A Town Crier according to Black’s Law Dictionary is an officer of the court who makes public announcements as required by the court. The crier can also be used to make public announcements in the streets. The Town Crier came into being when people couldn’t read and write. Hear Ye, hear Ye, I am calling for silence and attention so you may understand the informed consent process accompanying a Bone Marrow Aspirate Concentrate Stem Cell intervention for Musculoskeletal Care of the Aging Athlete as it seems many patients who could and would be helped by Bone Marrow Derived Stem Cells aren’t listening. Then there is the subset that hears what they want to hear. The only stem cell resource at this time, which meets FDA guidelines, is your own body. I am aware that there are websites offering stem cells from adipose issue, amniotic fluid, corium, etc.  Show me the outcomes data and the documentation of FDA compliance.

The Mesenchymal Stem Cell is found in your bone marrow and is responsible for repair and replacement of injured or cells dying from aging during your lifetime.. If the number of stem cells are increased by concentrating them and used within four hours in the patient from which they were harvested, all governmental guidelines have been met. Those stem cells may eliminate pain, increase motion, improve function and alter the natural history of an arthritic or injured joint. As to whether they will result in the re-growth of cartilage, it remains to be seen what will happen at 18 months as found on a quantitative MRI. The larger experience with Bone Marrow derived Stem Cells has been in delayed union and non-unions of fractures and improving the chances of a spinal fusion during elective surgery. At the same time, the Regenexx and Regenerative Pain Center combined data- base continually document patient satisfaction and an increasing length of improved functional outcome in an arthritic or traumatized joint.

Hear ye, Hear Ye! The younger the patient, the better the chance of articular cartilage regeneration with stem cells. By the same token, stem cells may be very beneficial even if the MRI doesn’t confirm cartilage re-growth by pathways not fully understood. If the arthritis doesn’t progress and there is improved functional outcome following a Bone Marrow Aspirate Concentrate, I am not concerned about demonstrating cartilage regeneration. I am an orthopedic surgeon by education and experience. I have been involved in replacing arthritic joints and repairing injured joints and bones for 40 plus years. There is something to be gained from that experience that allows me to be a Stem cell Town Crier

 

 

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