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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

SHOCKWAVE TREATMENT FOR JOINT PAIN & TENDONITIS

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 our office and staff.

The Difference

Treatments at other Clinics :

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

Use painful focused ESWT treatment.

May not know how to use ultrasound during the injections which is very critical in ensuring a safe & accurate injection. May use x-ray 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 marrow 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.

We have radial and linear ESWT treatment without pain and no numbing cream needed.

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 office 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. • Rompe, JD, et al. "Evaluation of low-energy extracorporeal shock-wave application for treatment of chronic plantar fasciitis." Jour Bone Joint Surg. 2002; 84:335-41.

From 1993 to 1995, a prospective, two-tailed, randomized, controlled, observer-blinded pilot trial was performed to assess whether three applications of 1000 impulses of low-energy shock waves (Group I) led to a superior clinical outcome when compared with three applications of ten impulses of low-energy shock waves (Group II) in patients with intractable plantar heel pain. The sample size was 112. The main outcome measure was patient satisfaction according to a four-step score (excellent, good, acceptable, and poor) at six months. Secondary out-come measures were patient satisfaction according to the four-step score at five years and the severity of pain on manual pressure, at night, and at rest as well as the ability to walk without pain at six months and five years. Three treatments with 1000 impulses of low-energy shock waves appear to be an effective therapy for plantar fasciitis and may help the patient to avoid surgery for recalcitrant heel pain. In contrast, three applications of ten impulses did not improve symptoms substantially.

2. • Sems A1, Dimeff R, Iannotti JP. "Extracorporeal shock wave therapy in the treatment of chronic tendinopathies" J Am Acad Orthop Surg. 2006 Apr; 14(4):195-204.

Many clinical trials have evaluated the use of extracorporeal shock wave therapy for treating patients with chronic tendinosis of the supraspinatus, lateral epicondylitis, and plantar fasciitis. Although extracorporeal shock wave therapy has been reported to be effective in some trials, in others it was no more effective than placebo. The multiple variables associated with this therapy, such as the amount of energy delivered, the method of focusing the shock waves, frequency and timing of delivery, and whether or not anesthetics are used, makes comparing clinical trials difficult. Calcific tendinosis of the supraspinatus and plantar fasciitis have been successfully managed with extracorporeal shock wave therapy when nonsurgical management has failed. Results have been mixed in the management of lateral epicondylitis, however, and this therapy has not been effective in managing noncalcific tendinosis of the supraspinatus. Extracorporeal shock wave therapy has consistently been more effective with patient feedback, which enables directing the shock waves to the most painful area (clinical focusing), rather than with anatomic or image-guided focusing, which are used to direct the shock wave to an anatomic landmark or structure.

Current knowledge on evidence-based shockwave treatments for shoulder pathology

Daniel M et al. (2015).

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

Shockwave therapy is widely applied in urology, sports medicine, and veterinary medicine. It restores mobility and relieves the individual of pain. As a non-surgical therapy, shockwave is non-invasive and does not require painkillers, thus making it an ideal therapy to facilitate recovery from various conditions that cause chronic or acute pain.

How it Works

There is a set standard for applying shockwave therapy. The individual’s medical history will be examined by the podiatrist. Doing this will enable him or her to isolate the affected area. It is important to know the condition to be treated, and whether or not it can be treated with shockwave therapy.

While examining the patient, the specialist will be able to locate the area of intense pain. A water-based medium is applied to this spot. This enhances impulse transmission to the affected areas. A probe is then placed on top of the affected area, and this marks the beginning of the treatment for joint pain (or any other condition).
Our technicians are well-trained and will minimize whatever discomfort you may feel. After treatment, you will not feel any intense pain, just some slight sensation on the area of application. This lasts for just a few days. You may experience a mild aching sensation after this. Subsequent treatment will drastically improve your symptoms, thus reducing the intensity of the original pain.

How long does it take for the shockwave therapy to work?

Shockwave therapy can be concluded in 3-4 sessions, with each session taking roughly 15-30 minutes. This also depends on the severity of the condition. We encourage you to visit our facility so as to get the correct diagnosis and of course, the right plan of treatment.

If you have a condition such as patellar tendonitis, then it is important that you co-operate with the podiatrist that we will assign to you so that you can maintain the required exercises for the condition – such as strength exercises, and balancing exercises.

What is the duration of treatment?

Shockwave therapy causes a drastic improvement in the symptom by reducing pain while enhancing the function of your patellar tendon. The shockwave therapy usually gets rid of the tendonitis.
While surgery guarantees a 75% success rate in a space of 18 months, with shockwave therapy, the same condition can improve by 80% within the same time range. Obviously, shockwave therapy is better than surgery with regards to treatment of tendinopathy.

