Pain Blog

Regenexx Stem Cell Treatment in Bellevue and Seattle

Dr. Attaman is pleased to offer Regenexx SD, the most advanced regenerative injection therapy in Bellevue and Seattle. We are the only clinic in Washington state licensed to use the Regenexx SD process.

Regenexx SD uses your own stem cells obtained from your bone marrow.

The purpose of Regenexx SD stem cell treatment is to help heal damaged tissues and joints instead of suppress symptoms or deaden painful nerves. There are several advantages to Regenexx stem cell treatment such as:

  1. It is a holistic approach to pain relief. Tissues may be healed and regenerated in many cases. This can mean a long term solution.
  2. Regenexx SD stem cell treatment is very minimally invasive. No scalpels are used. Everything is done with needles and ultrasound or x-ray machines. All Regenexx SD procedures are done an an outpatient basis without a hospital stay.
  3. Regenexx SD stem cell treatment utilizes only natural substances such as your very own bone marrow
  4. Regenexx SD stem cell treatment may be a viable alternative to joint replacement surgery and other surgeries.
    1. It is ideal for young patients with damaged joints who are deemed too young for joint replacement
    2. It is ideal for patients who are not candidates for surgery but who have failed all other non-surgical treatments

Regenexx SD stem cell treatment is at the cutting edge and one of the most advanced therapies available to speed healing of damaged tissues. You can learn about it below:

What are Stem Cells?

It is well established that a significant population of our bodies’ stem cells are contained within our bone marrow. By harvesting blood and tissue from the bone marrow space of the hip, an injectable product can be produced by concentrating cells withdrawn through a simple outpatient needle aspiration procedure, done with local anesthetic and light sedation. Regenexx SD stem cell treatment contains all of the growth and healing factors, along with concentrated “pluripotent” or stem-like cells which further contribute to the regenerative process.

What conditions can be treated with Regenexx SD?

Spine Pain

Intervertebral Disc Injuries (degenerative disc disease)
Facet Joint Arthritis (spondylosis)
Sacroiliac Joint Arthritis (sacroilitis)


Knee Pain

Tendon Injuries (Patellar Tendonitis, Quad Tendon)
Muscle injuries
Ligament sprains or tears (MCL, LCL)

Hip Pain
Muscle pain or injury
Pyriformis syndrome
Greater Trochanteric Bursitis
Tendon Injuries
Sacroiliac joint pain
Hamstring tendonitis or tears

Shoulder and Arm Pain
Rotator Cuff tendonitis, tendonopathy or partial tears
Bicipital tendonitis
Medial and Lateral epicondylitis (golfers & tennis elbow)
Ulnar Collateral Ligament sprain or tear

Lower Leg and Foot Pain
Plantar Fasciitis
Shin Splints
Peroneal tendonitis
Ankle sprains/ligament injury
Achilles tendonitis or partial tears

Treatment Process

Following a formal evaluation and diagnostic workup, an individualized treatment plan will be discussed with you. A full explanation of the procedure including risks and benefits will be reviewed. Once written consent is obtained, bone marrow aspiration is performed in your hip region. The bone marrow is placed in a special processing device, which concentrates the bone marrow stem cells. The including stem cells are then concentrated and collected into a sterile syringe:

The skin and soft tissue is anesthetized with local anesthetic, followed by injection of both the Regenexx SD stem cells and activator into the tisue targeted for treatment. Depending on the size of the injured tissue, one or several needles are inserted to optimize placement of the product. All injections are performed using “image guidance” via ultrasound or x-ray fluoroscopy for safety and accuracy. Watch the below video to see what you will experience.

Treatment plan

Depending on the severity and duration of your injury, one to three injections are suggested. Following the initial treatment with BMC stem cells, a follow up visit occurs 3-4 weeks later. At this visit an evaluation of your response to the initial therapy is performed and a decision is made regarding the need for additional Regenexx SD stem cell treatments. In general, chronic injuries often require 1-2 injections. In both acute and chronic injuries, injections may be combined with an exercise or physical therapy program to enhance the success of the treatment.

Are Regenexx SD stem cell injections safe?

