Please arrive at our office approximately one hour prior to your scheduled treatment time. Please bring a photo ID (driver’s license, passport, or military ID) and your insurance card. Do not eat or drink anything (including water, hard candy, or chewing gum) six hours prior to your treatment. This is extremely important a
nd non-compliance will result in the cancellation of your treatment.
You must arrange for a ride home in advance. You will not be allowed to leave alone, even if by taxi. You must be released to the care of a capable, responsible adult. Notify our office if you develop symptoms of a cold, fever, or other illness, as it may be necessary to postpone your treatment. Please wear loose/casual clothing, such as sweat pants and a T-shirt. Leave all jewelry and valuables at home. We will not be held responsible for any misplaced items. Please bring your eyeglasses with you. These are important for your safety and comfort, and for the stem cell therapy process.
Please bring a list of all your current medications including prescriptions, over-the-counter drugs, and herbal supplements. Avoid the following medications for approximately five to seven days prior to your procedure, as they can increase bleeding during the treatment: aspirin, Advil, Aleve, ibuprofen, naproxen, Excedrin, heparin, Coumadin, warfarin, Lovenox, Plavix, Celebrex, or Mobic. Supplements include fish oil, vitamin E, and ginka biloba. Please contact our office if you must take any of these medications or supplements for any reason. Prescriptions for pain management will be discussed at your consultation. We may either give you either medication or a written prescription to fill. Please review the medication document and inquire if there are any questions before your visit.
You will be positioned on your stomach for the harvest of your bone marrow. We take extra care to make sure that you feel comfortable and safe during the procedure. You will be given medications through an IV that will make you sleepy and relaxed. Your stem cells will be drawn, filtered, and placed in a centrifuge to spin down. The stem cells will be isolated and injected into your specific and predetermined treatment location, such as a spinal disc or major joint. Repositioning may be required during the procedure to accommodate your treatment.
At the completion of your procedure, you’ll be bandaged and taken to the recovery area to rest and prepare for discharge home. Kinesiology tape may be placed around the injection site to help with pain and support of tissues.
Watch for signs of possible infection: redness, swelling, heat, red streaks, and/or elevated temperature consistently above 100° F. Contact your physician if these occur. The morning following your treatment, you may remove your bandages and take a shower.
If you have had an intravenous catheter inserted into your vein, a localized irritation of the vein may occur at the site of your intravenous insertion. Hot, moist packs applied four to six times per day for two days may reduce pain and irritation.
Notify your physician if the area continues to be painful or becomes red and/or hot to the touch.
You received intravenous medication for pain and/or to relieve anxiety prior to, during, or after the treatment. Do not drive or operate dangerous equipment for 24 hours or until you are no longer taking any pain medicine.
No major decisions should be made for the rest of the day.
You will be given a muscle relaxer and pain medication after your procedure. These will be a one-time prescription with no refills. If you need additional medications for pain, you will need to follow up with your primary care provider. Resume all your usual medications as you were previously taking them unless otherwise directed by our staff. You may resume heparin, coumadin, warfarin, Lovenox, or Plavix 24 hours after your procedure.
Do not take NSAIDs (anti-inflammatories) such as aspirin, Advil, Aleve, ibuprofen, naproxen, Excedrin, Celebrex, or Mobic for two weeks following a spine procedure. You need your body’s natural inflammatory response for the healing process. For joints, you may resume NSAIDs after four weeks.
For inflammation control, apply ice to area every 15 minutes as needed for discomfort. Please do not submerge the injection or aspiration sites in any way for at least seven days following the treatment. Avoid swimming or using a bathtub, hot tub, Jacuzzi, etc.
Ancillary Therapies After Injection
You may start physical therapy and/or massage therapy once your injection sites are healed (five to seven days). You may seek chiropractic care a minimum of two weeks following your injection, but you should receive absolutely no rotational adjustments. Your disc may be weakened by the injection and the injection site needs to heal. At two weeks after treatment, adjustments need to be gentle and non-forceful. A drop table or activator is OK. No spinal decompression or traction for four weeks. You do not want to increase intradiscal pressures while tissues are healing. Once you start decompression, force must be low, to increase fluid and nutrients to the disc.
You may resume your normal diet as tolerated with absolutely no restrictions. Drink extra fluids for 24 hours following your treatment. We encourage you to eat a healthy, well-balanced diet. We recommend a “clean diet” of lean proteins, whole grains, fruits and vegetables. Avoid salt, high-fructose corn syrup, sugar, yeast, alcohol, and dairy to decrease inflammation.
Limit all activity for 24 hours; you’ll still be under the influence of the IV sedation. Refrain from all strenuous activity or exercise for seven days for spine cases and for up to two weeks for joint cases. Avoid activities that increases stress, load, or compression on the joints. You may do some light stretching as tolerated, return to work, and get a light massage once the injection site has healed.
A nurse or physical therapist from Premier Regnerative will contact you within 72 hours after your procedure. Please plan to follow up contact with our office by phone, email, or mail, four to six weeks after treatment. Please expect periodic follow-up contacts from Premier Regenerative after your procedure to ask how you are doing. We’ll ask questions related to your daily function and pain levels. We’ll also give you disability questionnaire forms to take home in your patient folder. Please complete these questionnaires and return them to Premier Regenerative at six weeks, three months, six months, and one following your procedure. If you have questions or concerns, contact us anytime at (970)613-2030.
Increased pain for 24–72 hours can be normal and is best treated with ice packs, rest, and pain medications. Gentle massage and heat can be applied for muscle spasms. If you want or need physical therapy after your procedure, we will be happy to provide you with a referral and recommendations.
If you have any problems, you can reach your doctor day or night by calling our main number: (970) 669-8881. If you are cannot reach your doctor, call 911 or go to the nearest emergency room.
Poudre Valley Hospital: 970-484-1227
Medical Center of the Rockies: 970-624-1600
McKee Medical Center: 970-635-4071