The Gittens Clinic - March 2020


MARCH 2020



Spring is the height of the moving season, and you know what moving entails? It means lugging around heavy boxes and furniture for days at a time. If you struggle with sciatica, this might be an impossible task to handle due to the severity of your lower back pain. Even the toughest person can struggle to push through pain, especially if it’s chronic with no end in sight. If you’re unfamiliar, sciatica is a condition in which the sciatic nerve, which runs down the base of the spine and down both legs, becomes irritated. This is typically caused by bone spurs or herniated discs, which creates a lot of pain for an individual. Sciatica pain relief comes in a variety of forms including massages, platelet-rich plasma (PRP) therapy, and stem cell treatment! If you’ve read my last few newsletters, you know how passionate I am about PRP and stem cell treatment, so I’m so excited to share with you what I’ve found! PRP for lower back and leg pain is very similar to conventional PRP therapies. This type of treatment is a natural, pain-free, and nonsurgical alternative. First, the physician draws a small amount of blood from the patient. The blood is placed in a centrifuge that isolates the PRP. The doctor administering the process then takes the PRP solution and re-injects it into the affected area of the patient’s body. The plasma then starts to repair damaged tissue. Patients will usually experience pain relief after six months but will require touch-up injections at least once a year. To treat sciatica with stem cells, there are actually two types of processes: intradiscal bone marrow aspirate (BMA) and an intradiscal fibrin Discseel procedure. BMA is bone marrow with stem cells that is extracted from the patient’s pelvis. Typically 25–30 cubic centimeters of bone marrow is needed for the procedure. It’s important to note that the patient is given a local anesthetic so there is minimal discomfort during the procedure. While stem cells are naturally present in all tissues, the highest concentration is in the bone marrow. After the bone marrow is extracted, it’s then injected in the area that’s causing pain. PRP for Sciatica Stem Cell for Sciatica

An intradiscal fibrin Discseel procedure utilizes a fibrin biologic in addition to the stem cells. Fibrin is a strong protein formed from fibrinogen, which is a soluble protein produced

by the liver and found in blood plasma. When one of your intervertebral discs leaks, it can cause irritation in the form of sciatica. This

procedure injects the solution into the tears in the outer rim of the disk.

Any form of sciatica treatment can be confusing and stressful to make sense of. If you have any questions or concerns regarding stem cell or PRP therapy, feel free to call me anytime. Together, we will explore all of your options and ensure you’re on your way to recovery. Don’t hesitate to reach out to us at 1-833-448-8367 to schedule an appointment or visit our Stuart, Miami, or Palm Beach Gardens offices.

-Dr. Carl Gittens


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