Kinetix is proud to be able to offer two of today’s most exciting regenerative medical treatments for musculoskeletal conditions.
WHAT IS THE DIFFERENCE BETWEEN PRP AND STEM CELLS?
PRP is platelet-rich plasma, created by drawing your blood and separating so that the platelet-rich plasma can be isolated. Platelets create inflammation—your body’s response to an injury and the first step in the healing process. Platelets also include many growth factors which help kick-start the healing of stubborn injuries.
Stem Cells are the basic building blocks of all human tissue, they are cells that can replicate and become specialized cell types such as bone or cartilage.
SHOULD I GET PRP OR STEM CELL TREATMENT?
In general terms, PRP is best for soft tissue issues such as muscle tears, tendinopathies and ligament tears. Stem Cells on the other hand, offer superior results for bony conditions such as osteoarthritis (OA).
PRP and Stem Cells can be used interchangeably, too—some patients prefer to have one treatment vs the other and we are happy to discuss this with you.
AM I A CANDIDATE?
To be a candidate for one of our regenerative treatments, you should have a known orthopedic/musculoskeletal issue, such as a muscle tear or OA. We will review any diagnostic imaging you may have already had and will go over a few health questions with you. Once we have all of that information, we can establish whether you are a candidate for PRP or Stem Cells.
WHERE DO YOU HARVEST THE STEM CELLS FROM?
We perform two different types of stem cell harvest, depending on your unique situation. One technique is bone marrow, in which the cells are harvested from the posterior iliac crest bone. The other is lipo aspirate, in which the cells are harvested from adipose (fatty tissue) in the lower back and mixed with a sample of your blood, taken from the arm (usually) after having been spun in a centrifuge. Both techniques have limited pain associated with them, and local anesthetic is used to minimize any discomfort.
DO YOU OFFER CELL CULTURING & STORAGE?
No, we do not. Health Canada requires that stem cell procedures are ‘minimally manipulated,’ thus, preventing any additives to the stem cells other than your own blood, and further, that the stem cells are re-injected into the affected joint within 3 hours.
WHAT RECENT MEDICAL INFORMATION DO YOU REQUIRE?
Kinetix Treatment Manager will send you an intake questionnaire that will ask specific questions that you will be able to answer without your doctor’s assistance. Typically, we need to see your most recent medical imaging (x rays, CT or MRI – if you do not have any, we can order this for you, or obtain from the imaging clinic where you had it), and what medications you are taking, as well as any medical conditions.
HOW MUCH DO THESE TREATMENTS COST?
PRP injections cost $1,600. This price includes the cost of treatment plus one pre-treatment assessment by our in-house physiotherapy team.
Stem Cell injections cost $8,500. This includes the cost of a pre-treatment physician assessment, plus physiotherapy assessment, Stem Cell treatment and five post-treatment rehab sessions with our in-house physiotherapy team.
** Please note: Although some extended health insurance plans may offer unique coverage, PRP and Stem Cell treatments are not covered by MSP. **
CAN THIS COST BE CLAIMED ON INCOME TAX AS A MEDICAL EXPENSE?
This would depend on your situation, and you would have to check with your accountant but it is a medical procedure and likely could be claimed for medical tax credit under certain circumstances, but we do not guarantee this for patients – please check with your accountant. You will have copies of all of your receipts for any treatment received.
DO YOU GUARANTEE RESULTS?
Like any medical treatment, results can vary. The very best results come from providing the most appropriate treatment for your condition, and from your commitment to the rehab protocol. At Kinetix, we are able to provide an array of treatment and rehab options and our medical team will make sure that you get the combination that is right for YOU.
DO I NEED TO DO PHYSIOTHERAPY?
Yes! For you to get the best results from your treatment, we recommend rest, then rehab. Our experience shows that strengthening your treated area with carefully chosen exercise protocols contributes to the best results.
Additional appointments with our physiotherapist or an active-rehab program with our kinesiologist can be scheduled anytime.
WHAT CAN I EXPECT DURING AND AFTER TREATMENT?
PRP appointments last approximately one hour. During that time, you’ll have your blood drawn and it will be spun in a centrifuge to isolate the platelets. Once the platelet-rich-plasma has been developed, our radiologist– using ultrasound guidance for accuracy– will inject the PRP into the treatment area.
After your appointment, you will be asked to rest (i.e. use crutches if your knee has been treated and a sling if your shoulder has been treated) the treated area for a few days. During that time, your pain may increase noticeably—this is the inflammatory response at work! During the next several weeks, we’ll ask you to go from rest to gentle stretching, to progressive strengthening exercises until you get back to your normal activity levels.
Stem Cell treatments take a little longer (approximately 90 minutes). We acquire stem cells by either collecting some of your fat or bone marrow from your hip. Just like with the PRP process, we then use the centrifuge to concentrate the stem cells and then inject them under image-guidance.
The same rest-and-rehab schedule for Stem Cell patients is the same as the one we prescribe for PRP patients.
WHAT IS THE TIMELINE FOR TREATMENT?
We are likely to have your initial information and imaging read within 48h of retrieval, and then can book your procedure within 1-2 weeks, pending your schedule. You are usually non-weight bearing for 3-7 days and can expect a small increase in level of pain from your baseline for the first couple of days. You can return to light activities (walking, weight bearing) after the first week, and more strenuous activity can be discussed with your treatment provider. Although all patients vary depending on their particular situation, most patients see marked increase in mobility and decrease in pain within 6-8 weeks.
WHAT ARE THE NEXT STEPS?
If you are a candidate, then the next step is to have a medical assessment performed by one of our interventional pain management physicians. Once you are given the green light, we would schedule you for a pre-injection assessment with our physiotherapist and help you choose a date for your treatment. We will also provide you with some pre-appointment prep info.
