Latest Treatments

The field of regenerative medicine is broad and evolving. Any research that focuses on harnessing the body’s natural healing ability could be said to be regenerative medicine. Modern medicine has focused on helping the body to use its own immune mechanisms to fight infection or cancer in the realm of immunology.

The cost and burden of chronic spine and musculoskeletal conditions demands we focus our attention on trying to fix or heal these problems. Ideally, we can find a way to treat these conditions without repeated corticosteroid injections, opioid medications, and surgery.

Human Allograft Tissue

Human amniotic fluid (HAF) has been used for centuries in the treatment of different maladies and conditions. HAF has been shown to be a mixology of beneficial collagens, cytokines, elastins and growth factors that can proliferate the treatment, healing and regenerative qualities of the human body. The presence of extracellular matrices can help to provide a natural scaffold that may accelerate healing while potentially reducing the incidence of inflammation and scarring.

Human amniotic fluid is said to be immune privileged, rarely inducing a resistant reaction to the recipient. The presence of multiple growth factors such as, VEG, TGFB1, TGFB3 and GDF11 (also called GD11, BMP11, and GDF-11) can promote cell growth and regeneration of healthy collagens I, II, III, IV, V and VI that help proliferate healing.

Donated human amniotic fluid used in the clinic or hospital comes from an American Academy of Tissue Banks (AATB) accredited tissue bank only. Further, Amniotic fluid derived stem cells and growth factors are regulated through the FDA Center for Biologics Evaluation and Research (CBER) which regulates HCT/Ps under 21 CFR Parts 1270 and 21 CFR Part 1271 and Section 361 of the Public Health Service Act


 

PRP (Platelet Rich Plasma)

Many patients are familiar with professional athletes to undergo PRP treatments in the off-season to recover from chronic wear and tear injuries. Fortunately, costs have come down and can often be performed in the clinic or at the hospital. The process is rather simple, and nurse will draw your blood, spin it down in a centrifuge, then extract the platelets and inject them in your injury area. Platelets are known for clotting blood, but they also release powerful growth factors that play a role in healing. This is a similar concept as regenerative medicine with the stem cells.


 

Stem Cells

A stem cell is essentially the building block of the human body. Stem cells are capable of dividing for long periods of time, are unspecialized, but can develop into specialized cells. FDA approved sources include bone marrow, fat cells, and amniotic fluid. The stem cells inside an embryo will eventually give rise to every cell, tissue and organ in the fetus’s body. Unlike a regular cell, which can only replicate to create more of its own kind of cell, a stem cell is pluripotent. When it divides, it can make any one of the 220 different cells in the human body. Stem cells also have the capability to self-renew — they can reproduce themselves many times over.

There is extensive research regarding the use of bone marrow obtained stem cells (mesenchymal stem cells or MSC’s) and growing research in the field of amniotic sourced stem cells and growth factors. Dr. Nash is one of the pioneers in the field of implementing amniotic sourced stem cell and growth factor treatments, with nearly four years of experience and more than 2000 injections to date. Dr. Nash has collaborated with major regenerative companies to develop protocols and further research.

Controversial or not?

When the topic of ‘stem cells’ comes up, it can be a tense subject. Fortunately, there is no moral/ethical issue when you research the source and techniques. The human allograft tissue, which may contain frozen (cryopreserved) stem cells and growth factors, ONLY comes from elective C-sections.

Tissue labs accredited by the American Academy of Tissue Banks only accept elective C-section obtained amniotic fluid and tissue. These are NOT the product of abortion or unwanted embryos obtained from fertility clinics or other sources.

 

 


 

Growth Factors

Growth factors are naturally occurring regulatory molecules, which bind to receptors on the cell surface. They stimulate cell and tissue function through influencing cell differentiation by changing their biochemical activity and cellular growth, and regulating their rate of proliferation. Numerous families of growth factors have already been identified and remarkable advancements have been made in understanding the pathways growth factors use to activate cellular proliferation and differentiation.

Growth factors can recruit your bodies natural repair and healing cells, including new cartilage creation and blood vessel growth. Exciting new research shows that some growth factors recruit your own circulating stem cells to the target site of injury.

 


 

Research

While the following articles are quite technical, the background and conclusions include the broad concepts and goals of treatment of familiar musculoskeletal conditions.

1) Amniotic tissue acting as a ‘stem cell magnet’ to recruit stem cells to the site of injection/implantation.

