Welcome to our practice!

We specialize in treating herniated and degenerative disc conditions with medical ozone injection therapy, and other regenerative treatments such as stem cell therapies. We also routinely and successfully treat acute and chronic joint and muscle pain.

Our patients come from all over the country and often from other parts of the world. Why? Because Dr. Bleiweiss pioneered ozone disc procedures in the United States and he continues to be one of the very few doctors today who routinely perform these disc procedures with excellent outcomes for our patients.

Ozone

Ozone

A most effective non-surgical natural treatment for herniated discs as well as joint and muscle pain.

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Stem Cell

Stem Cell

These live cells supercharge the body’s own powerful repair and healing mechanism. 

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Exosomes

Exosomes

Cellular excretion capsules with an amazing ability to signal our own cells to regenerate and heal. 

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PRP

PRP

A powerful mixture of growth factors and other compounds that help the body to heal and regenerate. 

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Ozone

Ozone

A most effective non-surgical natural treatment for herniated discs as well as joint and muscle pain.

Read more…

Stem Cell

Stem Cell

These live cells supercharge the body’s own powerful repair and healing mechanism. 

Read more…

Exosomes

Exosomes

Cellular excretion capsules with an amazing ability to signal our own cells to regenerate and heal. 

Read more…

PRP

PRP

A powerful mixture of growth factors and other compounds that help the body to heal and regenerate. 

Read more…

Our Patient’s Own Words

Latest Posts

PodCast: Cellular Treatments in Regenerative Medicine

Below you will find an easy to read transcript of Dr. Warren Bleiweiss’ podcast interview. You can listen to the podcast or simply read the easy to follow transcript below. Enjoy!   Podcast Interview: RC: Hello everyone, this is Liz Harvey coming to you from our...

The Cade Hildreth Story

Always on the lookout for great success stories we found the Cade Hildreth Story and we're immediately moved to share it. Unfortunately, too many people suffer when the power of regenerative medicine can offer hope of a pain free life. See how powerful the impact of...

Regenerative Medicine Treatments for Common Conditions

Regenerative medicine works by harnessing our body's innate ability to repair damaged tissue and to restore structure and function to damaged areas of the body.  A good example of this is the ability to treat an arthritic joint without surgery or harmful steroid...

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Frequently Asked Questions

What is medical ozone injection therapy?

Medical ozone injection therapy is a proven non-surgical treatment modality that has become one of the most popular treatments for spine, joint and muscle conditions in Europe, and many countries around the world.  Study after study has been published to demonstrate its efficacy and safety.

Why is Ozone the best non-surgical treatment for a herniated disc?

The ozone disc injection treatment has many qualities that make it the best non-surgical disc treatment. There are numerous studies performed regarding the safety and efficacy of this type of therapy.  Thousands of patients have experienced the effective outcome of this non-surgical herniated disc treatment. Ozone injections are the opposite of surgical intervention. These injections to treat herniated disc do not mechanically disrupt the disc by removing a piece of it or subjecting it to destructive energy such as laser or heat.  Ozone is a regenerative approach to restoring the disc to its normal functions by shrinking the damaged portion of the disc and promoting innate healing abilities in our body. Studies and statistics are widely available on the Web.

How do Medical Ozone disc injections work?

A vast amount of clinical data indicates that medical ozone disc injections work in the majority of patients.  Ozone injections reduce the size of a disc herniation enough to remove the pressure on a spinal nerve. Ozone also decreases inflammation, increases blood flow and activates the body’s natural healing mechanism.

The procedure involves guiding a small needle into the herniated disc and injecting a specific concentration of a pure medical oxygen ozone.  There is no surgical incision or hospital admission. Ozone injections do not mechanically disrupt the disc by removing a piece of it or subjecting it to destructive energy such as laser or heat.

Do you perform ozone disc injections on a regular basis?

Yes, Dr. Bleiweiss is one of the very few US physicians who routinely perform this particular procedure, with excellent outcome for patients.  He has an outstanding track record in successfully treating patients with disc herniation. Patients come from all over the country and often from other parts of the world to receive his expert care.  

