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Regenexx at Gold Coast Orthopedics Blog

Why Regenexx® Has an Advanced Clinic in Grand Cayman

Did you know that Regenexx has a licensed Grand Cayman clinic where we can perform advanced treatments? It allows us to do several things we aren’t able to do in the United States due to FDA regulations.

Regenexx Cayman Laboratory Walk Through

Because we’re permitted to culture healing cells to larger numbers than we can in the U.S., we can accomplish the following:

  • Administer a higher cell dose. We can grow up to 100 times more cells in culture, so we can inject that many in an injured or damaged area. While most patients don’t need this amount of cells, extreme cases like severe hip arthritis, bulging discs, and other issues can benefit from a higher dose.
  • Save cells in cryo for future use. What this means is that patients don’t need to revisit the clinic for a second or third bone marrow aspirate when they need another treatment. We also have professional athletes as patients, and they appreciate the ability to preserve their cells from when they’re younger that they can use as needed down the road.  
  • Perform injections in many areas. Instead of having to make multiple appointments to treat different joints and tendons, patients can receive up to seven injections in one day. This is thanks to the fact that we can place as many as 2 million mesenchymal cells in platelet rich plasma.
  • Deploy specific conditioning protocols in culture that can be customized for a particular clinical purpose. As an example, our Grand Cayman lab is capable of creating culture conditions that can mimic a degenerative disc’s harsh conditions, making the treatment more effective for this issue.

You can learn more about these in this video:

Understanding the Regenexx-C Procedure (Lab Overview)

Amazing Hip Arthritis Results

Patients with mild to moderate hip arthritis have always been good candidates for our treatments, but those whose arthritis is severe have not. One of the main reasons for this is that bone is often involved in the severe cases.

Hip Arthritis Getting Worse?

In the past few years, we have started to incorporate new elements into our severe hip arthritis protocol to positive effect. One method we added targets the bone with an aggressive treatment of precisely fluoro-guided injections. We had previously thought that this form of treatment would be effective only for patients with MRI evidence of bone marrow lesions (as seen in the above video), but we recently discovered that this technique can actually help bone regenerate. Therefore, patients with bone cysts are also viable candidates.

The MRI images above show a patient’s hips before treatment (on the left) and after treatment (on the right). The cysts, or dead bone, are the white areas within the dark bones. The coronal (front view), sagittal (side view), and axial (top view) images are all shown. The “after” images are from one year post-treatment, and you can see that the cysts have greatly reduced in size and number or are completely gone. This case was a breakthrough that offers other severe hip arthritis sufferers hope for recovery. 

Watch our own Dr. Bashir perform this advanced procedure in the video:

Hip AVN Stem Cell Treatment

Why to Avoid Banana Republic Clinics

In countries such as Mexico and Panama, you can find stem cell clinics, but these don’t have the trained staff or the technology to match our Grand Cayman clinic. Plus, these clinics often charge more for their treatments than we do, so you are paying a higher price for lesser treatment. 

These clinics lack the equipment and the know-how to precisely target an area with healing cells and screening patients for their potential candidacy is very rare.

And while American-trained physicians are welcomed on the smaller Caribbean islands, this is not the case in Mexico or Central America because of the perceived unfair competition with local doctors.

What you need to know about our clinic versus the banana republic clinics, in a nutshell:

  1. These clinics inject fetal stem cells and not those from the patients themselves. This method carries with it risks and it hasn’t been proven effective for the treatment of arthritis. 
  2. Unlike our X-ray-guided injection procedure that can take hours, these clinics inject the cells into the patient without equipment to help pinpoint the problem area. See the video above as an example of how we perform our procedure to ensure we’re treating the patient’s cysts individually.
  3. We also use fluoroscopy and/or ultrasound guidance to aid us in injecting the cells exactly where they are needed.

View the video below to find out more about the differences between simple joint injections and advanced interventional orthopedics.

What is Interventional Orthopedics?

Lastly, these clinics are run by business people and not licensed doctors. As a result, the standard of care is lacking because the clinic owners are not educated about the proper techniques and are driven by money rather than patient care.

You probably won’t get in to see our Cayman clinic doctors as quickly as you can get an appointment at one of these banana republic clinics but it is well worth the wait. Our clinic is the most advanced orthopedic cell culture facility in the world. Very few clinics can create culture-expanded cells and none of them offer minimally invasive interventional orthopedics. All of our doctors are U.S.-licensed and trained as members of the Regenexx elite provider network.

Visit for more information.

The Regenexx-C procedure is not approved by the USFDA and is only offered in countries via license where culture-expanded autologous cells are permitted via local regulations. 

*DISCLAIMER: Like all medical procedures, Regenexx® Procedures have a success and failure rate. Patient reviews and testimonials on this site should not be interpreted as a statement on the effectiveness of our treatments for anyone else.