Your health and wellbeing are our first priority. We want to be sure that you get the treatment that is best for your individual set of circumstances. Medicine is not “one size fits all,” which is why our team carefully considers your unique situation.
There are other clinics that offer Stem Cell and PRP injections at lower costs. We feel that these treatments are more than just an injection. Our physicians have carefully developed our screening, treatment and post-treatment protocols to ensure our patients have the best results possible.
We offer our patients:
• Four interventional pain management specialist physicians
• Image-guided injections (via ultrasound or fluoroscopy) for precise placement of treatment
• Leading-edge technology, using Health Canada approved devices
• On-site physiotherapy and kinesiology to complement treatments and improve outcomes
Additional information about our regenerative medicine treatments is available on our website at: https://kinetixmedicine.com/faq/
Kinetix also offers a full range of image-guided therapeutic injections for spine and joint pain. Please call us for more information about steroid injections, Viscosupplementation and Barbotage.
KINETIX MEDICAL PROVIDER TEAM
Dr Bhalla: Interventional Radiology
Dr. van Wyngaarden: Interventional Radiology
Dr. Helper: Specialized Spine Physiatry
Dr. Gray: General Physiatry and Interventional Pain Management Procedures
All of our physicians specialize in the area of regenerative medicine, and help to create individualized treatment plans that include interventional pain management procedures to help patients manage both chronic and acute pain, related to degenerative disease and acute injuries, respectively (that have otherwise not responded to conventional therapies). Regenerative Medicine comprises the following:
GUIDED MESENCHYMAL STEM CELL INJECTION THERAPY
Mesenchymal Stem Cell (MSC) therapy allows your body to use its own stem cells to help heal your injuries. Kinetix Stem Cell therapy treatments painlessly relocate stem cells from stem cell-rich areas of your body to the damaged area, so that you can heal naturally. Kinetix can deliver cellular therapy in two ways; BMAC-bone marrow aspirate concentrate (pulling the stem cells from a patient’s bone marrow) or a through an MSC-Rich adipose graft (taking stem cells from a patient’s fat deposits). These procedures offer a much less invasive option than surgery and can require significantly less downtime from activity and work. As with all of our treatments, we are happy to discuss when patients are candidates for cellular therapy treatment, and discuss other options if they are not appropriate candidates.
Ideal candidates: degenerative disease, ie. Osteoarthritis
GUIDED PLATELET RICH PLASMA (PRP) INJECTIONS
Like Stem Cell treatment, PRP is delivered by injection, but instead of stem cells, your own plasma is used and re-injected into the affected joint, tendon, muscle or ligament. Plasma is the largest component of your blood and contains platelets which are used by your body in healing. A small amount of your whole blood is collected and then separated into plasma and other components. Through centrifugation, the concentration of platelets in the plasma is increased significantly. This Platelet Rich Plasma is then re-injected into the affected area.
Ideal candidates: rotator cuff tears, tendinopathy, muscle tears
Dr. Sanjiv (Sonny) Bhalla received his MD from the University of Western Ontario in 1997 and completed his Family Medicine and Emergency Medicine Residency from McMaster University in 2000. He then went on to complete his Radiology Residency at UBC in 2009.
He is the Medical Director of Kinetix and has been a Diagnostic and Interventional Radiologist for the last 9 years with an interest in Orthopaedic Medicine and Pain Management. Prior to that, Dr. Bhalla was a practicing Emergency Physician for 5 years where he witnessed the debilitating effects that both acute and chronic pain have on an individual’s activity, health, and social interactions.
His goal is to improve pain management in acute and chronic pain using established and innovative techniques in the field of Interventional Pain Therapy.
Dr. Darren Gray completed a bachelor of science degree in Kinesiology in 2007, and then received his medical degree from the University of Alberta in 2011. He went on to complete a residency in Physical Medicine and Rehabilitation at the University of British Columbia in 2016. He has additional training in neuromuscular medicine, completing his certification to become a CSCN Diplomate (EMG) in 2016. He has undertaken advanced training in fluoroscopic (X-ray) guided injections and ultrasound guided musculoskeletal procedures.
Darren’s clinical interests include diagnosing and treating complex musculoskeletal conditions, interventional spine pain management, performing ultrasound guided musculoskeletal procedures and diagnosing and treating peripheral entrapment neuropathies. He is an International Medical Classifier with World Para Taekwondo, a division of the Paralympics. Darren has an interest in sports medicine and treating musculoskeletal injuries with the latest regenerative medicine techniques as part of a holistic and interdisciplinary approach.
Dr. van Wyngaarden is a general diagnostic and interventional radiologist. He has a special interest in musculoskeletal medicine and promotes healthy active patient lifestyles. He completed his Medical doctorate at the University of Calgary and Residency training in Diagnostic Imaging at the University of British Columbia. He supports multidisciplinary specialist care, medical technology development in conjunction with clinical practice, and research for improved patient outcomes.
Dr. Steven Helper is a specialist in Interventional Spine Pain Management. He completed his subspecialty fellowship at the Penn Spine Center at the University of Pennsylvania. He is also a fellow of the Royal College of Physicians and Surgeons, having graduated from the Physical Medicine and Rehabilitation residency program out of UBC. Prior, he attended the University of Manitoba where he obtained a Bachelor of Science degree followed by his doctorate of Medicine. As a specialist in both Interventional Spine and Physical Medicine & Rehabilitation, has the ability to assess, treat, and/or guide patients down any road of care that is necessary. Whether they need open surgery, minimally invasive surgical procedures, spinal injections, physical therapy, alternative treatments (regenerative medicine), or oral medications, he will be able to direct them based on the latest medical literature.