I have herniated disc in my spine. How many ozone injection treatments would I need?

Based on our experience, usually only one treatment is necessary.  When there is near total improvement of symptoms after the procedure, the procedure will not be repeated.  Some patients will continue to improve over several months. If significant partial improvement is obtained such as a 60% relief, a second ozone disc injection will be recommended and discussed with the patient.

Is Ozone injection therapy safe?

Ozone injection procedures have been performed all over the world for decades with almost no known significant complications. Multiple studies have shown that the risk ozone injection procedures is extremely low.  For example, a study by Dr. Kieran Murphy at the University of Toronto calculated that the risk of ozone disc injections was near zero.

How many Medical Ozone injections will I need to treat my pain condition?

Most people require only a limited number of treatment.  The majority of our patients fall into the category of 1 treatment or 2.  Some patients who have repeated micro-traumas of the joints, for example, competitive athletes, may require periodic injections to keep the joints healthy.  For ozone muscle injections, there is no set protocol.  The number of ozone injection treatments depends on the body’s response to treatment and the amount of time that the condition has been present. For example, an acute muscle strain or sprain will usually respond to one ozone injection treatment.  However, a chronic muscle spasm condition that has been present for years (for example an old whiplash injury or fibromyalgia) usually takes longer to treat. However, once the condition is treated and there is a positive outcome, that outcome is sustained and long lasting.  

How long will it take until I feel better after the ozone disc injection treatment?

While some patients experience almost immediate improvement, significant relief can take 3-4 weeks. Some patients continue to experience improvement over several months after the treatment.  A period of soreness after the injection may be present for approximately 24 hours or a few days. Ozone injection treatment triggers a natural healing process so the length of time it takes for an individual to experience improvement ranges from immediate to over several months.

Do ozone injections hurt?

For ozone muscle injections, most patients say that they are less uncomfortable than trigger point injections.  Dr. Bleiweiss also knows this from his own experience, having received ozone muscle and joint injections and trigger point injections personally.  For ozone disc injections, intravenous sedation is usually administered, therefore, there is no significant discomfort during the procedure. Intravenous sedation is not absolutely necessary for an ozone disc injection procedure, since it can also be performed under local anesthetic if requested. However, most patients request intravenous sedation. Our patients have not reported significant ozone disc injection post procedure discomfort.

What is stem cell?

It is estimated that on a normal day over 300 million cells in our body die and are   replaced by new cells.  At some point as we age, our bodies cannot keep up with replacing the normal amount of cells that die every day.  Our body also has a large supply of stem cells which performs very differently from regular cells.  A skin cell can not become a heart cell but a stem cell can become a skin cell or a heart cell if needed.   Think of these stem cells as super hero cells like firefighters on call.  Stem cells form the body’s emergency repair system.  They are highly demanded when the body has an injury or suffers a trauma.  When they are called upon, they are able to migrate to the damaged area in our body to perform repairs and proliferate (increase in numbers).  They can also change into different types of mature cells as needed, which is a process called differentiation.  We all have a large reservoir of stem cells in areas such as bone marrow, fat and around blood vessels.  Scientists believe that these stem cells live long enough to do their job which is to nurse dying or injured cells back to health and signal dormant stem cells that are in our own body to tend to the damaged area, multiply and aid in the repair process. 

How does stem cell therapy work on injuries?

As we age, our bodies become less efficient with regards to activating these stem cells and we also lose most of our stem cells.  By the age 60, we only have 5% of the stem cells left.  That’s the reason why a knee injury at age 15 would heal quickly while the same type of injury at age 60 would not.  When a 15 year old has an injured knee, a large number of stems cells would be rushing to the damaged site upon being signaled to do rapid repairs.  A 60 years old person who suffers the same injury will not be able to assemble such a large number of stem cells to do rapid repairs.  Such traumatic injuries that occur throughout our lives creates a further demand for this stem cell repair system.  That’s when stem cell therapy can come into play and help.  By using large amount of stem cells as therapy is like having a helping hand when you need it.  It is important to point out that this treatment is essentially a natural cellular replenishing phenomenon that is activating your own body's ability to heal and rejuvenate.  The stem cell treatments have the ability to nurse an injured or dying cell back to health by sensing what the distressed cell needs and secreting the necessary compounds such as growth factors.

