COMMON QUESTIONS ABOUT TREATMENTS
Because of national recognition, we have become accustomed to routinely treating out of town patients. Please call us 980.246.2043 to learn more about our out of town concierge program, which has been designed to eliminate the burden of travel logistics and inconveniences. This includes a full-time patient concierge liaison on our team who is dedicated to booking your travel, handling all transportation, booking hotel arrangements if needed, and making sure your overall experience is as seamless as possible.
Unfortunately, Insurance and Medicare do not cover treatment yet despite our 93% success rate, which is much higher than many treatments, they do currently cover. While this may seem expensive, most individuals conclude that stem cell treatment costs are comparable to surgery once you take into account the out of pocket expenses and insurance deductible minimums. Another thing to consider when evaluating the actual cost of stem cell treatment is that most workers’ compensation claims, VAMCA, and individuals health savings accounts (HSA) will cover stem cells.
Depending on your condition, stem cell therapy can range in the thousands; however, most individuals conclude that stem cell treatment costs are comparable to surgery after considering the out-of-pocket expenses and insurance deductible minimums.
Bone on bone is one of our specialties, with a 90% success rate on those treatments, please call us at 980.859.2340 to find out if you would be a good candidate.
Every case is different, but the majority of our patients only need one stem cell treatment. A tiny percentage of patients may require a second “booster” treatment which is determined in your consultation with our board-certified physician.
The cells that you were implanted with will continue to work, heal, and form new cells in your area of treatment for up to one year. This does not, however, mean it will take you up to a year to experience relief. Most iOBX patients start noticing improvement within just six weeks following their procedure. As for how long you can expect it to last depends on your area being treated. Different joints respond differently to stem cell therapy. There are several long term studies (up to 10 years) showing the effectiveness of a bone marrow & adipose stem cell procedures for a number of joints, including the knee, hip, and spine.
Platelet rich plasma, commonly called PRP, is not a stem cell treatment. It is a solution created from processing a patient’s blood that supports cell activity. An Orthopedic Stem Cell formulation, on the other hand, comes from bone marrow and contains stem cells, immune cells, and a host of factors that can heal your joint. There is an explosion in interest for these types of bio-restorative treatments for joint pain. Damaging steroid injections and invasive surgeries are so common, and often lead to bad long term consequences for people seeking pain relief. iOBX is excited about giving patients more options. With so many choices, it can be challenging to understand the advantages and disadvantages for each type of treatment.
Unfortunately, Stem Cell treatments are not covered by insurance despite our 90% effectiveness, which is much higher than many treatments they do currently cover.
The following is a non-exhaustive list of issues we specialize in, which include acute injuries and pain, chronic injuries and pain, and many other types of orthopedic problems:
Acute Orthopedic Problems
- Tendon tears or stretching (examples: rotator cuff tear or Achilles tendon pain)
- Acute Tendon Disease (ex: calcific tendonitis)
- Ligament tears or stretching (examples: shoulder, elbow, hip, knee (ACL, PCL, MCL, LCL), foot and ankle
- Joints (cartilage injury, knee meniscus, wrist meniscus, shoulder and hip labrum, dislocation, etc).
Chronic or Acute on Chronic Orthopedic Problems
- Osteoarthritis (ex: knee arthritis)
- Tendon Disease (ex: “tennis elbow”)
- Ligament Disease (ex: plantar fasciosis)
- Back and Neck Pain (ex: disc pain, facet pain, “sciatica”)
- Fracture Healing (in conjunction with your Orthopedic Surgeon)
- Rheumatoid Arthritis (in conjunction with your Rheumatologist)
In summary, we can deliver biologics with image-guided precision (frequently using a combination of technologies) to virtually any orthopedic-related structure.
The price is dependent on your specific needs, which would be determined during your comprehensive consultation with our board-certified, advanced stem cell trained physician but typically can run between $5,000 to $15,000.
All procedures at iOBX use stem cells from your own body and fall under the following FDA exemptions
Treatments involving the removal of an HCT/P from a patient and the implantation of that same HCT/P back into the same patient during the same surgical procedure are not subject to FDA regulation; 21 CFR 1271.15(b).
For treatments involving premium bone marrow, minimally manipulated for homologous use is not subject to FDA regulation as a human cell, tissue, or cellular or tissue-based product (HCT/P); 21 CFR 1271.3(d).
For our procedures involving autologous blood (ie: PRP), practitioners who are licensed by law to prescribe or administer drugs and who manufacture blood products solely for use in the course of their professional practice are not subject to FDA regulation; 21 CFR 607.65.
