Dr. Shim discusses the current research on stem cells for back pain as of 2020.
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Citations:
Aoun, S. G., Reyes, V. P., El Ahmadieh, T. Y., Davies, M., Patel, A. R., Ban, V. S., … & Bagley, C. A. (2019). Stem cell injections for axial back pain: a systematic review of associated risks and complications with a case illustration of diffuse hyperplastic gliosis resulting in cauda equina syndrome. Journal of Neurosurgery: Spine, 31(6), 906-913. DOI: 10.3171/2019.6.SPINE19594
Wu, T., Song, H. X., Dong, Y., & Li, J. H. (2018). Cell-based therapies for lumbar discogenic low back pain. Spine, 43(1), 49-57. DOI: 10.1097/BRS.0000000000001549
Please create a topic related to prolozone therapy I have heard it is similar treatment of steam cell to fix back issues like disk bulge or herinated disk
Can you train me? I am doing CCT in the UK
I feel so pain due to L4L5 L5S1 facet joint arthaopathy and L5S1 disc bulging what should I do right now.
I’ve had it and I am doing great. My pain mgmt dr is great!
I am glad you are better.
Stemcell can reverse bulging disc problem?
How much did it cost? Where are located?
I just had microdiscectomy.Should I use this to regenerate the damaged disc to original size ??
If you watched my whole video, I explained how this is still very experimental, with very little long term information. Please make sure to make informed decisions, and understand the risks, benefits, and the experimental nature of this treatment.
@Johnny Rodriguez I can only comment on the general principles, as everyone has individual concerns. 2.5 mm herniations with mild stenosis typically does not benefit from surgery. As long as you are getting better, and can tolerate the discomfort, do not rush into anything invasive. If the pain is unbearable, then seek another opinion from a spine specialist.
What about intradiscal PRP injections?
@ShimSpine Ty I’ll keep praying
I’m 49 have DDD on my L5-S1. Literally bone on bone. Horrific pain. I’ve had decompression therapy. PT. Chiropractic care. Epidural injections. My recent MRI shows complete dehydration. Debating on the single level ALif. Can you provide insight pleaseeee
Only general comments. If your surgeon has determined the L5-S1 disc is the cause of your pain, ALIF is a very acceptable option. Make sure you understand the risks, benefits, and alternatives and you have exhausted all non surgical options. Try to minimize the use of any narcotic medications. Chronic use will make it even harder to stop use of the medication, even after a successful surgery.
Not approved by FDA, and not studied enough by the scientific community to know if it is helping, or hurting the spine. Be cautious.
I am getting mines done on February 10th…
I am very hopeful 🙏🏼🙏🏼🙏🏼
@ShimSpine Apart from the 3 2.5 mm herniated discs I have two mild Facet diseases will I be ok? Do I need stem cell injection? PT and chiro say the same to not jump on surgery with mild canal stenosis but I just feel a dull aching spot in lower left side that im scared for it to flare up and bring down knee nerve pain what do you suggest Dr? I won’t bother anymore after this question just let me know what I should do or you would do in my situation Ty 🙏
@Johnny Rodriguez If you watched all of my stem cell update, I said it is too early to know if it works. Based on your report of the MRI, it sounds like a normal MRI read for most people. You need to understand that a “Normal MRI’ reading is actually very rare. In other words, findings like small disc herniations, facet disease, disc degeneration, etc. are normal findings and expected. If you are not hurting too badly, I would concentrate on doing things that will strengthen your back instead of looking for new experimental procedures that seem to have promise, but are not tested, and are very costly. I have been accused of being too straight forward. I am sorry if my advice disappoints. But then again, I will say that the truth, while at times painful, may be the best way for folks to accept, then find a way to manage and thrive.
@ShimSpine Ty Dr I feel better now that you say there normal findings, ok I will keep praying to not ever need surgery it’s just these Facet Joint disease videos are so scary it scared the life out of me Thank you for your replies Dr rn pain is centralized with rest almost feel nothing with your reply made me feel better Ty!
Can this be injection be done on this?
The vertebral body heights are maintained. There is intervertebral disc space narrowing at L5-S1. There is facet hypertrophy throughout the lumbar spine. There is apparent obscuration of the RIGHT pedicle at L2, which in correlation with the PET/CT from
7/12/2018, corresponds to an area of marked facet hypertrophy and partial fusion of the facets at L2-3. There is no abnormal motion on flexion or extension. The sacroiliac joints are unremarkable.
VIEWS: AP, lateral flexion/extension, and spot views of the lumbar spine.
HISTORY: M51.16-Intervertebral disc disorder with radiculopathy of lumbar region M51.16Intervertebral disc disorder with radiculopathy of lumbar region
Watch the whole video. Stem cells are still very experimental. There has been limited success in restoring disc height.
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What is your opinion on PRP injections?
My mom is suffering from lumbar spondylosis disc degeneration at l4-l5 disc. She doesn’t have pain but has numbness in left feet. Will she be cured by stem cell treatment??
Which treatment would u suggest to her sir??
