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Highlights

Review & Testimonials/Case Examples

Research

Introduction About the Topic

Current Treatments and Side Effects

How stem cells & Other Treatments Work

Highlights of Our Facility

FAQs

STEM CELL & PRP TREATMENT FOR FOOT AND ANKLE PAIN

Highlights

Safe Non Surgical Option*

Avoid surgery in many cases.

Surgery can be expensive dangerous or debilitating with temporary results & long recovery time.

 Stimulates The Body’s Own Healing Ability*

Helps new cartilage & tendon grow from older cartilage & tendon in a process called regeneration.*

Preventing inflammation.

A Natural Treatment, Not Just Pain Control*

Treat the problem at the source instead of temporary pain control.

Faster Recovery*

No down time.   

Return to work the same day.

Ongoing Research Participation

We enroll our patients in ongoing research protocols and data system for collection & analysis of best outcome results from therapies. We keep records of procedures performed in our outcomes database & in shared and published databases. Patients are always treated with the best protocols & treatments based on the latest research data & informed consent on investigational nature of treatments.  Strict sterile protocols & universal precautions are followed by out office and staff.

The Difference

Treatments at other Clinics :

"Patch up" treatments like, addicting pain medications, Steroid injection, surgery (many side effects including weight gain & increased blood sugar, damage to kidneys, heart, stroke & gastric ulcer from NSAIDs.)

May not know how to use ultrasound during the injections which is very critical in ensuring a safe & accurate injection. May use xray with unnecessary radiation for injections instead of ultrasound.

PRP & Sonic wave (ESWT) not used to enhance the effects of Stem Cells.

May not offer option of different bone stem cell types. (only offer drilling bones or low quality umbilical stem cells.)

May use poorly trained non-physician assistants to evaluate & perform injections.

Not FDA compliant.

Treatments at Our Clinic :

Treating the root cause of the problem by regenerating and repairing the damaged regions. Good safety profile with body products from own body.

Precision ultrasound guided injection to joints without any radiation to ensure safe delivery of stem cells & PRP to the correct location. (Shown to increase positive results by 20-40% vs. without ultrasound)

Other modalities like PRP & Sonic Wave use to focus on the whole joint and treating different parts of it instead of just treating one out of several diseased structures in the joint.

Several types of stem cell including Adipose (fat), bone marrow and umbilical cord derived options available.

Needle Free Air-Jet Pain pre Injections option.

We perform our procedures at a private Room by Medical Office Towers* in Los Angeles, with easy access to many Hospitals, Ranked in the top 10 USA Hospitals.

Our physician is a recipient of the prestigious UCLA Vice Provost Prize, the Motif Award sponsored by Walt Disney, and Altamed PACE Clinical Quality Award. His research published in the ULCA Science Journal had also been awarded the best research article of the year. Participate in conferences & up to date with the latest research.

FDA compliant with strict sterile protocols, research participation and no modification of products.

Research Papers

For years, we have done thorough research, gathered results data of patients, and gotten reviews from patients, all with a single purpose in mind – to give you adequate information that will allow you make the best decision with regards to treatment of your condition.

1. Castagnini F, Pellegrini C, Perazzo L, Vannini F, Buda R. Joint sparing treatments in early ankle osteoarthritis: current procedures and future perspectives. J Exp Orthop. 2016; 3(1):3. doi:10.1186/s40634-016-0038-4

Ankle osteoarthritis (AOA) is a severe pathology, mostly affecting a post-traumatic young population. Arthroscopic debridement, arthrodiastasis, osteotomy are the current joint sparing procedures, but, in the available studies, controversial results were achieved, with better outcomes in case of limited degeneration. Only osteotomy in case of malalignment is universally accepted as a joint sparing procedure in case of partial AOA. Recently, the biological mechanism of osteoarthritis has been intensively studied: it is a whole joint pathology, affecting cartilage, bone and synovial membrane. In particular, the first stage is characterized by a reversible catabolic activity with a state of chondropenia. Thus, biological procedures for early AOA were proposed in order to delay or to avoid end stage procedures. Mesenchymal stem cells (MSCs) may be a good solution to prevent or reverse degeneration, due to their immunomodulatory features (able to control the catabolic joint environment) and their regenerative osteochondral capabilities (able to treat the chondral defects). In fact, MSCs may regulate the cytokine cascade and the metalloproteinases release, restoring the osteochondral tissue as well. After interesting reports of mesenchymal stem cells seeded on scaffold and applied to cartilage defects in non-degenerated joints, bone marrow derived cells transplantation appears to be a promising technique in order to control the degenerative pathway and restore the osteochondral defects.

