stem cell therapy questions to ask before treatment


With Regenerative Therapy becoming the latest remarkable advancement in treating and healing people with osteoarthritic joint pain, there’s been an increase in clinics offering this service.


At Xcell Medical Group in Elyria, we were the first in Lorain County to offer this revolutionary treatment option with our in-house Orthopedic Specialist, Dr. Jane Hoashi, MD, and have recently expanded our suite of services to include treatments like Platelet-Rich Plasma (PRP) to umbilical cord matrix (with live mesenchymal stem cells).

Our doctors are on staff every single (business) day with us helping people live pain-free.

Consumers should be aware of the misinformation that is widely circulated by clinics offering unproven treatments and flying in doctors from out-of-state for a day or two to perform the procedures, who are not involved in aftercare.

If you are considering any Regenerative Therapy, do your research. Find out the history of the office, what treatment entails, and what the recovery will be like.


Make sure to ask these questions as well when considering Regenerative Therapy:


What are the qualifications of the physician or medical team? How long have they been doing the injections?

Find out their training and experience with Regenerative Therapy.

Our Orthopedic Specialist, Dr. Hoashi, is on staff daily and has successfully performed hundreds of joint injections right here in our office.


Do you use a live stem cell product?

Bone marrow is one of the more well-known sources of adult stem cells, but research has uncovered that bone marrow cells lose abundance and potency with age.

Adipose-derived (fat from back or hips) stem cells are another option clinics are using – these stem cells need to be spun down in a centrifuge and manipulated with chemical additives before injection.

While the chance of rejection is next to zero with both of these, the effectiveness is greatly reduced than if using an immune-privileged live product like an umbilical cord matrix containing mesenchymal stem cells.

Umbilical cord matrix/Wharton’s Jelly Allograft and amniotic fluid allograft matrix are most used at Xcell Medical Group.

Here is a brief breakdown of each:


Umbilical Cord Matrix/Wharton’s Jelly Allograft

  • Donors are selected following an intensive and complete medical review and pre-natal evaluation prior to delivery
  • Contains growth factors and an abundant amount of live cells, including mesenchymal stem cells
  • Derived exclusively from the umbilical cord after live c-section delivery of a baby
  • Immune-privileged so there is no chance of rejection.


Amniotic Fluid Matrix Allograft

  • Acellular, frozen, non-irradiated, 100% pure amniotic fluid matrix allograft
  • Retains its bioactivity with more than 200 growth factors proven present as well as hyaluronic acid and cytokines
  • Membrane and chorion free
  • Able to be injected through as small as a 30 gauge needle


Our products are FDA regulated as a human cell and tissue product (HCT/P) and are intended for homologous (human to human) use.


What kind of results can I expect? Do you have patient testimonials from your clinic specifically?

While we’re seeing great outcomes with Regenerative Therapy, like all things in medicine, there are no guarantees.

Most patients feel a difference in pain and inflammation almost immediately. Clinically we expect significantly improved function in 1-3 months. On average, our in-office success rate is around 90%.

At Xcell Medical Group we have in-house testimonials, including our very own Dr. Fabian, who experienced great results with amniotic allograft injection in his knee


How much will the treatment cost?

For now, most of these Regenerative Therapies are not covered by insurance, although some insurance providers are starting to cover a portion of the price on a case by case basis.

Our office provides not only an affordable price model with prices starting at $2,800, but we also offer financing options that offer excellent payment plans; we also accept most major credit cards.


How are you sure of where the injection goes and if the cells are placed where needed most?

Make sure that the physician knows how to accurately inject the cells into the actual damaged or degenerated area of the joint; this is the only way for them to be fully effective.

Make sure your provider will use some form of imaging (ultrasound or fluoroscopy) to guide the injection. Do not go if the clinic is using a “blind injection” technique.

All of our Regenerative Therapy injections are performed by Dr. Hoashi with guided ultrasound.


What kind of follow-up treatments are needed?

Post-injection healing and treatments are important for maximizing your results.

A lot of clinics offer the injection and send you home with instructions for rehabilitation, with only a few follow-up appointments afterward. It is highly important to ask what the rehabilitation plan is and what the do’s and don’ts are following the injection.

At Xcell Medical Group, we treat the patient as a whole. Your rehabilitation plan may include any combination of the following:

  • Postural Assessments
  • Core Strengthening Exercises
  • Clinical Massage
  • Trigger Point Therapy
  • Chiropractic


To find out more about Regenerative Therapy options, request your FREE no-obligation appointment today by calling our Regenerative Therapy Hotline at 440-822-3636