EXOSOMES

What are Exosomes?

Like the words we choose to use in a conversation, exosomes are communicators.  Simply put, they are materials secreted by stem cells in response to their chemical environment, and they communicate with other cells to affect the function in their environment.

Consider for a moment that you’re having a conversation with a friend.  This conversation is much easier and much more meaningful if you are speaking the same language. In the same way, therapies are most beneficial if the chemical environment and stimulation of the stem cells replicates the body in degenerative conditions. Exosomes secrete exit zones in response to what is stimulating them. Therefore, They exert chemical effects in the area that they’re injected, and then those chemicals anchor to cells and communicate with the cells to instruct them on how to perform certain functions.  None of the processes for creating these agents is that specific. There is no guarantee that the information being injected is meaningful for what the physician is trying to use them for in your body. Hopefully in the future, more specific exosome therapies will be available.

Exosomes are created in the laboratory by acquiring the fluid around the cells, thereby capturing the exosomes, and packaging them for use.

So far, exosome therapy is not very well documented or studied.  Hopefully more will be known about exosome therapy and what conditions benefit from it in the near future.

Are Exosomes covered by Insurance?

Most insurance plans, including Medicare, do not pay for Exosomes injections.

 

What does Exosomes treatment cost?

We do not currently perform these in our clinic, however, the cost is fairly significant as reported on the web from multiple clinics that we have reviewed.

Exosome FAQs

The level of discomfort of the treatment depends in part on the area being treated. For example, injections given into a joint often are minimally uncomfortable and in some cases painless. Injections given into tendons and joint capsules tend to be more uncomfortable. There is usually moderate pain for the next few days. In cases where large numbers of injections will be completed, Dr. Hanson will perform a regional nerve block to reduce pain during and after the injection.

We provide oral sedation, aromatherapy, and oxygen to help with pain and anxiety during an injection. In addition, we have a master Reiki practitioner who is available to perform energy healing before or after a procedure.

On average, most patients start to see signs of improvement anywhere from 2-8 weeks after treatment. This can be less overall pain, an ability to do more activity before pain sets in, and/or faster recovery from pain.

Anytime a needle is placed anywhere in the body, even getting blood drawn, there is a risk of infection, bleeding, and nerve damage. However, these are very rare. Other complications, though rare, can occur depending on the area being treated, and will be discussed by your doctor before starting treatment.

When using prolotherapy for the appropriate levels of degeneration, the results are very good, studies showing 80-90% success rate. Some patients experience complete relief of their pain. In the case of capsule and ligament injuries, the results are generally permanent in mild cases, moderate cases may need another round of treatments in 1-3 years.

ACELL

What is Acell?

Acell is a derived from porcine bladder.  It is a dried form of the structures surrounding cells called extracellular matrix. It is sterile and can be used in conjunction with a number of regenerative agents to assist in therapy.

Acell is beneficial in that it can serve as the structure on which cells can differentiate and grow. It can also help create a positive healing environment chemically for tissue to regenerate.

Acell is created in a laboratory atmosphere under sterile conditions by a company outside of OrthoCure.

Orthocure uses this product for conditions that require the closing of larger gaps in tissue, for patients that have severely attenuated healing responses due to body chemistry or for patients that have collagen formation disorders such as Ehlers-Danlos syndrome.

Is Acell covered by Insurance?

Most insurance plans, including Medicare, do not pay for Acell injections.

 

What does Acell treatment cost?

At OrthoCure Clinic the cost of Acell treatment is based on the level of complexity involved in treating the given area(s). Prices range from $300 to $1200 per treatment. If two joints or areas are treated at the same time, the cost is NOT double – there is a slight increase.

Acell FAQs

The level of discomfort of the treatment depends in part on the area being treated. For example, injections given into a joint often are minimally uncomfortable and in some cases painless. Injections given into tendons and joint capsules tend to be more uncomfortable. There is usually moderate pain for the next few days. In cases where large numbers of injections will be completed, Dr. Hanson will perform a regional nerve block to reduce pain during and after the injection.

We provide oral sedation, aromatherapy, and oxygen to help with pain and anxiety during an injection. In addition, we have a master Reiki practitioner who is available to perform energy healing before or after a procedure.

On average, most patients start to see signs of improvement anywhere from 2-8 weeks after treatment. This can be less overall pain, an ability to do more activity before pain sets in, and/or faster recovery from pain.

Anytime a needle is placed anywhere in the body, even getting blood drawn, there is a risk of infection, bleeding, and nerve damage. However, these are very rare. Other complications, though rare, can occur depending on the area being treated, and will be discussed by your doctor before starting treatment.

When using prolotherapy for the appropriate levels of degeneration, the results are very good, studies showing 80-90% success rate. Some patients experience complete relief of their pain. In the case of capsule and ligament injuries, the results are generally permanent in mild cases, moderate cases may need another round of treatments in 1-3 years.

OZONE

Prolozone is derived from the Latin word “proli” which means to regenerate or rebuild, and the word ozone. Ozone is the most highly active form of oxygen. Prolozone uses the power of oxygen to cause damaged tissues, joints, ligaments, and tendons to regenerate.Read More

PROLOTHERAPY

Prolotherapy is a general term used to describe a family of injections whose mechanism generally works by inducing irritation/inflammation/mild degrees of injury to tissue. Currently, dextrose is the most commonly used agent to create this response in the body, though many formulations have been used over the last eight decades.Read More

ALPHA-2-MACROGLOBULIN

Alpha-2-Macroglobulin is found the blood and is a major non-nonimmunoglobulin (immune system molecule) protein found in plasma protein. A2M is a broad spectrum multi-purpose portease inhibitor that can inactivate a variety of proteinases (break down proteins) that can degrade cartilage cells or chondrocytes, which is one of the many causes of Osteoarthritis (OA).Read More

PLATELET-RICH PLASMA THERAPY

Platelet-Rich Plasma (PRP) is a revolutionary treatment for chronic sports and musculoskeletal injuries. Professional and recreational athletes, along with laypersons experiencing degenerative pain conditions credit PRP treatment for enabling them to follow their passions.Read More

ADIPOSE CELLULAR CONCENTRATE

Adipose Healing Cell Concentrate (AHCC) is a cutting-edge treatment for acute or chronic sports and musculoskeletal injuries. AHCC adds to the arsenal of regenerative agents that began with prolotherapy and PRP, expanding the efficacy and range of conditions that can be treated with minimally invasive procedures.Read More

BONE MARROW CELLULAR CONCENTRATE

Bone marrow healing cell concentrate (BMHCC) is a cutting-edge treatment for chronic sports and musculoskeletal injuries. BMHCC adds to the arsenal of regenerative agents that began with prolotherapy and PRP, expanding the efficacy and range of conditions that can be treated with minimally invasive procedures.Read More