Stem Cell therapy/pain management ARTICLES ... Stem cell therapy is autologous, meaning it utilizes
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Florida’s Largest H ealth Care Inform
West Citrus County Edition Spring 2019
treat painful, arthritic knees. One treat- ment that caught her attention was the use of a patient’s own cells to rebuild damaged tissue. � e provider she found who o� ered this treatment is Regenerative Orthopedic Institute in Tampa.
Regenerative Orthopedic Institute is where Erick A. Grana, MD, specializes in regenerative medicine. He treats patients with a nonsurgical regenerative technique called stem cell therapy. � is therapy uses the patient’s own specialized stem cells to promote the growth of new tissue in joints ravaged by arthritis or injury.
“Today, there are options that we can o� er to osteoarthritis patients that allow them to avoid taking on the risks of a surgical procedure before they get to the stage where they need joint replacement,” Dr. Grana reports.
“Not only can we relieve the pain, we can also reverse some of the damage done by the osteoarthritis. � is is accomplished by regenerating the cartilage and connec- tive tissues in and around the joint area.
“Regenerative medicine treats disease and injuries by harnessing the body’s own healing powers. � e natural healing process is accelerated by a combination of growth factors and bioactive cells in the form of stem cells and platelet-rich plasma (PRP).
“� is process results in a safe, e� ective, nonsurgical treatment, and unlike tradi- tional invasive surgery, which can result (see Joint Investment, page 4)
ERICK A. GRANA, MD
Regenerative technique relieves severe knee pain without surgery
H igh-flying airline pilot Raymond* made a career of defying gravity and soaring through the open skies. He did that for 28 years, then took a job as a building-code examiner for Pasco County. � at job meant long hours on his feet, which aggravated the arthritis pro- gressing in his knee.
“My right knee was the one giving me problems,” Raymond clari� es. “I went to a doctor, who took x-rays and discovered my knee joint was bone-on-bone. I felt a sharp pain in that knee every time I moved the joint. One bone would grind over the other, and that caused the pain, which was usually so intense, I could hardly walk. I had to give up gol� ng because I could barely move. � e pain averaged nine on a scale of one to ten.”
At his doctor’s recommendation, Raymond tried a couple of different avenues for pain relief, including corti- sone shots and wearing a knee brace, but received little or no lasting relief from them. Mired in agony as a result of the failed treatment attempts, Raymond didn’t feel any better after learning the follow-up option his doctor suggested.
“� e brace helped because it sepa- rated the bones, but it was cumbersome and difficult to wear all the time,” Raymond explains. “� e brace also cut o� the circulation in my leg, so I wasn’t happy about wearing it. � en the doctor told me the next step was a knee replace- ment. I wasn’t ready to do that yet, so I told the doctor, No, a knee replacement is my last alternative.”
Hoping to help her husband avoid surgery, Raymond’s wife, a registered nurse, researched nonsurgical options to
in blood loss, scarring and long, painful recovery periods, stem cell therapy requires only injections into the damaged joint and o� ers a much quicker recovery than surgery. Typically, patients begin to feel a noticeable decrease in pain after six weeks.”
“Tremendous Potential” Stem cell therapy is autologous, meaning it utilizes stem cells, PRP and growth factors from the patient’s own body. Using the patient’s own cells eliminates the chances of reactive side e� ects or rejection.
Stem cells are extracted from the patient’s bone marrow or fat, and PRP is taken from the patient’s own blood. � e harvested cells are then injected into the painful area to stimulate regeneration of damaged tissue and the healing of ten- dons, ligaments, joints or spinal discs.
“When I was � rst introduced to stem cell therapy, I recognized its tremendous potential for patients who would other- wise have limited treatment options for pain relief,” Dr. Grana discloses.
“Patients with osteoarthritis, such as Raymond, have very few choices other than surgery when the condition advances and damages the joint. Since surgery has potential complications, when we treat arthritic joints without surgery, patients do much better.”
Dr. Grana has developed a system for the delivery of stem cells and PRP into the pain generators in and around joints such as the knees, shoulders and hips. It’s called RegenaJoint™.
He developed a similar system to treat the spine. That process is called RegenaSpine™. RegenaJoint and
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L. Amarchand, MD, FACP Bypassing Blockages
Stem Cell therapy/pain management
EECP may be the nonsurgical alternative for you! For more
information or to schedule an appointment, please contact
Dr. Amarchand’s o� ce in Brooksville at:
750 Desoto Ave. (352) 796-6721
L. AMARCHAND, MD, FACP
L. AMARCHAND, MD, FACP DR. TONG GUO
L. Amarchand, MD, FACP, is board certi� ed by the American Board of Internal Medicine. He completed a residency in internal medicine and a two-year fellowship in cardiology and cardiac nuclear imaging at
St. Barnabas Medical Center in Livingston, NJ. His third year of fellowship training included a clinical and research fellowship in cardiology and a cardiac nuclear imaging fellowship at Massachusetts General Hospital in Boston, MA, as well as a research fellowship in medicine at Harvard Medical School. Dr. Amarchand is for- mer chief of sta� (2001-2005) at Brooksville and Spring Hill Regional Hospitals. He has served as a medical expert for the Florida Agency for Health Care Administration. He is a Fellow of the American College of Physicians and a member of the American College of Cardiology and the American Medical Association.
Dr. Tong Guo, a pioneer in obtain- ing FDA approval of EECP for use in the United States, assists Dr. Amarchand in overseeing EECP, ensuring the delivery of optimal treatment with excellent outcomes
for patients. Dr. Guo worked as a research fellow in the cardiology division at Stony Brook Medical Center School of Medicine, NY, helping to set up the � rst EECP treatment centers.
Bypassing Blockages Noninvasive therapy boosts collateral circulation in heart
A fter re t i r ing f rom the United States Navy in 1983 following 26 years of ser-vice, Daniel Segovia, 78, worked for a while for the US Postal Service, then joined his brothers in a business venture. Unfortunately, the Michigan native then experienced a series of health challenges that eventu- ally brought his working life to a halt.
“I retired for good when I fell down my steps and broke an arm and a leg,” Daniel shares. “I fell again and broke an ankle and the other arm. After that, I suf- fered a heart attack, then I had a stroke, actually two strokes. I also have diabetes.”
While these issues put a stop to Daniel’s professional life, they didn’t stop him entirely. He continued to work around the house, keeping himself busy and active. He became concerned, how- ever, when everyday activities became di� cult to manage.
“One day, I realized I couldn’t walk from one side of the room to the other without hu� ng and pu� ng,” he recalls. “Outside in the yard, I’d work about � ve minutes, and I’d be hu� ng and pu� ng. I was short of breath all the time.
“I didn’t have any chest pain, but I didn’t have any energy. I didn’t want to do anything because I knew I was going to be tired out. No matter what I tried to do, I just didn’t have the energy to do it.”
� ese symptoms, caused by prob- lems related to Daniel’s heart attack, left him physically and emotionally de� ated. He was open to new ways to get his energy and breathing back to normal. He discovered a new way in the pages of a newspaper he found in the o� ce of one of his doctors.
“I like to read, and when I went to see my diabetes doctor, there was a copy of Florida Health Care News in the waiting room,” Daniel confirms. “I got interested in an article about Dr. Amarcha