Patient Questions and Answers

We have composed a list of the most common questions patients have regarding cell therapy. If your questions are not answered below please feel free to contact our office 

What are Stem Cells?

Human stem cells are found in the embryo and in adults. Embryonic stem cells have the potential to form every type of cell in the body. Adult stem cells are called Mesenchymal Stem Cells (MSC’s) and are more limited in their ability to form different tissue than embryonic stem cells. Our bodies rely on stem cells in our skin to form new skin cells as old ones die and stem cells from our bone marrow form new red blood cells to replenish the 15 million that die every second. MSC’s have been used to generate tissue such as muscle, bone and cartilage in a laboratory environment. When injected into areas of inflammation or injury, MSC’s signal cells in the area to grow or proliferate. In addition, MSC’s have powerful anti-inflammatory properties and calm down the immune system, thus counteracting proteins and enzymes that cause tissue to degrade or break down. MSC’s also have antibacterial properties. Due to the multi-function of MSC’s, Dr. Arnold Caplan, who discovered and named MSC’s in 1988 has proposed the name be changed to Medicinal Signaling Cells.

Do amniotic products have stem cells?

Though many products are described as “Amniotic Stem Cells,” the stem cells in these products are dead and not viable. If they did contain live stem cells, they would be considered 351 tissue and necessitate lengthy and expensive FDA approval. Manufacturers of these products market them with the designation that they are 361 tissue.

Here is a link explaining the difference between 351 and 361 tissue:

What is Regenerative Medicine?

Regenerative medicine is the engineering or regeneration of tissue to repair, replace, maintain or enhance organ function which has been damaged by injury, disease or aging. (A. Caplan, 2015)

How are Fat Cells harvested and administered?

There are several methods for harvesting, concentrating and administering fat. At Coeur d'Alene Regenerative Medicine, fat is harvested from areas of the stomach or sides of the back.

Fat Harvest
Using sterile technique, local anesthetic is used to numb the abdominal area. Sterile saline is injected into the fat to loosen the tissue. The fat is withdrawn into a syringe and placed into a patented system using agitation with small stainless steel balls suspended in saline to separate the fat from the undesired oil, blood and cellular debris. This preparation is injected into the desired location.

In-Office Video of Lipogems Procedure



Dr. Arnold Caplan explains the fat harvest process in THIS VIDEO taken at an Orthobiologic Institute Regenerative Medicine Symposium in June 2016.

View complete Caplan presentation HERE.

Is it FDA Cleared?

Lipogems® is an FDA 510(k) cleared device for use in orthopedics, arthroscopic and neurosurgery.

Who performs the procedure?

Dr. Joanne Halbrecht performs all orthopedics procedures. She is a board-certified orthopedic surgeon fellowship trained in sports medicine with over 25 years of experience in private practice.

Dr. Jeffrey Larson performs all spinal procedures. He is a board-certified neurosurgeon with over 25 years of experience in private practice.

How do I know if I'm a candidate for regenerative medicine?

Studies such as X-Rays and MRI’s as well as medical history, symptoms, physical examination and records are reviewed by Dr. Larson or Dr. Halbrecht. Your doctor will discusses their recommendations with you and together, a treatment plan is formulated.