2. Lee KT, Lee YK, Young KW, Park SY, Kim JS. Factors influencing result of autologous chondrocyte implantation in osteochondral lesion of the talus using second look arthroscopy. Scand J Med Sci Sports. 2012; 22(4):510–5. doi: 10.1111/j.1600-0838.2010.01262.x

This study is to know the factors that may affect cartilage repair after autologous chondrocyte implantation (ACI) for the treatment of an osteochondral lesion of the talus (OLT) as seen through a second look arthroscopy. A total of 38 patients who had ACI treatment for OLT underwent a second look arthroscopy 1 year after the ACI operation. A modified magnetic resonance observation of cartilage repair tissue (MOCART) scoring system was used to assess the outcome of the repaired cartilage. Influencing factors were sex, accompanied procedure, location, site, depth, pre-operative AOFAS score, size and age. Factors that may affect cartilage repair after ACI treatment for OLT were evaluated. Of the different factors assessed, sex (P=0.75), accompanied procedure (P=0.50), depth (P=0.08), location (P=0.54), site (P=0.50) and pre-operative AOFAS score (P=0.42) were found not to affect cartilage repair after ACI treatment for OLT. The size of the lesion (P=0.0021) and patient’s age (P=0.01) were the influential factors. As a result, factors affecting repaired cartilage formation after ACI of OLT were found through the second look arthroscopy. It was determined that not all of the factors affecting the clinical outcome after ACI for the repair of an OLT affected cartilage repair after ACI.

3. Jordan RW, Chahal GS, Chapman A. Is end-stage ankle arthrosis best managed with total ankle replacement or arthrodesis? A systematic review. Adv Orthop. 2014; 2014:986285.

End-stage ankle osteoarthritis is a debilitating condition. Traditionally, ankle arthrodesis (AA) has been the surgical intervention of choice but the emergence of total ankle replacement (TAR) has challenged this concept. This systematic review aims to address whether TAR or AA is optimal in terms of functional outcomes. Methods. We conducted a systematic review according to PRISMA checklist using the online databases Medline and EMBASE after January 1, 2005. Participants must be skeletally mature and suffering from ankle arthrosis of any cause. The intervention had to be an uncemented TAR comprising two or three modular components. The comparative group could include any type of ankle arthrodesis, either open or arthroscopic, using any implant for fixation. The study must have reported at least one functional outcome measure. Results. Of the four studies included, two reported some significant improvement in functional outcome in favour of TAR. The complication rate was higher in the TAR group. However, the quality of studies reviewed was poor and the methodological weaknesses limited any definitive conclusions being drawn. Conclusion. The available literature is insufficient to conclude which treatment is superior. Further research is indicated and should be in the form of an adequately powered randomised controlled trial.

4. Aydin AT, Ozenci M, Gur S. Chondropenia: early stage degenerative disease. Acta Orthop Traumatol Turc. 2007; 41(Suppl 2):19–24

Chondropenia is defined as loss of the articular cartilage volume. It is the early stage of degenerative joint disease. Risk factors include advanced age, obesity, overuse (activity-related injury), menopause, and trauma. Early detection of chondropenia is important with regard to recognition of its causes and assessment of the efficacy of treatment. Magnetic resonance imaging is the most potential tool for noninvasive assessment of articular cartilage. Arthroscopy provides information about the size, surface features, and anatomic localization of cartilage lesions, and the features of the adjacent cartilage. By arthroscopy, tissue thickness and in vivo volume of the cartilage can be measured. Studies have given weight to mechano-acoustic diagnosis and optical tools (optical coherence tomography, reflectance spectroscopy). These studies are based on the relationship between the structural and mechanical features of the cartilage. Determination of breakdown products of cartilage is another potentially important method for assessment.

5. Barg A, Pagenstert GI, Horisberger M, Paul J, Gloyer M, Henninger HB, Valderrabano V. Supramalleolar osteotomies for degenerative joint disease of the ankle joint: indication, technique and results. Int Orthop. 2013; 37(9):1683–95.

