As an orthopedic physician treating patients here in Palm Beach, I regularly see individuals struggling with Chronic hip pain. Whether the cause is Hip osteoarthritis, a Labral tear, tendon injury, or inflammation, hip pain can limit mobility, sleep, and quality of life.
Over the past decade, I have incorporated carefully selected regenerative treatments, often called stem cell therapy, into practice for appropriate patients. This page explains what these treatments involve, who may benefit, and where limitations exist.
Understanding the Source of Hip Pain
Common diagnoses I treat in Palm Beach include:
- Hip osteoarthritis
- Labral tear
- Hip bursitis
- Hip tendonitis
- Cartilage degeneration
- Hip joint inflammation
- Limited range of motion
- Sports-related hip injury
Not every painful hip requires surgery. In selected cases, Non-surgical hip pain treatment may be appropriate.
Why Choose Palm Beach Regenerative Orthopedics?
The term “stem cell therapy” often refers to Stem cell joint injection using your own cells.
In orthopedic practice, these typically involve:
These treatments fall under the broader category of Autologous biologics, meaning they are derived from your own body.
Within these preparations are Mesenchymal stem cells (MSCs), which are multipotent stromal cells involved in tissue signaling and repair.
It is important to clarify: current evidence suggests these therapies may help modulate inflammation and support tissue repair. They do not “regrow a new hip joint,” and they are not a replacement for hip replacement in advanced disease.
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Stem Cell Therapy/OrthoBiologics
How the Procedure Is Performed
Harvest
Depending on the treatment plan:
- Bone marrow aspiration procedure
- Adipose tissue harvest procedure
The bone marrow is typically obtained from the posterior iliac crest. Fat tissue may be collected via a small lipoaspiration.
Processing
The sample is prepared using a Centrifuge system, such as:
- Harvest SmartPrep system
- EmCyte PRP system
- Lipogems
This produces concentrated biologic material, including:
- Harvest SmartPrep system
- EmCyte PRP system
- Lipogems
Injection
Delivery is performed using:
- Ultrasound-guided injection
- Fluoroscopy guidance
- Image-guided biologic injection
The bone marrow is typically obtained from the posterior iliac crest. Fat tissue may be collected via a small lipoaspiration.
Conditions We Commonly Treat
Osteoarthritis
Osteoarthritis regenerative therapy may help reduce inflammation in mild to moderate hip osteoarthritis.
Labral Injury
In selected cases, Hip labral tear regenerative treatment may be considered when surgery is not immediately indicated.
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Who Is a Candidate?
In my Palm Beach practice, appropriate candidates typically:
- Have mild to moderate hip osteoarthritis
- Have persistent symptoms despite physical therapy
- Are not ready for hip replacement
- Understand realistic expectations
Patients who are not good candidates:
- Advanced bone-on-bone arthritis
- Significant hip deformity
- Active infection
- Systemic inflammatory disease
- Expectation of guaranteed results
Before all of this he was very careful and helpful, explaining everything in detail from beginning to end, even tried a few treatments before jumping into an operation.
(injections/pills/scans etc)
He explained the pros and con very well. His staff is excellent in the Loxahatchee and Lake Worth office. I'm very happy I found him. My leg feels superior than my normal leg and it's only been three weeks. The incision was tiny, and after seeing him three weeks after the operation (today), the prosthetic is perfectly in place. I barely have any pain other than wound aches from the muscle incision, which of course is healing every single day.
I no longer feel any electrical surges on my leg, spasms, or the leg not waking up when I'm in a sitting position or sleeping. Literally feels perfect. I have nothing negative to say, would definitely recommend him to everybody. I like the fact that he was very detailed with everything from beginning to end.
He takes his job very seriously well being relatable and is not the type of doctor that jumps into an instant operation, unless absolutely needed, which is positive.
Risks, Limitations, and Regulatory Oversight
All procedures carry risk. Potential complications include:
• Infection
• Infection
• Temporary pain flare
• Incomplete symptom relief
These treatments are regulated under FDA regulations on biologics. In orthopedic settings, we follow Autologous biologics compliance, meaning cells are minimally manipulated and reinjected the same day.
Our clinic adheres to:
- Sterile processing protocols
- OSHA sterile technique standards
- Informed consent for biologics
- HIPAA compliance
Patients are carefully counseled regarding uncertainty in long-term outcomes.
How Does This Compare to Other Treatments?
Conservative Care
- Physical therapy
- Activity modification
- Anti-inflammatory medications
- Corticosteroid injections
PRP
PRP injection therapy may be appropriate for tendon or early joint disease.
Surgery
For advanced hip osteoarthritis, hip replacement remains the most predictable option. Regenerative treatments are not substitutes for joint replacement in severe disease.
A Note on Branded Protocols
Some patients inquire about Regenexx or specific commercial systems. While processing platforms differ, physician training, image guidance, and patient selection matter more than branding.
My background as a Board-certified orthopedic physician with subspecialty training and ongoing continuing education guides how and when these therapies are used.
Frequently Asked Questions
What is stem cell therapy for hip pain?
Autologous same-day procedures fall under FDA guidelines for minimally manipulated tissue. Expanded or cultured stem cell products are regulated differently.
Is stem cell therapy FDA approved?
Autologous same-day procedures fall under FDA guidelines for minimally manipulated tissue. Expanded or cultured stem cell products are regulated differently.
Can stem cells regrow cartilage in the hip?
Current research suggests potential for symptom improvement. Complete cartilage regeneration in advanced arthritis is not reliably demonstrated.
How long does recovery take?
Most patients resume light activity within several days, with gradual improvement over weeks to months.
Is it better than hip replacement?
For severe arthritis, hip replacement remains more predictable. Regenerative therapy may be considered earlier in the disease process.
Does insurance cover it?
Most regenerative biologic treatments are considered elective and are not covered by insurance.
Contact Us!
Palm Beach Regenerative Orthopedics
- 210 Jupiter Lakes Suite 105, Building 4000 Jupiter, FL 33418
