CASE STUDY 75 year old, male with the chief complaint of CHRONIC SHOULDER PAIN. Pain is constant, 7/10, not relief by pain management, with minimal range of motion (he cant even read a newspaper since limited mobility). Treatments in the past had included: Surgery, Physical Therapy, Acupuncture, Narcotic medications. All this modalities of treatment had failed. He is desperate and in agonizing pain for several years. His goal is to alleviate at least 10 percent his pain. He said that he is not looking for miracles but at least look into an alternative. The patient met with the doctor and his team.
DIAGNOSIS: Degenerative Disease and minimal Range of Motion on his shoulder with severe pain affecting his quality of life.
PROCEDURE: A fat harvesting procedure is performed from his abdomen. This is done in the office with no general anesthesia. Fat is processed and then cells are obtained. Cells are injected into the affected shoulder.
RESULTS/FOLLOW-UPS: Pain is improved by at least 70 percent within 24 hours and by 95 percent by 48 hours. He is able to have more mobility on his shoulder and able to read his newspaper and even eat properly when moving the shoulder. In conclusion pain is relieved and more mobility improving his quality of life. No side effects, no complications reported.
CASE STUDY 65 year old Male. Chief complaint: Knee Pain on both sides. Mr. R described the pain on knees, very annoying, and aching and with intensity of 8/10. He was offered Surgery since knees were bone on bone. He is very Athletic and does weight and cardiovascular activities 5 days a week. His percentage of body fat is 9 %. He has fully developed abdominal 6 packs as well as quadriceps and chest muscles. The pain is becoming very debilitating and now he feels he cant do his exercise. He is on a low glycemic diet and eats every 3 hours. He is also concerned about the lack of volume on his face as well as face is dropping and development of wrinkles. He is also on hormone replacement: Testosterone Pellets.
He is looking for a surgery alternative and is not interested in anything that is artificial. The Team meets with the patient and the following is identified
DIAGNOSIS Severe Degenerative Joint Disease on both knees due to Osteoarthritis and overuse Injury due to his weight lifting and cardiovascular activity and aging process. On his Face: Lack of volume and wrinkles.
PROCEDURE The patient undergoes a miniliposuction (prior to that he was instructed to gain 10 pounds in order to have fat available). Fat is processed the same day. His own cells are injected in to both knees. No general anesthesia is used. At the same time Cell-Assisted Fat Transfer to the Face is performed
RESULTS/FOLLOWUP Knee Pain is resolved by 100 percent. Knee pain is resolved and now he is able to do all his work outs with no pain and he feels he can recover faster. He has been follow and the results are the same. Actually he describes more flexibility. His face volume is restored and now he is lifted and wrinkles started to go away. He canceled his knee surgery.
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