Patients with varus or valgus hindfoot deformities usually present with asymmetric ankle osteoarthritis. In-vitro biomechanical studies have shown that varus or valgus hindfoot deformity may lead to altered load distribution in the tibiotalar joint which may result in medial (varus) or lateral (valgus) tibiotalar joint degeneration in the short or medium term. The treatment of asymmetric ankle osteoarthritis remains challenging, because more than half of the tibiotalar joint surface is usually preserved. Therefore, joint-sacrificing procedures like total ankle replacement or ankle arthrodesis may not be the most appropriate treatment options. The shortand midterm results following realignment surgery, are very promising with substantial pain relief and functional improvement observed post-operatively. In this review article we describe the indications, surgical techniques, and results from of realignment surgery of the ankle joint in the current literature.

Review & Testimonials/Case Examples

 “I’m 73 yo and have torn meniscus and OA. 3 orthos told me I needed knee replacement. Heard about stem cell and had umbilical stem cells injected then my PRP injected a month later. My knee doesn’t hurt nor buckle any more. It does still get ‘tired’ and a little sore but it’s only been about 6 wks since stem cells. … I still have personal trainers but all exercises are done while I’m seated.”

Bobbi S.

“I am receiving treatment for severe osteoarthritis of right ankle.

I have previously consulted two surgeons and was a considered a candidate for ankle fusion with no cartilage left in my ankle. . My mobility problems was getting severe but ankle fusion was terrifying due to permanent lame condition that would result with a “successful” outcome to control pain.

I have been treated with PRP followed 6 weeks later by autologous stem cells from fatty tissue taken from my mid-riff, then PRP again after another 6 weeks.

5 months after the initial treatment I have improved greatly with regard to pain and functioning of my ankle. I used to walk with difficulty, for limited distances and use a cane. Now I only use a cane if I am going for a very long walk or a hike.”

Felix Mahr

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Introduction About the Topic

It is now possible to relieve arthritis of the foot and ankle with the aid of regenerative procedures from cord-derived stem cells. Our cord tissue-derived stem cell therapy for ankle and foot conditions are safe and effective.

We have well-trained staff who are experienced in the management of foot and ankle conditions. Our stem cell therapy can enhance healing of arthritis of the ankle, and other foot and ankle conditions. We adopt the latest procedures and techniques, and the best alternative to surgeries and steroids for ankle arthritis. With our same-day, in-clinic therapy, your ankle and foot pain will be relieved by alleviating the main cause of your condition. With our stem cell treatment for foot and ankle in in Los Angeles City, we tackle the various conditions that result from foot arthritis, ankle arthritis, tendonitis, and fasciitis.

Our stem cell therapy and platelet rich therapy effectively treats muscle injuries and injuries to the tissues, as well the underlying problems that cause ankle osteoarthritis, and ankle tendon tear. From your first visit to our facility for stem cell treatment for foot and ankle in Los Angeles County California, our experts will guide you to a pain-free life. We treat with cord-derived stem cells.

Common types of foot and ankle conditions

Below are some of the conditions that we treat with platelet plasma rich therapy and stem cell therapy at our facility. Even if your condition doesn’t appear on this list, there is no need to worry. A consultation with our experts will set you well on the path to recovery:

  • Critical limb ischemia
  • Achilles tendonitis
  • Foot and ankle osteoarthritis
  • Chronic ligament sprain
  • Peroneal arthritis
  • Recurrent ankle sprains
  • Arthritis in ankle
  • Ligament sprain of the ankle
  • Post traumatic foot arthritis
  • Post traumatic ankle arthritis

Current Treatment at Other Clinics

Current treatment of foot & ankle involves using medications for pain, steroid injection, foot & ankle surgery and physical therapy which can temporary alleviate the pain.   These treatments are considered a patch up of the problem without treating the root cause of the problem.  Medications & steroids have many side effects including weight gain & increased blood sugar from steroids, damage to kidneys, heart, stroke & gastric ulcer from NSAIDs.  Surgery can be very debilitating with prolong downtime during recovery requiring at times prolonged bed rest & even residing in nursing home for recovery.  It also entails a lot of risk including risk of infection, bleeding, poor surgical outcome to name a few.  At many times surgery fails to alleviate the pain.  Stem cells however, reduce the inflammation and pain that are typical of these conditions. They also work to regenerate and repair the damaged regions 2. Current research on the effect of stem cells in pain management has shown positive results.

We are different from many other clinics who offer stem cell or PRP.   Other clinics may not use ultrasound during the injections which is very critical in ensuring a safe & accurate injection.  They may also not offer option of bone marrow derived stem cell, Adipose derived stem cell & umbilical cord stem cell.  They in effect expose patients to more invasive treatments like drilling bones without offering other easier options.  They also may use xray with unnecessary radiation for injections that can be easily avoided in most cases by using ultrasound.  Furthermore, they may not have proper knowledge of how PRP & Sonic wave (ESWT) can enhance the effects of Stem Cells.  These other modalities are used by us to focus on the whole joint and treating different parts of it instead of just treating one out of several diseased structures in the joint. 

