FAQs

Frequently Asked Questions

Below are a few of our patients and practitioners frequently asked questions. If you’re questions aren’t answered, fill our contact form below and we’ll be in touch soon to help address your questions and/or concerns.

What does the practice specialize in?

BioReset Medical’s areas of specialization include high-end regenerative medicine protocols for major complex problems such as Parkinson’s, dementia and autoimmune diseases and Lyme disease. Many of these protocols involve the investigational use of stem cell therapy but they also involve advanced IV therapy, hyperbaric oxygen protocols, and functional medicine protocols.

What type of treatments and services do you offer?

BioReset Medical staff offer a myriad of regenerative and functional medicine treatment modalities. These include nerve hydrodissection, PRP, stem cell medicine and other healing methods that allow the body to heal itself, often avoiding surgery while restoring patients to a healthy and pain-free life. They also have a focus on functional and integrative medicine and have practitioners who focus on health optimization, as well as integrative approaches to complex medical problems.

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What type of research is Dr. Cook working on in the field of regenerative medicine? Where can I learn more about his work?

Dr. Cook’s work is highly research oriented, and his practice is dedicated to finding breakthroughs in stem cell therapy and regenerative medicine. He participates in several medical trials on innovative applications of stem cell medicine. His collaborative team brings the comprehensive modalities that support regenerative therapies.

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What does BioReset Medical do in the area of regenerative medicine?

At BioReset Medical we are investigating biologic and cellular medicine in regenerative orthopedics, pain management, immunology and neurology. A full list of services here:

  • Medical categories:
    • Non Surgical Orthopedics
    • Sports Medicine
    • Pain Management
    • Stem Cell Therapy
    • Regenerative Medicine
    • Integrative Medicine
    • Functional Medicine
    • Cosmetic and Lifestyle Medicine
    • Addiction Medicine
  • Conditions We Treat:
    • CRPS
    • PTSD
    • Concussion Syndrome
    • Traumatic Brain Injury
    • Headaches
    • Back Pain
    • Lyme disease
    • Diagnostic Musculoskeletal Ultrasound $
    • Medical Procedures:
    • PRP Prolotherapy
    • BioCellular Prolotherapy
    • A2M therapy
    • IV Stem Cell Therapy
    • Stellate Ganglion Block
    • Sphenopalatine Ganglion Block
    • PTM Therapy
    • Perineural Injection Therapy
    • Nerve Hydrodissection
    • Caudal Epidural
    • IV Therapies
    • Ketamine Therapy
    • NAD Therapy
    • Mona Lisa Touch
    • IV Nutritional therapy
    • Hyperbaric Oxygen Therapy
    • Chiropractic Care
    • Other Therapies
    • Neurofeedback
What type of work does the practice do in Regenerative Medicine?

At BioReset Medical we are investigating biologic and cellular medicine in regenerative orthopedics, pain management, immunology and neurology. Stem Cell therapy is not FDA approved and we do not claim that it is an effective therapy for any condition, disease or injury. We are participating with other physicians in clinical trials in an attempt to determine the effectiveness of stem cell therapies.

In regenerative orthopedics our first priority is to perform a movement assessment, physical exam and diagnostic ultrasound. We use these screening tools to identify the area of damage as well as the contributing factors that led to the damage. In many cases we also use advanced imaging such as MRI. Based upon these results we develop a strategic plan to treat the ligaments, tendons, nerves, fascia and joints involved.

In some cases of severe damage patients may require more than one treatment. In these cases we harvest extra fat during the initial treatment and send it to a stem cell bank that we work with. They cryopreserve the tissue for future therapy.

In autoimmune disease and neurology we work with adipose derived stem cells (also known as stromal vascular fraction) and umbilical cord stem cells. Adipose derived stem cells are harvested through a minimally invasive procedure and processed immediately to create a stem cell preparation called stromal vascular fraction which can be given IV.

It is felt that in cases of severe systemic illness, patients may require more than one treatment. In these cases we harvest extra fat during the initial treatment and send it to a stem cell bank. They cryopreserve the tissue for future therapy.

We also work with umbilical cord stem cells. We do this in specific situations and have an affiliated clinic outside of the united states that we work with for these applications.

What Studies is BioReset Medical engaged in with Stem Cell Therapy?

