Lumbar Disc Rejuvenation Specialist

Beverly Hills Advanced Pain and Spine

Interventional Pain Medicine Specialist located in Los Angeles, CA

Discs cushion and protect our spine, but with wear and tear and trauma they can be damaged, deformed, and lose their ability to cushion the spine. Beverly Hills Advanced Pain and Spine offers the most cutting edge treatment for degenerated discs. Dr. Enayati is a Lumbar Disc Rejuvenation Specialist located in Beverly Hills.

Lumbar Disc Rejuvenation Q & A

What is Degenerative Disc Disease (DDD)?

Young healthy discs are plump and hydrated.  They act as cushions for the spine as well as points of pivot around which our spine bends and rotates. With aging and wear and tear, and with trauma from such things as sports injuries and car accidents, micro-tears form in the discs. This allows the inside of the disc (nucleus pulposus) to leak through the tears and damage the outer wall of the disc (annulus fibrosis).  Over time, the disc loses its original height and cushioning ability, and starts sending pain signals from the sensitive outer wall of the disc.

I was told there is no solution to degenerating discs. Can anything be done?

Yes. Even a few years ago, other than major surgical intervention, which requires fusing of the spine, there were not a lot of options. With major fusion surgery, there is a loss of normal spine movement, earlier degeneration of the surrounding structures. Fusion surgery has a 75% failure rate and often leaves patients with long-term pain as shown in a number of large studies. While surgical intervention is unavoidable in certain patients, many people with disc problems would qualify for disc regeneration and rejuvenation through stem cell therapy as an alternative to surgery.

How does stem cell therapy for disc rejuvenation work?

The procedure is performed in an outpatient surgical center under light anesthesia. There are two parts to this procedure. Initially, Dr. Enayati will harvest stem cells from the patient’s hip (iliac crest). These mesenchymal stem cells are then filtered, spun in a centrifuge, and prepared for injection. After repositioning and under live x-ray imaging, the stem cells are injected into the degenerated disc(s) with specialized needles using Dr. Enayati’s advanced technique. Patients may experience some soreness at the site on the injection, which will go away in a few days. Patients can resume normal activity, as tolerated, within days of this procedure. The discs continue to regenerate over the next few months.

How does PRP therapy for disc rejuvenation work?

The procedure is performed in an outpatient surgical center under light anesthesia.  Initially, Dr. Enayati will draw the patient’s blood, which is then spun at a high speed in a centrifuge, to separate platelets from red blood cells and white blood cells, producing a serum that has a high concentration of platelets.  Dr. Enayati then processes the PRP in a proprietary method unique to our practice.  Then, under live x-ray imaging, the PRP is injected into the degenerated disc(s) with specialized needles using Dr. Enayati’s advanced technique.  Patients may experience some soreness at the site on the injection, which will go away in a few days. Patients can resume normal activity, as tolerated, within days of this procedure. The discs continue to regenerate over the next few months.

Is there any data to support that disc regeneration works?

Absolutely. The effectiveness of this sophisticated treatment is well documented. Here are a few examples of recent studies published in major medical journals:


“Percutaneously injected Multipotent Mesenchymal Stem Cell (MSC) therapy has recently gained clinical interest for its potential to revolutionarily treat disc-generated (discogenic) pain and associated disc degeneration. Unlike previous therapies to date, MSCs may uniquely offer the ability to improve discogenic pain and provide more sustained improvement by reducing disc microenvironment catabolism and regenerating disc tissue. Consistent treatment success has the potential to create a paradigm shift with regards to the treatment of discogenic pain and disc degeneration.”

Multipotent Mesenchymal Stem Cell Treatment for Discogenic Low Back Pain and Disc Degeneration.

Stem Cells International

Volume 2016, Article ID 3908389


“This study provides evidence of safety and feasibility in the nonsurgical treatment of [Degenerative Disc Disease DDD] with autologous [bone marrow mesenchymal stem cells] and indicates an effect of mesenchymal cell concentration on discogenic pain reduction.”

Percutaneous injection of autologous bone marrow concentrate cells significantly reduces lumbar discogenic  pain through 12 months.

Stem Cells 

2015 January; 33(1):146-56


“Participants who received intradiskal PRP showed significant improvements . . . over 8 weeks compared with controls. Those who received PRP maintained significant improvements . . . through at least 1 year of follow-up.”

Lumbar Intradiskal Platelet-Rich Plasma (PRP) Injections: A Prospective, Double-Blind, Randomized Controlled Study.

PM&R (2016) 1-10

Most PPO Insurance Plans Accepted

Beverly Hills Advanced Pain and Spine accepts most PPO insurance plans.  We also are pleased to accept most Aetna POS plans, most Cigna OAP plans, and most international insurance and “expat" insurance.  We do not accept Covered California, Kaiser, HMO plans, EPO plans, Medicare, or MediCal, but we welcome all of those patients on a self-pay basis.  Please note that some of our advanced treatments are self-pay only. 

Aetna
Anthem Blue Cross
Cigna
United Healthcare