Safe Non Surgical Option

We use a combination of newest cutting edge technology in regenerative medicine to stimulate body’s own repair ability to reverse aging and damage.   We use a careful combination of Stem Cells, PRP and Sonic Waves (ESWT) as part of treatment plan designed by the doctor to treat the body.    These are safe investigational treatments that have shown very promising & safe results in thousands of treatments over the 10-20 years in Europe and USA.   They don’t involve using any medications or drugs.  

What Does ESWT, PRP & Stem Cell Therapy Do?

The researchers believe that the therapy works by:

Releasing cytokines into the body to prevent further damage to cartilage and reduce pain and inflammation.

Preventing inflammation that can make osteoarthritis worse.

Creating healthy new cartilage tissues.

Many patients experience improvements in the treated area and other areas, like in a Mayo Clinic study where patients benefited in both knees after experiencing injections in only one.

Stem cell therapy for foot and ankle conditions

A great improvement is observed by patients after being treated with stem cell therapy. Our stem cell injections for foot and ankle osteoarthritis in Southern California, Beverly Hills triggers healing of scar tissue and reverses it to healthy tissue while relieving inflammation and pain. With this relief, patients can take part more in physical activities, thus living a healthier and happier life free of foot and ankle arthritic pain, and pain that may be caused by sprains, ankle tendon tear, and injuries to the foot and ankle.

The stem cells used are cord-derived stem cells. This means that they are embryonic stem cells. The good news is that this is one of the most-advanced methods in medicine in the United States. Our medical professionals and physicians have been well-trained and versed in stem cell therapy for foot and ankle conditions, and as such, are very ready to help with stem cell treatment for foot and ankle in Los Angeles County.

Stem cell therapy for foot and ankle conditions is very important for people who are suffering from orthopedic injuries or conditions.

You may be trying so hard to imagine how this is done without the usual medication or the risky invasive surgery. Well, it is not rocket science!

Stem cells have the ability to differentiate and develop into specialized cells. They contain bioactive molecules that enhances the regeneration of all tissues in the human body.

Stem cell therapy utilizes the ability of the stem cell tos differentiate into different cell types at the damage site, whether the damage is due to injury or disease. We are proud to offer stem cell therapy services for foot and ankle in Orange County, California. This treatment fights ankle arthritis and other ankle conditions that cause pain.

What makes our facility special?

At our Los Angeles facility, we have invented modern approaches to orthopedic care. Our approach to treatment is second to none. The harvesting process does not involve any form of drilling, and the stem cells are purified and tested for quality before injection. We also employ ultrasound to help in the precise placement of high dose stem cells at the required site. These cells will then perform their duty, promoting the formation of new tissues. Please note that this process only occurs if the cells have been injected to the exact site. We are experts in this and has seen positive outcome with our treatments. Our licensed physicians have undergone intense training running into thousands of hours, and so, you can be sure that you are in safe hands.

Needle Free Air-Jet Pain pre Injections

Our doctor is one of the few doctors in USA & Los Angeles offering the new technology of needle free injection.   We have introduced our needle free injector for a more comfortable and painless experience.  There are many advantages in using needle free injectors and it is elected to replace traditional injections in the near future.  They allow injections with very small doses of medicine with significantly faster onset and a lot less pain and discomfort.

Our Office is Located at one of America’s Top Health Venue in Beverly Hills Adjacent. Located in Beverly Hills adjacent fancily we serve customers from Los Angeles, Orange county and Ventura County.  We are premier destination for out of town customers from Nevada, Arizona, San Francisco, San Diego & Oregon.  We are proud to be the premier location for the advancement in medical technology and patient comfort in Southern California.    

We perform our procedures at a private Room by Medical Office Towers* in Los Angeles, with easy access to many Hospitals, Ranked in the top 10 USA Hospitals.  These hospitals are ranked nationally in 11 specialties and has been named to the “Honor Roll” in U.S. News & World Report’s “Best Hospitals 2016-17.”

In 2014-15, these medical centers in the Los Angeles area to win the Consumer Choice Award for:

  • Best Overall Healthcare Quality
  • Best Image
  • Best Doctors
  • Best Nurses

You Are in Good Hands!