Shockwave therapy is very effective and safe and yields very positive results in the treatment of patellar tendinopathy.

Cons/side effects

Shockwave therapy can be expensive but we offer a fair price at Los Angeles County. Duration of treatment depends in the severity of the condition.  Another factor to consider is the cost of alternative treatments, down time from work, the danger & the side effects they entail which can be significantly higher than our treatments. 

Current Treatment at Other Clinics

Current treatment of knee involves using medications for pain, steroid injection, knee 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.

Tendinopathies

  • Plantar fasciitis with or without heel spur
  • Achillodynia (Achilles Tendonopathy)
  • Radial epicondylopathy (“tennis elbow”)
  • Calcific Rotator Cuff Tendonitis(“calculus shoulder”)
  • Patellar tendonitis syndrome (“Jumper’s knee”)
  • Bursitis trochanterica, Greater trochanteric pain syndrome (GTPS)
  • Tendinopathies of the rotator cuff without calcifications
  • ulnar epicondylopathies (“golfer arm”)
  • Adductor syndrome
  • Pes anserinus syndrome
  • Peroneal tendon syndrome
  • Shin splints
  • Tendinopathy of the tibialis anterior tendon
  • Tendinopathy of the tibialis posterior tendon
  • Tendinopathy of the flexor hallucis longus tendon

Other Indications

  • myofascial syndrome
  • Injury without continuity interruption
  • Bone marrow edema of different origin
  • Osgood Schlatter’s disease
  • early stages of osteochondritis dissecans (OD) before completion of growth

Bone pathologies

  • delayed and non-healing fractures (pseudarthrosis)
  • Fatigue fractures, stress fractures
  • Early stages of avascular bone necrosis
  • Early stages of osteochondritis dissecans (OD) after completion of growth

Experimental applications

  • Ischemic heart muscle (extracorporeal / endocorporeal)
  • Peripheral and central nerve lesions
  • Pathologies of the spinal cord and brain
  • Calcinosis of the skin
  • Pathologies of the jaw and periodontium

Experts indications

  • Spasticity of different origin
  • Early stages of osteoarthritis
  • Polyneuropathy of different origin
  • Carpal tunnel syndrome (CTS)
  • Early stages of Dupuytren’s contracture
  • Morbus Ledderhose
  • Tendovaginitis stenosans de Quervain
  • Trigger finger
  • Lymphedema

Contraindications

  1. For radial technique and focused low energy technique(focused and defocused):
  • Pregnancy (relative contraindication)
  • malignant tumor in focus (not the tumor itself)
  1. For focused high energy sources, the followingcontraindicationsapply:
  • Brain tissue / CNS in focus
  • Vertebral body, skull bones and ribs
  • Focus on lung tissue
  • malignant tumor in focus (not the tumor itself)
  • Focus on open growth joints (not childhood itself)
  • significant clotting disorder
  • Pregnancy (relative contraindication)

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

What is ESWT?

Extracorporeal Shock Wave Therapy is a non-surgical procedure used for the treatment off disorders such as chronic plantar fasciitis, tennis elbow, Achilles tendonitis, shoulder tendonitis, etc.

How effective is the treatment?

Research and clinical experience has shown that ESWT protocol has an overwhelming success rate.

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.

What is involved in the procedure?

ESWT is beneficial to patients because they receive extracorporeal treatment for their condition, meaning outside the body. Because ESWT is non-invasive, the recovery period is not lengthy, meaning no risk of causing further damage. We cannot say the same with surgery.

During the ESWT treatment, you will lie on your back while the area to be treated will rest on the machine, on a soft membrane filled with water. An ultrasound will be used to scan and view the target location. You will hear some clicking sounds during the treatment. Our physicians will ensure that you are comfortable during treatment.

What are the conditions that can be treated by this therapy?

ESWT can effectively treat a range of musculoskeletal conditions. Complaints involving attachment points for tendons and ligaments in major joints such as the plantar fascia, Achilles tendon, shoulder, elbow and knee are common areas for ESWT treatment.

What is the recovery rate?

Well, what ESWT does is to create new cells in the area that has been damaged. This may take days, weeks or months, depending on the severity of the condition. You may experience some soreness and breathing after the treatment. Some patients do not experience any form of pain right from the first day of treatment. Most patients begin to notice significant improvement in their condition from the 13th week of treatment.

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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

 

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*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.