Research and clinical data show that Regenexx SD stem cell injections are extremely safe, with minimal risk for any adverse reaction or complication. Because the injectable products are produced from your own body, there is no concern for rejection or disease transmission. There is a small risk of infection from any injection into the body, but this is rare.

What to expect after your treatment:

Often, following the initial injection, an “achy” soreness is felt at the site of injury. This “soreness” is a positive sign that a healing response has been set in motion. This effect can last for several days and gradually decreases as healing and tissue repair occurs. It is important that anti-inflammatory medications such as Ibuprofen, Naproxen and Aspirin be avoided following Regenexx SD stem cell treatments. These medicines may block the effects of the intended healing response facilitated by the injection itself. It is acceptable to use over the counter pain medication, such as Tylenol and in some cases a prescribed analgesic, which does not have anti-inflammatory properties, to control discomfort as needed. Pain management options will be discussed with you by the physician managing your treatment plan. You will be permitted to resume normal day to day activities and light exercise following injection. We suggest that you avoid strenuous lifting or high level exercise for at least several days after injection.

How do I find out if Regenexx SD stem cell treatment is right for me?

Questions regarding Regenexx SD stem cells or your candidacy for the treatments can be addressed to Dr. Attaman. We would be happy to review a brief history of your problem via telephone in order to determine if a formal evaluation is warranted.

Selected References
1. Anitua E, S. M., Nurden A, Nurden P, Orive G, Andia I. (2006). “New insights into and novel applications for platelet-rich fibrin therapies.” Trends in Biotechnology 24(5): 227-234.

2. Mishra A, A. J., Anitua E, Andia I, Padilla S, Mujika I. (2007). “Treatment of chronic elbow tendinosis with buffered platelet-rich plasma.” Am J of Sports Med 34(11): 1774-1778.

3. Moojen D, E. P., Schure R, et al. (2007). “Antimicrobial activity of platelet-leukocyte gel against Staphylococcus anreus.” Journal of Orthopaedic Research DOI: 10.1002/jor.20519.

4. Sanchez M, A. E., Azofra J, Andia I, Padilla S, Mujika I. (2007). “Comparison of Surgically Repaired Achilles Tendon Tears Using Platelet-Rich Fibrin Matrices.” Am J of Sports Med 10(10): 1-7.

5. Foster, T. E., Puskas, B. L., Mandelbaum, B. R., Gerhardt, M. B., & Rodeo, S. A. (2009). Platelet-rich plasma: From basic science to clinical applications. The American Journal of Sports Medicine, 2259-2272.

6. Fortier, L. A., Potter, H. G., Rickey, E. J., Schnabel, L. V., Foo, L. F., Chong, L. R., Stokol, T., & Cheetham, J. (2010). Concentrated bone marrow aspirate improves full-thickness cartilage repair compared with microfracture in the equine model. The Journal of Bone and Joint Surgery, 92(10), 1927-1937.

7. Fortier, L. A., Barker, J. U., Strauss, E. J., McCarrel, T. M., & Cole, B. J. (2011). The role of growth factors in cartilage repair. Clinical Orthopaedics and Related Research, 469(10), 2706-2715.

About the Author

Jason G. Attaman, DO, FAAPMRDr. Attaman is board certified and Anesthesiology-fellowship trained in the medical subspecialty of Pain Medicine and Interventional Pain Management. He is also residency trained and board certified in the specialty of Physical Medicine and Rehabilitation. He is one of only a few with such extensive qualifications in the state of Washington. Connect with Dr. Attaman on Google+ | LinkedIn | Facebook If you are in pain, call Dr. Attaman's Seattle office (206-395-4422) or Bellevue, WA (425-247-3359) office.View all posts by Jason G. Attaman, DO, FAAPMR »

  1. Sue P.
    Sue P.Mar 22, 2016

    Dr. Attaman,

    Are stem cell injections for pudendal nerve pain something you are considering offering? Have there been any successful treatments of this nerve with stem cells that you are aware of?