Stem cells can also donate mitochondria, which is a powerhouse of the cell, to an injured or distressed cell.  That’s how stem cell therapy works on injuries.  Scientists believe that  these stem cells live long enough to do their job which is to nurse dying or injured cells back to health and signal dormant stem cells that are in our own body to tend to the damaged area, multiply and aid in the repair process. 

How does stem cell therapy help with the normal aging wear and tear?

As we age, we lose ability to retain that large reservoir of stem cells, in addition to our diminished ability to activate these stem cells.  We all undergo microtraumas on a regular basis even without any acute injury.  For example, the various joints in our body undergo normal wear and tear throughout our lives when we walk, run exercise or carry on day to day activities. The discs in our spine also undergo microtrauma with normal activities such as lifting and bending. These microtraumas are not significant on their own but over many years will result in damage to joints and spinal discs.  We call this degeneration.  Similarly, every organ in our body undergo this process throughout our lives. Another good example is the skin, which is frequently exposed to damaging ultraviolet radiation from the sun.  Stem cell therapy may help you gain more mobility, experience less pain and do more activities.  The goal of all regenerative medicine treatments is to actually repair the damage that has occurred to the tissues and organs of our body and to restore function. The stem cell treatments have the ability to nurse an injured or dying cell back to health by sensing what the distressed cell needs and secreting the necessary compounds such as growth factors. Stem cells can also donate mitochondria, which is a powerhouse of the cell, to an injured or distressed cell.  That’s how stem cell therapy works on degeneration.

Where do stem cells come from for treatments?

Cellular regenerative medicine treatments are often referred to as stem cell treatments. There are multiple safe sources of stem cells, including bone marrow, fat and umbilical cord blood. These cells all have amazing healing and regenerative properties such as the ability to signal and activate stem cells that are naturally present in our own body and induce our own stem cells to migrate to an injured area. The stem cell treatments also have the ability to nurse an injured or dying cell back to health by sensing what the distressed cell needs and secreting the necessary compounds such as growth factors. Stem cells can also donate mitochondria, which is the powerhouse of the cell, to an injured or distressed cell. 

Is cord blood stem cells safe?

The cord blood live cells we use is very safe from an independent FDA approved laboratory.  It is obtained from a known obstetrician and a known donating mother. The donating mother is chosen at the time of pregnancy and is carefully screened for all types of potential pathogens.  Cord blood is only harvested after a normal healthy full-term birth.  Once the blood is harvested, it is again tested for pathogens by an independent FDA approved laboratory.  The blood is then kept for a specific period of time and is again tested for bacteria. Once the stem cells from the cord blood are considered safe, they are ready for use in patients. The source that we get our cord blood stem cells from first uses the product on their own patients prior to allowing use by any other clinicians.  Therefore, there are multiple safety checks including a safety check from an independent FDA approved laboratory and its methodologies. This process results in the best possible safety of the cord blood product. 

Do stem cells stay in my body forever?

No. Stem cells do not "takeover" your own cells, neither do they survive in your body for a significant length of time. The length of survival of these cells is not definite. Some researchers feel that the cells evade our own immune system since they are immature cells from a newborn baby, and they are therefore not destroyed. Many researchers are of the opinion that all stem cell treatments, including cord blood, bone marrow and fat derived cells live for several weeks in our body. However the length these stem cells survive in your body, they do their job of helping our body regenerate. While the stem cells are alive, they activate our own body's powerful capacity to heal by multiple mechanisms. All of our tissues have the capacity to regenerate given the proper signals. Stem cells provides these signals to activate our own body's repair system. When the stem cells are no longer needed and have done their job, they are removed from our body by our natural cellular system. Again, think of great firefighters just when you need them. They come and put out the fire, they leave. 