Dr. Padra Gad Nourparvar is a recipient of the prestigious UCLA vice provost prize, the Motif Award sponsored by Walt Disney, and Altamed PACE Clinical Quality Award. His research published in the ULCA Science Journal had also been awarded the best research article of the year.

He has special affiliation to Cedar Sinai, White Memorial, CHLA, and other top medical institutions. He is a diplomat of Board of Osteopathic FP & Licensed by the Medical Board of California Physician & Surgeons. He is trained by the NY College of Osteopathic Medicine in osteopathic manipulation. Also, he has trained in several physical medicine & rehab hospitals & research facilities including UCLA, UC Irvine, Mount Sinai,  NYU.

As a plus, he is one of the few and first doctor in USA trained in ultrasound guided joint injection for precision guided accurate injections of all joints, needle free air-jet injector.  Dr. P. Nourparvar has been a pioneer in medical technology and advancements including stem cell. He is passionate about natural treatment with very minimal use of medication while also avoiding unnecessary surgical procedures. He is well versed in the latest and most effective anti-aging treatment using PRP and stem cell.

Frequently Asked Questions

From where do stem cells originate?

Stem cells are present in many tissues and organs. The bone marrow of fat cells are the richest source of stem cells. However, the most convenient region for harvesting is the umbilical cord.

Do you use embryonic stem cells?

The stem cells are harvested from the placenta of mothers delivered through CS. The mothers donate these placentas willingly.

What can stem cell therapy potentially treat?

Stem cell therapy is beneficial to a number of conditions such as osteoarthritis, erectile dysfunction, joint pain, renal disease, neurological disorders, autism, cellular rejuvenation, etc.

How can stem cells promote healing?

Stem cells are basically building blocks that can develop into any kind of tissues. As such, they are able to replace injured or dead cells, or enhance the healing process in various areas of the body.

What’s the Cost of Stem Cell Injection?

The cost of treatment depends on the procedure performed.  We often offer discounts for returning customers or larger packages of treatment using repeated injections or combining different treatments.  We also offer a price match policy on comparing treatments done by board certified physicians.  We also have interest free payment plan options including care credit for qualifying patients. A limited number of insurance companies and Workers compensation may at times cover some of the expenses.  You may be able to get reimbursed by your insurance for your doctor visits & ultrasound cost. The consultation fee can be deducted from your future procedures, making your consolation free of cost to you.

Book a consultation with our experts to see the type of procedure that is right for you.

Does stem cell therapy have any side effects?

Side effects are very minimal. It may be accompanied by minor irritation or pain at the site of injection. Because we are using your own stem cells, the chances of rejection by your immune system are extremely low.

 

When will my results show up?

Stem cell therapy relies on your own regenerative healing to occur. We are all different and so is our healing process. Some patients may begin to see their results within few weeks while others may require some months. The time taken for healing to manifest also depends on the severity of the disease.

How long will I take to recover?

Stem cell therapy is minimally intensive. You will return to your daily life within 48 hours.

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Stem Cell & PRP Institute of L.A.| General & Men’s Health, Pain & Aesthetics 

 

Dr. Padra Gad Nourparvar

Board Certified in FM: Adults & Pediatrics

Cedars Sinai Medical Office Towers (New Clinic), 8631 West 3rd Street #545E, Los Angeles, CA.

Cedars Sinai Medical Towers Surgical Suit (Old Clinic), 8635 W 3rd St #880W, Los Angeles, CA 90048

(310) 361-5480

Open Hours

Mon – Thu — 8:30am – 6:00pm
Friday — 8:30am – 4:30pm

 

*Claims are based on ongoing research. Please note that results may vary based on a patient’s medical conditions & age and may require a few months & repeated treatments to obtain. Treatments are considered investigational & these claims have not been verified by the FDA.  No claim for curing or treating of any condition is made.  A consultation with our trained Board Certified physician is scheduled before starting your treatments to confirm the procedure would be appropriate for you. 

Stem Cell

Important Disclosure:

Our clinic is not offering stem cells or stem cell therapy as a cure for any condition, disease, or injury. No statements or implied treatments on this website have been evaluated or approved by the FDA. This website contains no medical advice.  We may use biologics from umbilical cord blood, nanofat and bone marrow aspirate that potentially contain stem cells.   Many of information and treatments maybe investigational and may require participation in a research program.  No results or specific outcomes are guaranteed.  Please use this site as an educational source and consult with a physician about options and treatments.