Stem Cell & Injections


Stem cell injections are widely used to treat any pain that traditionally comes with arthritis or degenerative conditions. They’re also used to slow the progression of or treat disease, including orthopedic or musculoskeletal disorders, injuries or joint pain, problems with ligaments, muscles, nerves, tendons, and the structures that help to support your back, limbs, and neck. Bone marrow stem cells have traditionally been the stem cells hospitals and clinics use, but cord blood with amniotic fluid and fat stem cells are also gaining popularity.

A significant benefit of using cord blood-based stem cells for treatment is that the cord blood contains high concentrations of stem cells in a small amount of cord blood. This high concentration can jump start the healing process, and it leaves less room for potential problems further along in the treatment.

Corticosteroid Injections

Corticosteroid or cortisone injections are typically used to help control any pain and inflammation that occurs in your body. Your joints, like your shoulders, elbows, knees, spine, and wrists are the most common areas to get a corticosteroid injection. The common conditions this injection works to help reduce and provide relief for include arthritis, gout, and tendonitis.

Your injection will usually contain a local anesthetic and a corticosteroid, administered as an outpatient treatment. Before your injection, you may be asked to stop any blood thinners. During the injection process, you may change into a gown and lay flat so that Dr. Duffner or Dr. Wilgard can insert the needle into the joint. The needle itself is typically guided by an ultrasound to ensure correct placement.

The benefits of this type of injection are pain relief as well as inflammation relief. These benefits may be almost immediate, and they may last for several months. You may experience minor swelling and warmth at the injection site for up to 48 hours after you’ve gotten the injection.

Plasma Rich Injections (PRP)

At Orthopedic and Physical Medicine, we have used plasma rich injections for years to help promote soft tissue and wound healing by using your own blood. Dr. Duffner or Dr. Wilgarde will do this treatment on an outpatient basis, and many of our patients report that there was no or very little pain associated with the injections or harvesting the blood.

Our staff will draw a few vials of your blood and purify it through a centrifuge so it has a higher than average platelet count. Dr. Duffner or Dr. Wilgarde will then inject these activated platelets into the soft tissue or wound area. They may use an ultrasound to guide the needle. These platelets will give the area a jump start of healthy cell growth, which can help to speed up the healing process.

Plasma rich injections come with several benefits, including an improved function of the area in question, as well as decreased pain levels. It works very well on the ankle, hip, knee, wrist, elbow, and shoulder tendonitis. There is minimal follow-up testing required for this treatment.

Orthopedic & Physical Medicine Associates, Inc.
71511 Hwy 111, Suite A & B
Coachella Valley

Rancho Mirage, CA 92270
Phone: 760-205-2845
Fax: 760-340-2608
Office Hours

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