Why do I need to take supplements and make changes in diet and exercise before my stem cell or other regenerative medicine procedure?

This is a very important question and it brings up a key point that is essential to all stem cell and regenerative medicine treatments.

We are committed to treating our patients with the most advanced regenerative medicine technology that is available. We are also committed to assuring that the treatments that we provide have the best possible chance of working to achieve our healing goal. 

In his over 30 years of experience in treating patients, Dr. Bleiweiss knows that just having the best tools is not enough. A practitioner has to know what specific treatment, for example stem cells, exosomes or PRP, is the best treatment for a specific condition and a specific patient. Sometimes, a combination of treatments, such as combining stem cells with exosomes, is most effective. This is where the art and science of medicine meet with wonderful results. A practitioner also has to be skilled and confident in performing all of the procedures that are necessary for a specific treatment. 

The above, however, is only half of the equation. It’s the doctor and technology half. Unfortunately, many practitioners do not pay enough attention to the equally, if not more, important half of the equation, which is the state of the patient. To put it simply, your body has to be in the most optimal condition possible to heal after a procedure. That is why, at our center, stem cell procedures are not a “one shot fits all” procedure. That is why we take the time and make the effort to assure that your body has the best possible chance to heal. That is why we are proud to call our method personal precision medicine. 

Just injecting  stem cells does not necessarily result in a positive outcome. Stem cells have to be appropriately nurtured and signaled at the proper time in order to obtain the desired clinical results. It is very important to have the proper environment for stem cells to flourish. This is what we do to achieve the best results for our patients.

 
What is an exosome?

Exosomes are very small membrane enclosed packets that are excreted by cells. They contain fragments ofmessenger RNA, micro RNA and proteins. They do not contain any DNA. Exosomes are not live cells.

How does exosome work as a regenerative medicine treatment?

Exosomes are not live cells. However, they can activate our own stem cells by signaling the cells that are present in our body, thus making Exosome valuable tool in regenerative medicine. Exosomes can essentially accomplish allof the restorative benefits of stem cells. However, since they are not living cells, they cannot sense the micro-environment of the injured area and they cannot donate mitochondria to all the cells. This can only be accomplished by stem cells. Exosomes are very small and they can be filtered through a bacteria and virus filter. Therefore, there is less concern over potential infection than with live cells.

Exosomes also have immuno-regulatory and anti-firbotic effects. As we age, we all lose muscle tissue and capillary volume which in part results in decreased metabolism. Exosomes have been shown to promote the formation of new capillaries and the formation of increased muscle tissue. They help shift the scales to anabolism (the formation of new molecules) from catabolism (the breakdown of molecules) in the favor of anabolism

What should a patient expect when undergoing treatment with exosomes?

As with every procedure that we perform, we want to take every step to assure that the procedure has the best chance of achieving optimal success. Most procedures require preparation to assure that your body is in optimal condition. Therefore, the first step is always the initial consultation, which includes a detailed history, a review of the medical records and a physical examination. After the consultation, if Dr. Bleiweiss recommends a treatment with exosomes for your condition, he will discuss how to adequately prepare your body for the procedure. This usually requires vitamin supplementation, some dietary changes and aerobic conditioning in the weeks leading up to the procedure. Specific lab tests may also be necessary. These steps are important to assure that the procedure has the best chances of achieving our treatment goal which is to repair, regenerate, restore function and improve the quality of your life.

The procedure will be performed in the office or at a surgical center. You will go home to rest after the procedure. The procedures, other than spinal disc procedures, are performed with local anesthetic and is an office outpatient procedure.
A follow-up office evaluation will usually be performed approximately two weeks after the procedure. Vitamin supplementation will be continued after the procedure to assure that the exosomes have the proper building blocks and micro environment to stimulate cell repair and growth.

These procedures are highly customized to each individual, specific recommendations, regarding activity, nutrition and exercise will be again discussed during the follow-up evaluations. There are some procedures that will require the injection of additional growth factors such as PRP or stem cells at some point after the procedure to provide the best internal environment for the exosomes to stimulate cell repair and growth. In the case of a neurogenesis exosomes procedure, patient's medical function will be reassessed one month after the procedure to determine if any additional treatment is necessary.