I am a patient of dysautonomia the problem of autonomic nervous system dysfunction can stem cell therapy help in dysautonomia or pots patient
Hi there, I hope you’re treatment was successful, has it freed you from your pain?
mm. Hi
@don2255 how are you now
Did you listen to the end? He said he would NOT recommend it to anyone
@tajakjejtam why?
@Time is Valuable not enough scientific evidence to help in back pain
@tajakjejtam Oo😒what about button hole surgery?
Hey which procedure have undegone i m too going have stem cell or prp
I’m 27 and have been diagnosed with degenerative disc disease on my L5 disc and have been dealing with herniated disc pain for 3 months now. I had to quit my job as a trucker. It’s very scary being told by my doctor that I’m a candidate for back surgery at 27. I’m honestly desperate to try anything that will return me back to normal
Prolozone is not stem cell therapy
@ShimSpine is there anyway to reinforce the wound on the annulus with some kind of coat which can act like glue so that a disc extrusion doesn’t reoccur at the weak spot?
@ShimSpine Do you have a stripped and permanently damaged nerve root causing blinding and disabling pain 24/7? If not, please don’t comment on the use of narcotic medication as you simply have no idea about pain some people live with. You would be on Oxy 6 x 10mg per day if you suffered my life sentence.
Did you get an MRI after did it help rejuvenate your disc or just pain
Unfortunately, he has no specifics on this topic. He is generalizing a very complex problem. Also he doesn’t try help in any way? He doesn’t seem to have much interest in responding to questions? What are his credentials to criticize this field. Etc etc.
@Artur Curyllo His comment doesn’t apply to everyone as clearly stated- if it offends you then don’t watch this. He said ‘general’ comments only and he said ‘try to minimise”. If you’re not able to it, that obviously doesn’t apply to you. Sure offer your experience but no need to be so defensive. He can comment what he likes on his own channel. If you don’t like it, then you don’t have to watch it but I personally find his take on reducing medications naturally quite helpful.
@Vanessaland And what should I do if I have already watched it? Can I unwatch it? Any “general” tips would be much appreciated.
People feeling better after salt water injection 💉 reminds me of when I had dye injected into my shoulder joint for an MRI. Felt better immediately and more stable but by time we had driven down the road and I’d moved arm up and down couple times it must’ve leaked out or dissipated somewhere and shoulder was back to where it was.
@ShimSpine why is it not studied?
I am 61 and a floor nurse, had A double Lamy, them 8 mo later a revision in a disc and still have a new protrusion causing pain. The pain management wants to do stem cell via amniotic fluid but insurance doesn’t cover it. Also suggesting a ablation. Please help! My workman’s Comp doc is saying he will do an infusion 1 year from my last surgery but expecting me to get by until then. I can’t take it, any pearls of wisdom for me? Thank you!!!!
Thanks for bringing the ethical problem to light about experimental issues with back pain and stem cell research.
Many treatments remain experimental as the ramifications may not be known for years or decades.
You’re young. Research every single movement to treat disc degeneration. Yoga is extremely good for this. There are Brazilian jiu jitsu warm up drills that are perfect for opening up the hips and low back.
I believe the reason why your discs have degenerated is secondary to lack of movement, exercising all those small muscles that hold those discs together, + spinalis, illiocostalis, & All those muscles that control internal and external rotation of the hips. You’re a trucker. You’ve been sitting in the same position for hours and hours on end.
I can say this because I’ve been driving for 23 years and my L4 L5 disc is degenerated. Nevertheless I do CrossFit and yoga. I’m holding my own, but I refuse to let them cut me. I am not at that stage and I think spinal fusion is way over the top unnecessary at this stage.
There are people that have lived with stuff like this for decades, the pain eventually goes away, the nerve learns to live in a smaller space and adjusts. Don’t let them cut you unless It gets serious enough to where you’ve lost feeling in a leg or you can’t control your bowels.
@eduardo ramirez I’m 19 years old, I had to have a microdiscectomy almost exactly one year ago because I had a completely blown l5 s1 disc and it was impossible for me to move sleep sit and exist. I will say that after the surgery I woke up with IMMEDIATE relief, any longer with that pain and I was going to end my life because it was so terrible. So if you get to that point get the microdiscectomy because there are no fusions and no rods and I’ve been able to return to work in construction for 8 months now. I will say that now I have to live the rest of my life with the concern of my back getting worse but it’s better than existing the way I did before.
My dad has had an injured back pretty much his whole life and a couple years ago it became unbearable and he could barely walk. One of his discs was pretty much gone and it was almost completely bone-on-bone. He got injections and 3-4 years later he’s feeling better than ever.
I had a microdisectomy for a herniated disc one year ago. Before my surgery my sciatic pain was so bad I could not walk or stand up straight. Right after the surgery the pain was gone. Today, I have my life back. I have no regrets about having back surgery.
@carter smith still feeling good? Did you have a herniation or just a bulge?
Dr Shim have you seen the product that is inserted after a disectomy as a “dam” of sorts that blocks more inner fluid from coming out? I belive the one brand name is “Barricaid”. Looks promising
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