The Regenerative Spine and Joint Institute (RSJI) offers the most advanced, personalized, precision and science based regenerative medicine intervention, for the treatment of joint related conditions. Our approach and treatment decisions are based on the evaluation of the Patient Regenerative Index, (a proprietary classification of your body’s ability to heal), in conjunction with the Regenerative Joint Index (a proprietary classification of the joint state of degeneration).

We utilize The B.E.T.R System with Bio-Cellular Therapies, which is an accurate, reproducible, comprehensive and science-based system. “B.E.T.R,” was developed based on the principles of Biologic Enhancement of Tissue Repair, which defines our ultimate treatment goal. By utilizing specific biologic tissue engineering techniques, we can successfully treat early to the advanced degenerative joint conditions.

Is an advanced, proprietary biologic tissue engineering system designed to enhance the process of joints repair and regeneration. There are two main types of intra-articular procedures and they are named according to the specific biologic tools used.

This technique is used initially to treat patients with symptomatic joint conditions who are having mild to moderate symptoms and have minimal degenerative changes in the joints. It consists of injecting a combination of substances called Biologic Stimulants into the joints. It contains powerful growth factors (substances which stimulates multiple cell functions) capable of producing significant improvement in function and tissue repair. Biologic Stimulants can be highly successful and cost effective in patients with early symptomatic degenerative joint disease. See Biologic Stimulant Therapies

This system was designed for patients who have failed the above interventions or have moderate to advanced symptomatic degenerative joint disease .It consists of using proprietary tissue engineering techniques injecting the joints with a combination of Bio-Cellular Grafts (growth factors, biologic scaffolds and mesenchymal stem cells obtained from your own bone marrow or adipose tissue). It is considered the most advanced regenerative treatment available for patients with moderate to advanced degenerative joint disease and cartilage lesions. See Bio-Cellular Grafts Therapies

Patients with painful degenerative joint disease or knee cartilage lesions who have failed conservative therapy and or surgical procedures. The best candidates have early to moderated/advanced changes, with no significant anatomical joint deformities. The procedure is not recommended in patients who are morbidly obese smokers or non-ambulatory for reasons other than knee conditions.

The most common joints afflicted with degenerative joints disease and cartilage lesions are: Knees, Hips, Ankle, Shoulder and Hand. However, almost any joint can be treated with this therapy.

The procedure is performed in our state of the art facility. Local anesthesia with intravenous sedation is utilized, in order to facilitate relaxation and assist in comfort. Also an intravenous antibiotic will be administered prior to the procedure. You will be taken to the procedure suite, place in the surgical bed lying on your stomach or back depending on the type of technique. Blood pressure and cardiac monitors will be applied.

According to the type repair, you may undergo an amniotic tissue graft, bone marrow aspiration (from your iliac crest) or lipo-aspirate grafting (from abdominal or flank adipose tissue)in order to obtain mesenchymal mesenchymal stem cells.

Next, the skin overlying the respective joints will be cleansed with special sterilizing solutions. Then a solution of local anesthetic (numbing medication) is infiltrated in the skin and deeper tissues overlying the joints. Under sonographic guidance (ultra-sonography) special needle is inserted into the respective joints. You may feel temporary discomfort during this time. At this time certain procedures such as needle based micro-stimulation of cartilage are performed. Afterwards, the specific tissue graft or biologic stimulant is carefully injected with a proprietary technique. The needle is then removed, bandages applied and the patient is taken to the post procedure suite.

You will go back to the post anesthesia care unit (if you received intravenous sedation), where you will be monitored for 30-60 minutes according to your response. Post procedure instructions will be given in a pre-printed form. A follow up appointment will be made for post procedure evaluation in approximately one week. Medications will be given post procedure to assist in managing any discomfort. The post procedure discomfort is usually minor and can be manage with ice packs and medications. However, some patients require stronger pain medications when advanced grafting has been performed.