prolotherapy.