2) Exciting new applications of combination umbilical cord and amniotic membrane preparations, made by Amniox
https://www.businesswire.com/news/home/20160725005736/en/AMNIOX-Highlights-Studies-Finding-CLARIX®-FLO-CLARIX®
Clarix products can help improve foot and ankle outcomes

3) Dehydrated Human Amnion/Chorion Membrane allografts as a therapy for orthopedic tissue repair – in cases of plantar fasciitis, tendinopathy, and veterbral fusion treatments.

4) Study demonstrates the benefit of combining amnion and chorion to increase the number of growth factors delivered to the action site, whether a wound or injured tissue.

5) For those of you that want to dive deeper, this is a good overview that explains how amnion/chorion tissue helps to activate the growth factors as the key to tissue healing

Comprehensive Evaluation

Proper treatment begins with a thorough workup. Dr. Nash does not believe in ‘cookie cutter’ medicine and the first step is listening to the patient.


Multi-disciplinary Approach

Nutrition, vitamin supplementation, metabolic support, Endocrine care, mind-body techniques, manipulation, neuromuscular retraining.


Electrodiagnostics

Frequently patients have a component of nerve related pain that can be diagnosed, leading to a more accurate diagnosis and treatment plan.


Neuromodulation and Other Innovative Treatments

Regenerative Medicine with Stem Cell and Growth Factors as well as Protein Rich Plasma (PRP) allow many to avoid surgery, and neuromodulation treatments which can re-program chronic pain.


Advanced Laboratory

We believe in a thorough workup to evaluate for autoimmune disorders, inflammatory states, metabolic irregularities, and endocrine imbalance which can affect your pain state.


Smart Procedures

With rapid advances in medicine, we can harness the most advanced guidance and imaging to ensure injection procedures place medicine in the target site. Dr. Nash employs the latest ultrasound, fluoroscopic, and electromyographic guidance.

 

It’s Time for Something Different.

BurstDRTM stimulation is a new form of neurostimulation therapy. By understanding how the brain naturally manages pain, doctors created a new therapy that works by mimicking natural patterns found in the brain. This therapy is believed to address both physical pain and the way it affects you emotionally.

Innovation from St. Jude Medical

St. Jude MedicalTM neurostimulation technologies are unique because they are developed with the patient in mind— designed to seamlessly interact with your daily activities and lifestyle.

Pain Interrupted, Life Transformed

BurstDR Stimulation Might Be Right for You.

To learn more about BurstDR stimulation, a downloadable pdf is available with more details. If you find that BurstDR might help and you have more questions please schedule a consultation and we will get back to directly.

Schedule An Appointment

Emsculpt

Because It's Not Only about Fat

The EMSCULPT is the only procedure to help both women and men build muscle and sculpt their body.  In addition, the EMSCULPT creates the world’s first non-invasive buttock toning procedure.

EMSCULPT approaches body contouring in a completely different way - it not only reduces excess fat, but it also focuses on an essential piece of the body sculpting equation that no other surgical or nonsurgical method addresses - increasing muscle mass. EMSCULPT is powered by high-intensity focused electromagnetic energy (HIFEM), which works to induce supramaximal (or forced) muscle contractions. During your EMSCULPT session, your abdominal muscles are stimulated, contracting approximately 20,000 times - the equivalent of 20,000 crunches - working those ab muscles in a way you never could naturally.

 

Unlike other nonsurgical body contouring devices that solely focus on reducing fat, EMSCULPT is designed to treat both men and women, no matter their body type. Whether you have stubborn excess fat bulges that refuse to budge, or if you are already fit and trim and are looking for the best way to put a few finishing touches on your physique, EMSCULPT can provide the results you desire.

Anyone can benefit from the EMSCULPT procedure. This treatment is ideal for patients who do not want to undergo surgery or receive injectable treatment in these areas. EMSCULPT is great for male and female patients alike.

EMSCULPT can be treated on the buttocks and abdomen area for both men and women.

It is recommended that patients undergo four 30-minute treatment sessions spaced 2-3 days apart. Patients will receive treatments twice per week.

Regular exercising and EMSCULPT treatment is not comparable. EMSCULPT induces 20,000 intense muscle contractions within 30 minutes which are not possible to achieve by exercising/voluntary muscle action. Four treatments of EMSCULPT could be compared to a couple of months of working out in the gym.


Vanquish Me

What Is BTL Vanquish Me?

BTL VANQUISH ME is the second generation of contactless technology for fat cell disruption. The device has the largest treatment area in the industry, ensuring an unrivaled level of patient comfort and safety, without BMI < 30 limitations.

BTL VANQUISH ME treatments are designed for those who want to decrease the circumference of their abdomen and thighs – regardless of their BMI. The BTL VANQUISH ME is an option for those who desire aesthetic improvement without the cost and recovery time of surgery.

