How do I plan a clinic day in Chandler?

How do I reach the Dobson Road office?

The clinic is at 1100 S. Dobson Rd., Suite 210, Chandler, AZ 85286. Keep that full address with your driver's directions.

Use Arizona Avenue from Downtown Chandler, then turn west on Pecos. Drivers from Ocotillo or Fulton Ranch can take Dobson Road north.

The easier route doesn't always mean you can drive yourself. Ask before the visit, especially if the sore joint affects braking.

Call (602) 837-PAIN to confirm the visit and transportation details. Write the return instructions down before you head home.

How do I return to work and outdoor activity?

Describe your real work instead of calling it a light job. Standing, stairs, lifting and long sitting strain joints in different ways.

Ask when you can resume each task. A short drive doesn't prove you're ready for all-day work.

Golf, pickleball and the Paseo Trail place different demands on your joint. Easy walking isn't the same as turning fast or going far.

Follow the clinic's written movement limit at first. Add more only after the soreness settles.

What should I set up at home?

Put groceries and needed supplies within easy reach. You won't want extra bending after a sore trip home.

Choose a chair that lets you sit and rise safely. Keep the clinic's phone number beside your medicines.

Ask a family member or friend to check in if needed. Your first evening is easier when small tasks are already done.

Follow the written bandage and movement directions. If soreness keeps rising, call the clinic instead of guessing.

Sources

1. A retrospective comparison of 523 bone marrow aspiration procedures against 435 open iliac crest bone graft harvests found aspiration significantly reduced complications - relevant because marrow aspiration for a joint injection is a real procedure with a real, if low, complication rate.

   Hernigou P, et al. — Morbidity of graft harvesting versus bone marrow aspiration in cell regenerative therapy. Int Orthop, 2014. DOI: 10.1007/s00264-014-2318-x.

2. In 96 patients, concentrated bone marrow aspirate contained a mean of 26.3 million nucleated cells per mL but only about 1,422 colony-forming units of connective tissue progenitors, and the nucleated cell count had negligible predictive value for how many progenitor cells were actually present (r-squared 0.28).

   Muench LN, et al. — Nucleated Cell Count Has Negligible Predictive Value for the Number of Colony-Forming Units for Connective Tissue Progenitor Cells (Stem Cells) in Bone Marrow Aspirate Harvested From the Proximal Humerus During Arthroscopic Rotator Cuff Repair. Arthroscopy, 2021. DOI: 10.1016/j.arthro.2021.01.064.

3. FDA states in its consumer alert that the only FDA-approved stem cell products in the United States are blood-forming stem cells derived from umbilical cord blood, approved for disorders of the blood-forming system, and that NONE of these products - stem cells, stromal vascular fraction, umbilical cord blood, Wharton's jelly or amniotic fluid - has been approved for the treatment of any orthopedic condition, including osteoarthritis, tendonitis, disc disease, tennis elbow, back pain, hip pain, knee pain, neck pain or shoulder pain.

   US Food and Drug Administration, Center for Biologics Evaluation and Research — Consumer Alert on Regenerative Medicine Products Including Stem Cells and Exosomes. , 2020.