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This procedure is relatively simple and painless. While patient’s lay with face down, a special needle is inserted into the bone marrow to draw blood.
#STEM CELL TREATMENT FOR HIPS SKIN#
Patient’s skin and bone are numbed using anesthetics.
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We aspirate the stem cells from the iliac crest bone (back hip bone) using ultrasound or x-ray for precision and guidance. Harvesting stem cells is an in-office procedure. The stem cells found in the marrow cavity of the back hip bone is the easiest to harvest. This is the whole premise of Stem Cell Therapy, to harvest and enhance stem cells and use them initiate the body’s healing response and regenerate tissues (ligaments, tendons and cartilage). He also advocated that people take calcium and vitamin D for bone health.Our body keeps a supply of stem cells to help repair injured and damaged tissues at any given time. The program “takes a while … many months, but it makes a big difference,” Wiznia said. “I’ve had patients lose over 120 pounds, 150 pounds, just working with that team,” he said. He recommended Yale’s Metabolic Health and Weight Loss Program at 40 Temple St. “Every pound that we have is an extra 10 pounds through the hip joint,” he said.Įxcessive weight not only can damage the blood vessels but wear down the cartilage that helps the ball glide in the socket. He said the same problem can happen in the knees and shoulders, but the hip is the most common area because of the heavy weight it bears, which is why obesity is a problem.
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“It’s a personalized, custom surgery for each patient,” he said. Wiznia said researchers are “developing new techniques to target the region of interest” - the exact location of the damage. “The most important thing is to catch it early.” “Eighty percent of patients that have avascular necrosis in one hip will have it in the other,” even without noticing symptoms. “A lot of times, patients will come in and say, ‘my right hip hurts,’” he said. “They’re having trouble putting on a sock, putting on a shoe, bending over from a seated position,” he said. “It’s deep,” he said.Īnother sign is increased stiffness in the joints, Wiznia said. He said the surgery is “very minimally invasive,” with “two incisions that are smaller than a centimeter.” The patient goes home afterward and can return to work in a few days, he said.Ī person will know they have the condition if they feel “a toothachy pain in the groin or the buttock … a sharp pain or sort of an achy pain that keeps them up at night,” Wiznia said. Without the treatment, collapse is going to happen 50 percent of the time.” “We’ve seen with this treatment we can prevent collapse 75 percent of the time. “They send signals for the body to produce new blood vessels and to repair the bone damage,” Wiznia said. Bone marrow is taken from the pelvis and progenitor cells, a type of stem cell that creates the particular cell tissue from which it’s taken, are injected into the hip. “If we can catch it early, we can treat it with this stem cell therapy that we’re using at Yale,” he said. If the need for a replacement is because of avascular necrosis, those surgeries may be avoidable, Wiznia said. Hip replacements only last about 20 years, however, so younger people likely would have to get a second or even third one, at higher risk. Chemotherapy and radiation also are “toxic to the small vessels,” he said. He said excessive drinking would be “someone who’s drinking every day, more than one drink a day.”Īdditional causes include HIV, sickle cell disease, clotting disorders, diabetes and lupus, he said. “We have found that patients that have a high alcohol intake, this can weaken the blood supply to certain regions of the body,” Wiznia said. He said there are about a dozen causes: high-dose steroids needed because of asthma, autoimmune conditions or rheumatologic conditions, trauma caused by a fall, a dislocated hip or other fracture and excessive alcohol use. While people assume hip replacements are required because of osteoarthritis, caused by damage to the cartilage that covers the head of the femur, “10 percent of hip replacements are actually done because of avascular necrosis of the femoral head,” Wiznia said. Wiznia treats the condition by removing stem cells from the patient’s bone marrow and injecting them into the femoral head.