    Thank you,

  2. Jay Greene
    Jay GreeneMay 24, 2016

    I am a 60 year old male. Been extremely active my whole life and have been dealing with aching knees for some time. Had one knee scoped and Uflexa it injected into both with minimal positive results. I have been following what Kobe Bryant and other athletes have been up to to clear up their ailments and I’ve been intrigued with PRP Regakine and lately this stem cell injections. I’m a flight attendant for Alaska Airlines and living in Bellevue and would like to schedule a consultation. I’ll be home tomorrow if by chance that works for you thanks Jay

    • Jason G. Attaman, DO, FAAPMR
      Jason G. Attaman, DO, FAAPMRJun 02, 2016

      Dear JG,

      Please call my office a 206 395 4422 or email us on the website and I’d be happy to see you in consultation.

      Kind Regards, Dr. Attaman

  3. Ed Stevenson
    Ed StevensonJun 02, 2016

    Dr. Attaman
    I may be a candidate for shoulder stem cell therapy. Having had arthroscopic surgery about 7 years ago to correct what was most likely an arthritis condition, my shoulder has deteriorated to the point of needing attention again. I haven’t had a recent x-ray so cannot supply that for evaluation. Can we do an informal evaluation via phone? Thank you for your attention.

    • Jason G. Attaman, DO, FAAPMR
      Jason G. Attaman, DO, FAAPMRJun 07, 2016

      Dear ES,

      Please call my office at 1 206 395 4422. I do phone or video consultations with people around the world. I would be happy to talk to you.

      Kind Regards, Dr. Attaman

  4. Howard Cohen
    Howard CohenJul 25, 2016

    I initially found your website looking for stem cell therapies. Have you had any success in treating Parkinson’s disease using stem cells?

    • Jason G. Attaman, DO, FAAPMR
      Jason G. Attaman, DO, FAAPMRAug 17, 2016

      Dear HC,

      I do not treat Parkinson’s disease with stem cells. I only treat musculoskeletal disease with this therapy. Kind Regards, Dr. Attaman

  5. Patricia Murrray
    Patricia MurrrayAug 05, 2016

    I have osteoarthritis in both knees. I want to be able to continue to climb stairs, garden and play on floor with grandsons. Can your procedure help me accomplish these activities and avoid surgery? What does it cost?

    • Jason G. Attaman, DO, FAAPMR
      Jason G. Attaman, DO, FAAPMRAug 17, 2016

      Dear PM,

      Thank you for your question. It depends on the severity of your knee arthritis. I cannot tell you for sure unless I see you for a history and physical exam, and review your imaging. That said, I have many patients that are able to maintain this level of function (and even more) after stem cell therapy. The costs depends on multiple factors, but it is not covered by insurance. I’d be happy to see you in consultation. Kind Regards, Dr. Attaman

  6. Debbie Markham
    Debbie MarkhamAug 19, 2016

    My daughter has been in several MVA and has numerous imaging done on her back for chronic debilitating pain . She has been to a number of specialist but none can really identify the source of her mid back pain. Imaging does show that she has Schmorl node deformities in the vertebral endplates at all levels fro T7-T8 to T11-T12. Her pain is localized to the spine area as any pressure to that area she feels the pain radiate up to the base of her skull and her legs will ache with ache with pronged standing or sitting and improves some lying down. If the pain is related to the Schmorl nodes, would the stem cell treatment possibly be of benefit and have you treated any patients with them?

    • Jason G. Attaman, DO, FAAPMR
      Jason G. Attaman, DO, FAAPMRAug 24, 2016

      Dear DM,

      Pain in the head and legs does not sound consistent with Schmorl’s nodes. I would need to do a consultation in person or via Skype, please contact my office to schedule. Kind Regards, Dr. Attaman

  7. Daniel V
    Daniel VDec 17, 2016

    Dear Dr. Attaman,

    I am a 50 year old physician with chronic inflammatory poly neuropathy, they think, with pain, numbness and strength loss where ever there is pressure or abnormal position for any nerve in my body, especially lower body due to sitting. Will stem cell therapy help me? Gabapentin barely helps and I don’t like covering pain, I hope for cure.