At BioReset we are currently studying stem Stromal therapies for orthopedic and pain management problems. We treat all joints and musculoskeletal problems, as well as the spine. We are also studying BioCellular applications in chronic pain and are developing an IRB protocol specific to neuropathic pain. We are participating in IRB approved trials for the following conditions:

How much does a procedure cost?

There is a charge of $600 per one hour initial consult. Treatments can start at $2,500 and up. If you have any other questions, please feel free to call us at 650-888-7950 or email us at info@bioresetmedical.com.

Do you accept insurance?

We do not accept any insurances.

How long does a procedure take?

It really depends on the treatment solution we determine is the right one for your condition. Call us to schedule an appointment.

Where are the procedures performed?

The practice treats patients in their state-of-the-art Silicon Valley location.

What does NAD stand for?

NAD (nicotinamide adenine dinucleotide) is a coenzyme found in all living cells, and it’s required for the fundamental biological processes that make life possible. It’s main purpose is to fuel metabolic reactions forward. It is used by every cell in the body to perform fundamental cell processes, including turning nutrients into energy, maintaining the health of DNA, and regulating circadian rhythms. Without NAD, your cells won’t be able to metabolize carbohydrates, fats and amino acids. NAD also plays a significant role in gene expression linked to age-related diseases.

Why do NAD+ levels decline?

As we age, our NAD+ levels decline, putting your body at risk for physical and mental decline. Factors such as stress, lack of sleep, poor diet, alcohol and a lack of exercise can further decline your NAD+ levels.

What is NAD treatment?

NAD+ is an all-natural, vitamin B derivative, with minimal side effects. Many chronic conditions, including chronic fatigue syndrome, neurodegenerative disease and mental health disorders have been linked to cellular dysfunction and dysregulation. NAD+ therapy may help reduce the symptoms of many chronic conditions, and may help individuals suffering from chronic conditions regain their vitality and strength.

What is NAD treatment used for?

NAD is used to treat a number of conditions and symptoms. These include the following categories and more:

  • Chronic Conditions: e.g. Chronic Pain, Chronic Nerve Damage (Peripheral Neuropathy), Chronic Fatigue syndrome etc.
    Neurodegenerative Diseases and Mental Health Disorders – these include conditions as prevalent as Alzheimer’s, Parkinsons, Depression, PTSD and Anxiety etc.
  • Addiction-Related Detoxification: including alcohol addiction, drug addiction from all types of legal and illegal substances including methadone, benzodiazepines, stimulants, methamphetamines etc.
  • Age-Related Degeneration: appearance, attitude, sexual health etc.
  • Athletic Injuries: common knee, back, neck, and elbow injuries etc.
How is NAD different from typical addiction treatment options?
  • ​It is natural, compared to toxic pharmaceuticals which mostly harm your brain in the long run.
  • It is restorative. NAD helps your cells heal and helps with cellular biogenesis.
  • It is protective. NAD has shown to be neuroprotective.
What is regenerative medicine?

Regenerative medicine is an emerging approach to healthcare for complex orthopedic, pain, immunology and neurological problems.

What does BioReset Medical do in the area of regenerative medicine?

At BioReset Medical we are investigating biologic and cellular medicine in regenerative orthopedics, pain management, immunology and neurology. A full list of services here:

  • Medical categories:
    • Non Surgical Orthopedics
    • Sports Medicine
    • Pain Management
    • Stem Cell Therapy
    • Regenerative Medicine
    • Integrative Medicine
    • Functional Medicine
    • Cosmetic and Lifestyle Medicine
    • Addiction Medicine
  • Conditions We Treat:
    • CRPS
    • PTSD
    • Concussion Syndrome
    • Traumatic Brain Injury
    • Headaches
    • Back Pain
    • Lyme disease
    • Diagnostic Musculoskeletal Ultrasound $
    • Medical Procedures:
    • PRP Prolotherapy
    • BioCellular Prolotherapy
    • A2M therapy
    • IV Stem Cell Therapy
    • Stellate Ganglion Block
    • Sphenopalatine Ganglion Block
    • PTM Therapy
    • Perineural Injection Therapy
    • Nerve Hydrodissection
    • Caudal Epidural
    • IV Therapies
    • Ketamine Therapy
    • NAD Therapy
    • Mona Lisa Touch
    • IV Nutritional therapy
    • Hyperbaric Oxygen Therapy
    • Chiropractic Care
    • Other Therapies
    • Neurofeedback
How can Regenerative Medicine help my pain?

