Our mission: To advance cell technology in order to improve the body’s ability to regenerate.
At the Regenerative Medicine Institute of Nevada, we offer options for patients dealing with diseases that may be aided by access to adult stem cell based regenerative treatment as well as amniotic cells. The Institute uses a small liposuction procedure to harvest fat cells as well as the material between the fat cells. It is the material between the fat cells that will be used, not the fat cell themselves. We isolate and return the patient’s own cells from the material that was harvested on the same day. The source of the cells is properly referred to as stromal vascular fraction, or SVF. SVF is where the desired proteins lie, surrounded by adipose tissue, or fat. It is because of this that it is sometime referred to as adipose-derived cells. Stromal vascular fraction contains a cell line, which is mostly the patient’s own mesenchymal stem cells, macrophages, endothelial cells, red blood cells, and a wide variety of growth factors that are crucial to the stem cell function and promote their effects. Our technology allows us to separate large numbers of viable cells.
Patients who seek care at the Regenerative Medicine Institute of Nevada are assessed by Dr. Garcia, a board certified physician who has been performing these type of procedure since 2013. The Regenerative Medicine Institute of Nevada prides itself in the quality care we provide and participates in ongoing clinical research in order to contribute to the progression of regenerative medicine. Part of our ongoing clinical research focuses on attempting to study which diseases react best and which methods of administration yield the best results are best. RMIN works in conjunction with a clinical research coordinator who secures our patient’s confidential information and our vision is to improve our treatments and educate doctors from around the world about this growing field that offers new options for many patients.
The Regenerative Medicine Institute of Nevada (RMIN) provides care for acute and chronic injuries from athletic injuries as well as long-term disabling arthritis. This includes plantar fasciitis, tennis elbow (lateral epicondylitis), knee pain from over use or meniscus injuries, assists healing after orthopedic knee surgery and partially torn muscle from slips, falls, and overuse.
Besides the utilization of adipose-derived stem cell, more accurately termed Stromal Vascular Fraction (SVF), RMIN uses what we refer to as Cytokine Growth Factor Therapy.
What is Cytokine Growth Factor Therapy (CGFT)? Well, CGFT starts with a base of something called Platelet Rich Plasma (PRP). So let us first discuss what PRP is. Blood is a combination of red blood cells and plasma. Within that plasma portion, exist platelets. Platelets are crucial in the stoppage of bleeding. Without platelets, the bleeding continues are increase the pain as well as delays the healing process. Besides the platelets that float within the plasma, there things called are cytokines, growth factors, mesenchymal cells and stem cells. These four components assist greatly in the healing of any injury, whether is recent or even in older injuries. To create a PRP preparation for use, blood is drawn from the patient. The Plasma is then separated from the red blood cells component by a process called centrifugation. Once that happens the plasma has essentially two components left, the platelet rich component, and the platelet poor component. It is the Platelet Rich Plasma that will be used in our treatments.
We treat these injuries with a combination of ingredients to improve function, assist in healing and deceases pain. We do this by combining Platelet Rich Plasma (PRP), with other additives that will enhance the effectiveness versus PRP alone. Platelet Rich Plasma can be used alone in cases of acute partial muscle tears such as hamstring injuries or adductor muscle injuries. These injuries are very common in competitive sports. Where PRP helps in these injuries as there is usually blood in the area form the muscle tearing. The delivery of Platelet Rich Plasma allows the bleeding to stop and starts the healing process. Blood in the injury increases the pain level beyond just the muscle injury alone, so stopping the bleeding is crucial in speeding recovery. When the PRP is mixed with cytokine and growth factors that enhance the ability of the body to heal, the recovery is even faster and more efficient. This may allow the athlete, weekend warrior, or the person who just slipped and pulled a muscle to return to normal activity sooner than if they just rested it alone.
The treatment is performed in an exam room in our office where local anesthesia is given to lessen the discomfort of the injection. The entire procedure from start to finish takes 30-45 minutes and the patient can drive himself or herself to and from the appointment.
Our Cytokine Growth Factor Therapy enhanced PRP, is generally offered to patients that have found no success with conservative treatments or are looking for non-surgical options to assist in the healing of their injury. A skilled physician can inject Cytokine Growth Factor Therapy with PRP into the injured area. As an example, in Achilles tendonitis, a chronic injury observed in runners and tennis players, the tendon that connects the calf muscle to the back of the heel becomes swollen, inflamed, and painful from either chronic small sprains or a strong acute tearing of the tendon. A mixture of Cytokine Growth factor Therapy with PRP can be delivered to the tendon via injection assisted with local anesthetic. After the injection, it is common for the pain at the area of injection to increase for the first week or two, and it may be several weeks before the patient feels a beneficial effect.
PRP may also be used to improve healing after surgery for some injuries. For example, an athlete with a completely torn heel cord may require surgery to repair the tendon. Healing of the torn tendon can possibly be improved by treating the injured area with PRP during surgery. If the injections are done in the elbow or shoulder, if the patient desires they can utilize a sling for 48 hours to 1 week or more and then as needed for comfort. For the ankle treatments that include the Achilles tendon as well as case of plantar fasciitis, you should wear the walking boot that most likely the prior physician had placed you in for up to two weeks or more. As the involved patient may know, driving is prohibited if the right foot is utilizing the boot as they will not be able to use their breaking and accelerator pedals properly(If the injection is on the right side, you will not be able to drive with the boot on. If you have Cytokine Growth Factor Therapy enhanced with PRP into your knee for osteoarthritis, we ask to rest for 24 hours and then you can resume normal activities as tolerated. If the injection is in your patellar tendon or quadriceps tendon, the leg can be placed in a knee immobilizer for 1-2 days to aid in post-injection comfort. If the patient has been going to physical therapy to improve the problem, after the Cytokine Growth Factor enhanced PRP session, except for possibly knee osteoarthritis, we allow a return to therapy 1 week after the injection. Any activity after the treatment should limit it to about a 40% level for the first month so the patient does not aggravate the injury we are trying to heal. Too early of a return to full activity may negate the benefits of the Cytokine Growth Factor Therapy enhanced with PRP. Although some level of inflammation is required in order for an injury to heal, because Cytokine Growth Factor Therapy enhanced with PRP is given with the intent of optimizing the initial inflammatory response of healing, anti-inflammatory medications such as ibuprofen, Motrin, or Aleve should be stopped preferably 7-10 days before the treatment if possible.