All procedures at iOBX adhere to a stringent level of cleanliness and sterility. We process stem cells from bone marrow and fat tissue utilizing FDA compliant guidelines. The safety standards, focus on patients, and scientific expertise provided by the Advanced Onsite Orthopedic Biologics Laboratory at iOBX make for a unique and outstanding patient experience.
Yes, and we would look forward to discussing these options with you.
We prescribe medications after procedures, as medically appropriate. We do not prescribe medications for long periods of time, including opiates. We do not prescribe pain medications as a stand-alone treatment.
Of course! Currently, the majority of patients receiving these treatments are not high-level athletes. There are things you can do to optimize results, which will be discussed with you.
A non-exhaustive list of non-orthopedic problems we do not treat at this time:
- Parkinson’s disease
- Multiple Sclerosis
- Alzheimer’s disease
- Spinal Cord Injury
- Wounds, including diabetic foot ulcers
- Lyme Disease
Call our office or consider coming to one of our catered “Inspired by Bio-Intelligence” Onsite Seminars. This is a no-obligation opportunity to come and hear more about what we do, what we offer, and tour the facility.
Not at this time. The reason for this is because of the planning that takes place to provide you with optimal care. However, please feel free to stop in and say hello and to discuss scheduling an appointment with us. We’d love to meet you.
Unfortunately, no. There has never been ANY medical procedure created that is 100% successful. Although proportionally small, there are some people who have no response. We and others in this exciting new field of medicine are diligently working to reduce these number of patients.
Unfortunately, yes. Even with the lengths that we go to prevent it, any and all medical procedures and treatments have some level of risk involved.
Safety is our top priority. There have been literally thousands of orthopedic patients treated with autologous (meaning from your own body) biologics with a proven safety record.
The evidence is incredibly strong and continuing to be documented in numerous publications. There are dozens of scientific studies (clinical and and laboratory-based) that support both the effectiveness and safety of these treatments.
No. This is not permitted in the USA at this time.
Rarely. If this is important to you, we can discuss further.
From start to finish, all treatments are performed in a 24-hour period. We’ll discuss this with you in more detail for your individual treatment.
There are many reasons for this such as the newness of the treatment. It’s important to note that insurance reimbursement has nothing to do with the effectiveness of treatment.
Most initial consultations take between 1 hour and 90 minutes. When appropriate, we also offer an ultrasound evaluation of the problematic area, as well as a MRI interpretation in conjunction with the radiologist interpretation. If you have had a MRI prior to seeing us, we will make sure the proper sequences and views have been obtained. If not, we will discuss further steps with you to obtain these. Our doctors have advanced training in Orthopedic MRI and work intimately with high-quality local MRI facilities.
Based on this evaluation, the doctor will provide his recommendation, which could include any of the following or a combination thereof:
- Additional imaging
- Diagnostic injection(s)
- Purpose driven, individualized physical therapy (we work closely with several physical therapy groups to produce optimal results).
- BIOLOGIX based procedure(s), frequently in conjunction with other synergistic modalities.
We also always look forward to working closely with your other doctors or therapists to provide additional information, treatments options, and and maintain a close dialogue with them whenever possible.
The evidence is incredibly strong and continues to be documented in numerous publications. There are dozens of scientific studies (clinical and laboratory-based) that support both the effectiveness and safety of these treatments.
Our model helps the body naturally heal itself. We use FDA-compliant cellular and acellular biologic-based treatments like stem cells and platelet-rich plasma. This allows the body to restore healing in problematic and painful areas or joints. It’s much easier to extract stem cells and spin them around in a machine then it is to manually process a customized stem-cell solution as we do.
Our commitment to quality care has always been about helping others achieve complete healing instead of cutting corners. This is why our board-certified physicians spend 90 minutes during your initial consultation, using state-of-the-art machinery, to fully understand the complexity of your condition and recommend the best treatment option available to you. Our proprietary process results in a success rate of over 90%. Finally, and most importantly, you are our main focus 100% of the time.
Over the last 5-10 years a new field in Orthopedics has begun to blossom, called Orthopedic Restorative/Regenerative Medicine whereby doctors use ultra-minimally invasive techniques to place biological treatments with imaging guided precision. This has been in large part because of technological advancements that are enabling physicians to help facilitate their patients’ own bodies ability to heal itself using their own biological cells, mediators and facilitators. This includes the use of your body’s own stem cells and other “stem-like” cells.
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