    • Jason G. Attaman, DO, FAAPMR
      Jason G. Attaman, DO, FAAPMRDec 17, 2016

      Dear Dr. DV,

      I wish I could tell you otherwise, but I do not think stem cell therapy at this point would be beneficial for diffuse polyneuropathy. If there was an isolated neuropathy at a specific nerve, perhaps. I am happy to see you in consult to explore other options, such as spinal cord stimulation. Kind Regards, Jason Attaman

  8. Anna
    AnnaFeb 19, 2017

    Can you recommend any Physical Therapists on the north end to work with post ACL SD injection?

  9. Sara
    SaraAug 03, 2017

    My son is quadriplegic, broke his C6 last year, we are looking into stem cells for any kind of help for him, with bladder, autonomic dysrefexia, back and side pain!

  10. Juwana
    JuwanaSep 02, 2017

    Hi. I believe I have an anterior hip labrum tear and have been treated with prp a couple and it seemed to help for a few weeks bit then it started hurting again. I have been trying to be acrive through out but it has been hard with the pain. I have classic signs of impingment in the front of my hip and have had clicking with stransition from sitting to stamding followed by sharp pain. Would stem cell ne a more agreesive approach than prp and have you had success with anterior hip labrum tears or femoral acetabular impingement?

  11. Gary
    GarySep 16, 2017

    I have recently bren diagnosed with clumped nerves (arachnoiditis) in the lumbar region. Does
    stem cell therapy have any potential benefit?
    Thank you

  12. Mike Peterson
    Mike PetersonJan 04, 2018

    I am a very active 57 year old male. Have played high intensity sports for the majority of my life. Have had progressive hip pain the past couple years. Recent hip/groin xrays revealed some arthritis and significant loss of cartilage. Ortho suggests hip replacement surgery. Would I be a candidate for bone marrow stem cell procedure? Left hip bothersome. Right hip not bothersome at this point in time but also has wear and a very thin layer of cartilage.

  13. Kristen Molnar
    Kristen MolnarFeb 03, 2018

    Hi Dr. Attaman, I’m 43 and last year I had a root tear meniscus repair. After six months of recovery I was doing great! This past Monday I’m very sure I tore my meniscus again. I’m just not sure how badly. Can you please tell me if I am a candidate for this type of treatment? I have a very active lifestyle and am crushed by this set back.
    Thank you so much,

  14. William collins
    William collinsFeb 20, 2018

    Is the procedure covered by insurance? If not, what’s the average cost of the stem cell used for knee arthritis?

  15. Joshua
    JoshuaMar 14, 2018

    Dr. Attaman,

    I’m 35 and have just had part of my meniscus removed from a bucket tear. Would stem cell treatment be able to replenish or regenerate any of the cartilage? I’m trying to avoid future pain and procedures.

  16. Laura Olson
    Laura OlsonMar 16, 2018

    Do you offer this treatment for the CMC joint of the hand? I have arthritis in both of my hands and would prefer to avoid surgery.

  17. Rajesh K Akula
    Rajesh K AkulaMay 15, 2018

    Hi My name is Rajesh and my parents are here from India who are on a visiting visa with minimal insurance coverage. They have been suffering with knee pains for 10 years. They are 69(Father) and 56(Mother) old and have tried multiple medicines but it didn’t work.
    May I know how much this would cost? I am not sure if this can be covered by visitors insurance.
    Thanks for the help.

  18. Wei Guo
    Wei GuoJan 06, 2019

    Dr. Attaman,
    I had a lateral meniscus transplant couple years ago on my left knee. I recently torn the lateral meniscus again. Do you provide stem cell treatment for meniscus tear? How effective is it?

  19. Dr. David Greene Arizona
    Dr. David Greene ArizonaJun 03, 2019

    Thank you for the preferences. I have read enough about you guys, maybe you are the best provider with many branches.

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Our treatments include: Stem Cell Therapy (visit our Regenexx site) | Platelet Rich Plasma Therapy (PRP) | Prolotherapy | Pudendal Neuralgia Treatment | Cryoablation / Cryoanalgesia Therapy | Epidural Steroid Injections | see more pain-control procedures
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Seattle, WA 98101
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Bellevue, WA 98004
(425) 247-3359
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This health care practitioner performs one or more stem cell therapies that have not yet been approved by the United States food and drug administration. You are encouraged to consult with your primary care provider prior to undergoing a stem cell therapy.