Stem cells are undifferentiated biological cells, meaning the specific function they may perform is flexible. Most of our cells are already differentiated – they are specialized to perform a strict role within the body. Stem cells, however, can be influenced to differentiate into a variety of different roles. Because of this capacity, they promise to be useful in regenerative health. Stem cells have been used in medicine, particularly in the treatment of cancer, since the 1960s. In the last decade, stem cell research has proven successful for the treatment of musculoskeletal problems, such as osteoarthritis, cartilage defects, and tendon tears. Further research is being done for degenerative disc problems of the spine. With confidence that stem cells are going to play an important role in the future of medicine, Pain Care Boise is excited to now be offering Stem Cell treatments for problems such as osteoarthritis, cartilage defects, and tendon defects.

During treatment, stem cells are placed in the damaged area. There are three methods by which stem cells can be obtained:

  1. Using stem cells from a human embryo. This method is highly controversial, presenting ethical issues, and therefore is not widely practised.
  2. What are known as induced stem cells. By injecting almost any cell with genes, one may convert it into a stem cell. Unfortunately, the introduction of foreign materials into a cell present a risk of cancer.
  3. Using adult stem cells, which can be obtained from almost any human tissue. While these stem cells are not as versatile as those obtained from the previous methods, they are still effective in many different treatments.This third method, obtaining stem cells from adult tissues, is the most viable for collecting stem cells today. There are three types of tissue most commonly studied for this practice: placental/umbilical tissues, adipose (fat) tissues, and tissues from bone marrow.

    (a) Placental/umbilical tissues: There is presently no product available from the placenta/amniotic sac or the umbilical blood that provides viable stem cells (though some companies will advertise that there are!). While there may be viable cells in the umbilical cord tissue, making use of them requires a significant amount of processing, freezing, and thawing. Many have questioned how functional these cells are after having gone through that process. These cells also come from a person other than the patient, which may increase the risk of infection and/or rejection (though this is rare).

    (b) Adipose (fat) tissues: These tissues do provide the highest number of stem cells; however, there are several shortcomings. Primarily, the process of separating the stem cells from their supportive tissues requires more manipulation of the cells than the FDA currently allows. While several companies are developing ways to satisfy the FDA, the process is time-consuming.

    Additionally, the final product does not have many “growth factors,” which are substances required for the stimulation of growth in living cells. Treatments using adipose tissue, therefore, typically require the extra step of adding PRP from your blood.

    (c)  Bone marrow tissues: Using these tissues has many advantages. First, stem cells from bone marrow are more easily influenced toward a specific role than those from adipose, and they may be more functional since they are kept within their natural environment (are not processed).

Second, platelets are typically collected along with the bone marrow stem cells, which function as a growth factor to encourage the development of new tissue.

Based on the above information, Pain Care Boise is recommending stem cell treatments that make use of bone marrow tissues. The procedure we offer involves aspirating bone marrow from the iliac crest (an area of the hip). These stem cells are then very precisely placed with ultrasound guidance into the damaged joint, cartilage, or tendon by our provider, who is also certified in musculoskeletal ultrasound. It is an uncomplicated procedure that can be done safely
and easily with image guidance. The procedure is well-tolerated and takes minimal time – typically under five minutes.

The way your bone marrow will repair your damaged joint, cartilage, or tendon can be explained simply. The stem cells taken from bone marrow are called mesenchymal stem cells, or MSCs. These MSCs are capable of differentiating into cartilage, tendon, bone, or muscle. What the MSC becomes is highly dependent on what cell it is placed next to. When it is placed in the damaged area, it will start to regenerate the region naturally.

MSCs also have a trophic property, meaning they allow for growth. They secrete a number of growth factors, which we know is important for tissue development. However, this trophic property leads to some concerns that injecting MSCs could cause tumors or cancer. Fortunately, there is a marked lack of evidence supporting this concern. Several animal and human studies have revealed a high degree of safety with no indication of tumor growth ever reported.

The stem cell treatments offered at Pain Care Boise are simple, safe, and effective! Our provider is experienced and keeps up-to-date with the cutting edge of stem cell technology and research.  Obtaining your own readily-available stem cells is easily done in a timely manner with
image guidance.

Disorders commonly treated by Stem Cell injections:

  • Osteoarthritic joints
  • Cartilage defects
  • Meniscus tears
  • Tendon tears complete
  • Degenerative discs spine
  • Rotator cuff tears complete
  • Anterior cruciate ligament tears
  • Achilles tendon tears
  • Hamstring tendon tears
  • Many other tendon or ligament injuries

Questions to ask if considering Stem Cell injections:

  1. Do I want to use my own stem cells (versus another person’s)?
  2. Do I want to use stem cells from their natural environment versus those that have been processed, frozen and thawed)?
  3. Is my provider certified in Pain Medicine?
  4. Is the Pain Medicine certification recognized by the ABMS (American Board of Medical Specialties)?
  5. Are the injections done with ultrasound guidance?
  6. Is my provider certified in ultrasound?
  7. Has my provider done thousands of ultrasound procedures?
  8. Has my provider done hundreds of regenerative procedures?

At Pain Care Boise under the care of Dr. William G Binegar, the answer to all of the above is YES!

Notice: Like all medical procedures, the effectiveness of stem cell injections varies from individual to individual. Patient reviews and testimonials on this site should not be interpreted as a guarantee that our treatments will prove effective for anyone else.

Because its your own body healing itself, the [bone marrow] stem cell procedure with Dr Binegar felt safer to me and worked wonders! Nothing else I tried had worked up to that point and I felt so frustrated that my pain would never heal. It took a little time to heal up but the results were worth being patient-99% improved! This far exceeded my expectations.

-Steve B. – – Boise

Pain Care Boise is amazing! The administrative and clinical staff are wonderful. I’ve had PRP injections for a torn meniscus in my knee and stem cell treatment for arthritis in my hip. I’ve had great results with both! I’m so happy that Dr. Binegar has helped me maintain my athletic lifestyle. Thank you Pain Care Boise!

-Jenni D. – – San Franscisco