We provide Cellular Therapy using a person's own bone marrow to provide symptom relief and functional improvement. We use a specialized technique to remove bone marrow from the patient’s hip bone. This bone marrow contains a myriad of growth factors and mesenchymal stem cells. Once harvested, the bone marrow is filtered, then concentrated in an FDA-approved device, and finally injected into the patient’s area of damage with ultrasound guidance for precise placement. This treatment uses the body’s own repair mechanisms and growth factors to promote healing, improve function and provide pain relief. Generally speaking, this treatment appears to be more effective for more advanced joint or tendon degeneration and is a good next step if platelet rich plasma therapy (PRP) is not successful.
This minimally invasive procedure is done under local anesthesia. The bone marrow harvesting may cause some discomfort, but is generally well tolerated. The entire process will take a little over an hour and most patients will have minimal restrictions following the procedure.
Not all patients are candidates for cellular injection therapy. Schedule a consultation today to find out whether you are a candidate.
Cellular Therapy FAQs
Where do these cells come from?
Bone marrow is the source of many growth factors and mesenchymal stem cells that Dr. Lehman uses. She harvests the bone marrow from the posterior iliac crest (the back of the hip). There are several sources of cells, and you should be sure to have a discussion about this with any provider of cellular treatment.
What do published studies say about bone marrow cellular treatment?
Peer-reviewed published data demonstrate that many patients treated with this procedure have had pain relief and functional improvement. Those patients have also shown that this is a safe procedure with no increased risk of cancer. Small published cases have shown healing of knee meniscus tears, areas of bone death (avascular necrosis), and shoulder rotator cuff tears.
If you’re considering a Cellular treatment, you’re probably aware that most Orthopedic Surgeries are invasive, painful, and involve risk. Additionally, many have long recovery periods. Questions always arise about whether Orthobiologic treatments are "proven". It is very important to know that only 20% of Orthopedic Surgeries are proven. Read link: NY TIMES ARTICLE and this publication THE EVIDENCE BASE FOR ORTHOPEDICS AND SPORTS MEDICINE
We collect ongoing records of our patient results.
What is the cost?
The cost can vary depending on treatment area. Bone marrow Cellular therapy is not covered by your insurance company. This is an out of pocket expense.
Who is not a candidate for this treatment?
- Patient with cancer history (such as prostate cancer or breast cancer), not in remission for at least 5 years
- Certain other malignancies or blood borne diseases that you are being treated for
- Patient with any current infection
- Patients on anticoagulation
- General procedural contraindication
- Patients with multiple medical issues may not be good candidates (low testosterone, low vitamin D, hypothyroidism, diabetes, smoker). This a partial list; there are other conditions that may limit your stem cell candidacy.
Can I fly/drive home that day?
If you are flying (and you are not the pilot), you may fly home the same day, but there will be increased pain/discomfort after the procedure. If you are driving, you should have a driver, as there can be some mild to moderate discomfort in the first few hours following the procedure.
Where is this treatment offered?
This procedure is done in a clean environment in our office procedure room.
What should I do if I think I am a candidate?
Schedule a consultation with Dr. Lehman for an appointment to review your radiology films (x-rays), conduct a physical exam, and determine if you are a good candidate or not.
What about amniotic or umbilical cord products, or exosomes?
The FDA is currently stepping up enforcement and policing of manufacturers and medical providers in this space. Dr. Lehman is very interested in educating and keeping her patients safe. She will provide her expert clinical and scientific recommendation to a patient's particular situation.
18 Medical Park Drive
Asheville, North Carolina 28803