During your first visit, the BTL VANQUISH ME provider will help you design your individual treatment plan. Most patients undergo 4 treatments scheduled 1 week apart, but this can be tailored to meet your specific needs. Each therapy session takes approximately 45 minutes to treat abdominal part, and 30 minutes to treat thighs. You can easily return to your daily activities right after each session. Patients have reported results as soon as after 2 weeks.

Comfort is the main advantage of BTL VANQUISH ME compared to some other shaping therapies. The entire procedure is contactless. All you will typically feel is a warm sensation in the treated area which may last for a few hours post therapy. The treatment is performed in a lying position so you can easily relax during the procedure.

You can expect reduction in circumference of your abdomen, saddlebags, or thighs. The exact reduction will depend on many factors, including your BMI. Browse our Before & After section to see some of the results

The whole procedure is non-invasive, contactless, and requires no recovery time. You can easily have the treatment during your lunch break, and return to your daily activities immediately.

Many patients report changes as soon as 2 to 3 weeks after the first treatment, when their body starts to naturally eliminate disrupted fat cells. Optimal results can be usually seen after a couple of months.

The treatment causes fat cell disruption. These cells will not regenerate and are gone for good, unless you experience a dramatic lifestyle change.

The BTL VANQUISH ME will help you achieve aesthetic improvement regardless of your lifestyle. You will not be required to exercise or alter your dietary habits. However, the treatment results give you a head start to a better looking body. Most patients feel motivated to take care of themselves better when the procedure is over.

The BTL VANQUISH ME is the only contactless body shaping device on the market. Its large treated area makes the therapy typically more affordable, with more fat removed compared to other procedures. Its body shaping effects tend to be more uniform across the entire body part. Contrary to other devices, it is available to patients with any BMI. The BTL VANQUISH ME technology is based on the elevation of fat temperature. As such, there is no risk of paradoxical adipose hyperplasia – a phenomenon related to technologies based on tissue freezing.


EXILIS ULTRA 360

What Is Exilis Ultra 360?

The first and only device to simultaneously combine radio frequency and ultrasound to tighten skin and address body concerns.

Controlled heating and cooling ensure that energy is delivered to various depths in the tissue. Changing power and cooling during treatment allows the provider to treat deep tissue all the way up to the superficial layer. Skin temperatures are controlled throughout the entire session for utmost safety.

The EXILIS ULTRA 360 meets strict safety standards. The embedded Energy Flow Control system ensures that the exact amount of energy is delivered during the treatment. The integrated cooling allows your provider to target heat to proper skin depth to achieve the best results, while maintaining patient comfort.

Your EXILIS ULTRA 360 provider will tailor the best treatment plan based on your individual needs. Most patients undergo between 2 to 4 treatments scheduled on a weekly basis. Each treatment of a specific body part usually takes between 15 to 30 minutes. This can vary depending on the treated area, treated indication, and other factors.

No, the treatment should not be painful. The EXILIS ULTRA 360 provides the most advanced non-surgical solution, treating your face and body parts safely, efficiently, and without pain. Most patients describe the sensation of the therapy as being comparable to that of a hot stone massage. The treatment is performed in a lying position so you can easily relax during the procedure

Patients in many clinical studies have reported excellent clinical outcomes. Browse our Before & After section to see how to look amazing from every angle.

The whole EXILIS ULTRA 360 procedure is non-invasive and requires no recovery time. You can easily have the treatment during your lunch break and return to your daily activities immediately.

This very much depends on the treated area, its condition and other factors. You may see visible improvements after a single session. Results will typically improve over a 3-month follow up period.

You will not be required to exercise or alter your dietary habits. However, the treatment results can give you a head start to a better looking body. Many patients feel motivated to take care of themselves better when the procedure is over.

Many years of research and development have enabled us to deliver the only device of its kind that simultaneously applies the two very popular energies: radiofrequency and ultrasound. The combination ensures high patient satisfaction and comfort. Thanks to its bulit-in cooling, the EXILIS ULTRA 360 offers a comfortable and safe therapy, able to precisely and efficiently target the desired tissue.


BTL Cellutone

What is BTL Cellutone?

BTL Cellutone uses therapeutic vibrations to increase lymphatic drainage, waste elimination and blood flow. BTL Cellutone is ideal for patients who want a safe, non-invasive body shaping and tightening procedure.

  • Skin laxity
  • Skin tone
  • Skin textural irregularities

Patients typically have between 4 and 6 sessions over the course of a few weeks.