As with office procedures, patients are encouraged to go home to rest and resume normal activities the following day. With disc injection procedures, patients are advised not to perform any type of exercise until their follow-up evaluation which usually occurs two weeks following the procedure.

Is there hospital stay?

No, there isn’t. All procedures are done as either an office procedure or at an outpatient surgical center.

Do I need anesthesia for an exosome procedure?

All procedures are office procedures that are performed under local anesthesia. The only exception is when exosome is used as part of a spinal disc regenerative procedure. All spinal disc procedures, since they require fluoroscopic guidance, are performed as an outpatient surgery center with local anesthesia or with a combination of intravenous sedation and local anesthesia.

Do I need to take a few days off from work?

No. Most patients are able to return to work after a procedure. Office procedures usually only require you to take part of the day off in order to have the procedure performed. The only exception is if you have a spine or joint procedure and you have a job involving physical exertion such as heavy lifting. In that scenario, Dr. Bleiweiss will advise you when it is appropriate to return to work.

Can I carry on daily activities?

Yes. There are usually no restrictions of daily activities. The only restrictions are on certain types of exercise activities. These restrictions depend on the type of procedure and the type of exercise that you are engaged in. For example, if you lift heavy weights and you had a spinal disc procedure, or you are a long distance runner and you just had a knee procedure. Dr. Bleiweiss will advise you when it is appropriate to resume your normal exercise routine after a procedure.

Is a treatment with exosome a painful procedure?

Very few patients complain about significant pain and it’s usually well tolerated.

Would I experience pain after the procedure?

Discomfort can be experienced for a few days after a procedure while healing is in process. Patients usually tolerate post procedure discomfort well.

Can I drive myself home after an exosome procedure?

Yes you can drive home after the procedure. However, we don’t recommend that you drive if you received a procedure for the knee, ankle or hip purely for mechanical reasons. For example, if you need to suddenly slam on the break to stop the car, it’s not helpful to your post procedure recovery.

Is this an office procedure?

All exosome procedures are outpatient office procedures that are performed under local anesthesia. The only exception is if exosomes are used as part of a spinal disc regenerative procedure.  All spinal disc procedures, since they require fluoroscopic guidance, are performed as an outpatient procedure at a surgery center with local anesthesia or with a combination of intravenous sedation and local anesthesia. 

How do exosomes work as a regenerative medicine treatment?

Exosomes are not live cells, but they are a very valuable tool in regenerative medicine. Exosomes can essentially accomplish all of the restorative benefits of stem cells. However, since they are not living cells, they cannot sense the micro-environment of an injured area and they cannot donate mitochondria to cells. This can only be accomplished by stem cells. However, exosomes can signal our own stem cells to help in the regenerative process.   

As we age, we all lose muscle tissue and capillary volume which results in decreased metabolism. Exosomes have been shown to promote the formation of new capillaries and the formation of increased muscle tissue. They help shift the scales to anabolism (the formation of new molecules) from catabolism (the breakdown of molecules) in the favor of anabolism.  Exosomes also have immuno-regulatory and anti-firbotic effects. 

How do I know if I am a candidate for exosome treatment?

Whenever Dr. Bleiweiss determines what the best regenerative treatment is for a patient, he will always perform a careful history, physical examination and review appropriate test results. After this process, he will discuss the treatment options with you and explain why he came to that decision. Exosomes are often a good choice since they have very powerful regenerative qualities.

What is a PRP injection?

PRP stands for platelet-rich plasma. PRP is a blood fraction that contains mostly platelets. In regenerative medicine, the platelets are the “good stuff” because they are packed with growth factors and many other valuable healing compounds. PRP has many applications and can be used alone or in combination with other regenerative medicine such as stem cell and ozone treatments to enhance their effectiveness.

A PRP procedure uses the PRP produced from a small amount of your own blood sample. It is packed with growth factors and other valuable compounds that have powerful regenerative effects and promote healing.

Where are PRP procedures performed?

