Should Naturopaths Be Doing Intradiscal procedures??

[drusso]

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Naturopath Harry Adelson offers stem cell therapy, but should he?

Dr. Centeno reviews whether naturopaths should be offering stem cells through a court case with Harry Adelson.

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"Note that all Harry is permitted to do is to perform, based on what’s written here, are minor office procedures. Injecting stem cells into a disc using x-ray guidance is NOT a minor office procedure. In particular, the Utah naturopathic practice act states that Harry can’t inject the spine (i.e. no “spinal anesthesia”)."

 

[SommeRiver]

Let's ask a similar Q - Should ANYONE be injecting anything into a disk?

I went to a Centeno course and we had to watch two videos before the course, and he was pretty darn clear about intradiscal injxns ONLY being done if a patient meets very strict criteria.

My instructor at that course told our group that intradiscal is maybe 5% of his injxns.

 

[lobelsteve]

Only if $17000 paid up front.

 

[Timeoutofmind]

I would say definitely yes.

 

[drusso]

Only if $17000 paid up front.

$O$...

 

[lonelobo]

 

[Gauss]

Only if $17000 paid up front.

why is that the first # to come out of your brain?
17k seems low

 

[lobelsteve]

why is that the first # to come out of your brain?
17k seems low

Other thread.

 

[Tramadeezy]

Intradiscal Ozone is the only way to go.

 

[Doctodd]

Only if $17000 paid up front.

wow that's crazy...i only charge $2000. Maybe i should charge more?

 

[geauxg8rs]

wow that's crazy...i only charge $2000. Maybe i should charge more?

I hope it is only intradiscal CBD

 

[Agast]

I hope it is only intradiscal CBD

It's essence of CBD. One drop of CBD diluted 10,000 times. Much more potent that way.

 

[drusso]

wow that's crazy...i only charge $2000. Maybe i should charge more?

Sports Health. 2019 Oct 30:1941738119880256. doi: 10.1177/1941738119880256. [Epub ahead of print]
The Cost Variability of Orthobiologics.
Momaya AM1, McGee AS1, Dombrowsky AR1, Wild AJ2, Faroqui NM3, Waldrop RP1, He JK1, Brabston EW1, Ponce BA1.
Author information
1Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, Alabama.2Alabama College of Osteopathic Medicine, Dothan, Alabama.3Mercer University School of Medicine, Columbus, Georgia.
Abstract
BACKGROUND:
Mixed results exist regarding the benefit of orthobiologic injections. The purpose of this study was to assess the variability in costs for platelet-rich plasma (PRP) and stem cell (SC) injections and evaluate for variables that influence pricing.
HYPOTHESIS:
There will be significant variability in the cost of PRP and SC injections throughout the United States.
STUDY DESIGN:
Descriptive epidemiology study.
LEVEL OF EVIDENCE:
Level 3.
METHODS:
Calls were made to 1345 orthopaedic sports medicine practices across the United States inquiring into the availability of PRP or SC knee injections and associated costs. In addition to pricing, the practice type, number of providers, and population and income demographics were recorded. Univariate statistical analyses were used to identify differences in availability and cost between variables.
RESULTS:
Of the contacted offices that provided information on both PRP and SC availability (n = 1325), 268 (20.2%) offered both treatments, 550 (41.5%) offered only PRP injections, 20 (1.5%) offered only SC injections, and 487 (36.8%) did not offer either treatment. The mean ± SD cost of a PRP injection was $707 ± $388 (range, $175-$4973), and the mean cost of an SC injection was $2728 ± $1584 (range, $300-$12,000). Practices offering PRP and SC injections tended to be larger (PRP, 12.0 physicians per practice vs. 8.1 [P < 0.001]; SC, 13.6 vs 9.7 [P < 0.001]). Practices that offered PRP injections were located in areas with higher median household income (P = 0.047). Variables associated with higher cost of PRP injections included city population (P < 0.001) and median income of residents (P < 0.001).
CONCLUSION:
While the majority of sports medicine practices across the United States offer some type of orthobiologic injection, there exists significant variability in the cost of these injections.
CLINICAL RELEVANCE:
This study demonstrates the significant variability in costs of orthobiologic injections throughout the country, which will allow sports medicine physicians to appreciate the value of these injections when counseling patients on available treatment options.