All PRP procedures are outpatient office procedures that are performed under local anesthesia. The only exception is if PRP is used as part of a spinal disc regenerative procedure.  All spinal disc procedures, since they require fluoroscopic guidance, are performed as an outpatient procedure at a surgery center with local anesthesia or with a combination of intravenous sedation and local anesthesia. 

Do I have to take time off from work when I have a PRP procedure?

No. Most patients are able to return to work the day after a procedure. Office procedures usually only require you to take part of the day off in order to have the procedure performed. The only exception is if you are having a spine or joint procedure and you have a job that requires heavy lifting, such as construction work.  In that scenario, Dr Bleiweiss will advise you when it is appropriate to return to work.

Do all PRP procedures have similar effectiveness?

No, not all PRP is the same. The quality and effectiveness of a treatment can vary widely depending on the equipment and the techniques used.  The platelet is the active agent in a PRP treatment.  In regenerative medicine, the platelets are the “good stuff” because they are packed with growth factors and many other valuable healing compounds. However, red blood cells are the “bad stuff” in regenerative medicine because they can damage the cartilage of a joint as well as result in other negative effects. The best PRP preparation has a lot of the good stuff and almost none of the bad stuff.  This is not as easily accomplished as it sounds, since blood is mostly composed of plasma and red blood cells. Therefore, the wrong technique, such as a low volume single spin preparation can have very few platelets and an unacceptably high amount of red blood cells. We call this “test tube PRP” which can be easily produced at a low cost, but the quality is inferior which leads to a lack of effectiveness.In our practice, we choose to use the most advanced equipment and techniques to assure that the PRP treatment that you get is packed with platelets that are ready to help you heal. This is accomplished by withdrawing the proper amount of blood and using a double spin centrifuge technique that is scientifically proven to have the proper number of platelets that are necessary to promote healing.

Is PRP an office procedure?

Yes, all PRP procedures are outpatient or office procedures.  

Do I need anesthesia for a PRP procedure?

All PRP procedures are office procedures that are performed under local anesthesia. The only exception is when PRP is used as part of a spinal disc regenerative procedure.  All spinal disc procedures, since they require fluoroscopic guidance, are performed as an outpatient surgery center with local anesthesia or with a combination of intravenous sedation and local anesthesia. 

Is PRP Safe?

PRP injections have been performed for many years. PRP are considered to be very safe while there is no zero risk procedures. Steps should be taken to ensure a safe and effective procedure.  Your blood should be drawn under sterile conditions and your injection site should be prepared with appropriate antiseptics.  The infection or other complications risk is very low.

Do I need to take a few days off from work?

No. Most patients are able to return to work after a procedure. Office procedures usually only require you to take part of the day off in order to have the procedure performed. The only exception is if you have a spine or joint procedure and you have a job involving physical exertion such as heavy lifting.  In that scenario, Dr. Bleiweiss will advise you when it is appropriate to return to work.

Can I carry on daily activities?

Yes. There are usually no restrictions of daily activities. The only restrictions are on certain types of exercise activities. These restrictions depend on the type of procedure and the type of exercise that you are engaged in.  For example, if you lift heavy weights and you had a spinal disc procedure, or you are a long distance runner and you just had a knee procedure.  Dr. Bleiweiss will advise you when it is appropriate to resume your normal exercise routine after a procedure.

Is PRP a painful procedure?

Very few patients complain about significant pain and it’s usually well tolerated.

Would I experience pain after the procedure?

Discomfort can be experienced for a few days after a procedure while healing is in process.  

Patients usually tolerate post procedure discomfort well.

Is there hospital stay?

No, there isn’t. All procedures are done as either an office procedure or at an outpatient surgical center.

Can I drive myself home after the procedure?

Yes you can drive home after the procedure.  However, we don’t recommend that you drive if you received a procedure for the knee, ankle or hip purely for mechanical reasons.  For example, if you need to suddenly slam on the break to stop the car, it’s not helpful to your post procedure recovery.

Phone

973-403-3334

Office Hours

M-F: 9am - 5pm

 

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