We take a comprehensive regenerative approach to pain management and treatment, and we listen to the story of your pain and then assess the areas of injury and pain. Our doctors use physical exam and Musculoskeletal Ultrasound to assess the nerves, muscles, tendons, ligaments, fascia and joints. Because we believe in restoring functional movement, we also assess gait and movement patterns. When indicated additional imaging including MRI and the use of X-rays may be performed in order to get a thorough understanding of the cause of your pain.

Typical modalities include platelet rich plasma (PRP), Alpha 2 Macroglobulin (A2M) Placental Matrix Allograft (PTM therapy), dextrose based solutions (prolotherapy) and Hydrodissection (using any of the above solutions.  We are investigating stem cell therapy for pain management applications.  These treatments are not FDA approved and are investigational.  We do not claim that stem cells will treat or cure a pain related condition.

The goal of these therapies is to regenerate and heal damaged and inflamed tissues. Damaged and inflamed tissues are often pain generators.  This is especially true in the case of damaged, inflamed and impinged nerves. Regenerative therapies are targeted to muscles, ligaments, tendons, fascia, joints and nerves.  The regenerative solutions mentioned above contain growth and healing factors and in some cases cells.  Depending on the injury these modalities can be combined.  These therapies have the potential to heal structural damage such as tendon and ligament tears, to treat nerve impingement, to reduce inflammation, and to reset the immune and nervous system to facilitate healing.

We pair these approaches with functional movement assessment and training so that newly healed tissues can optimally heal in the setting of improved biomechanics and movement.

In conjunction with therapeutic modalities and movement modalities, we offer functional medicine assessments and therapies that assess the metabolic and physiologic health of the body.  Based upon this assessment we offer health optimization strategies that aim to improve physiologic health at the cellular and mitochondrial level.  We have found that by improving and health and wellness at this level, we give the body the best chance to attain the maximum benefit from a regenerative orthopedic approach.

What does Regenerative Pain Management involve?

After a diagnosis is made a customized therapy plan is developed. Our pain therapies include Nerve Hydrodissection, Nerve Blocks, and PIT therapy to break the pain cycle and regenerate tissues. We also use PRP Prolotherapy, Placental Matrix Therapy, BioCellular and Stem Cell Prolotherapy to address underlying structural problems that are often the cause of pain. We have found that healing the nerves and the fascia they travel in with regenerative strategies is a critical component of pain management. Equally important is the regeneration of musculoskeletal injuries or degeneration that is the cause of pain and nerve inflammation. Finally it is critical to assess for nerve entrapment. Sometimes there is functional entrapment of nerves as the travel under muscles. We asses for these issues and treat them with ultrasound guided regenerative strategies.

How do the physicians decide which regenerative strategies to use?

Based upon the severity and complexity of the pain problem we tailor regenerative strategies to the pain problem. Relatively acute problems often respond to hydrodissection and relatively simple treatment algorithms. Long standing chronic problems tend to require therapy that aims to regenerate the fascia, nerves, joints and other structures in the affected area. Often Biologic solutions including PRP, A2M, PTM are used to achieve this. By taking a comprehensive assessment and performing a detailed ultrasound exam our goal is to achieve clarity regarding the diagnosis and the cause of pain. Based upon this we are able to target specific therapy as well as functional and integrative approaches that optimize cellular wellness and improve physiologic health.

What are some other Regenerative Pain Management Techniques?

Other commonly used pain relieving blocks include the Stellate Ganglion Block, Paravertebral blocks and Lumbar Sympathetic Block. These are known as Sympathetic blocks because they block the sympathetic or “fight or flight” nervous system.  They are an important component of pain management.  These blocks reset the fight or flight part of the nervous system and have the effect of relaxing not only the nerves but also the arteries that flow to an affected area.  

In our practice we have found that many patients we take care of with chronic pain also suffer from PTSD. We have developed a comprehensive approach to treating PTSD.  The Stellate Ganglion Block is one component of that program.

One very interesting procedure is the SphenoPalatine Ganglion Block. It can be used to reset both sympathetic fibers as well as pain fibers in the head.  We have found it is a valuable part of our headache protocol.

Dr. Cook has also developed an approach to resetting the parasympathetic nervous system with a procedure that causes a reset of the vagus (10th)  and glossopharyngeal (9th) cranial nerves.

By addressing pain with a comprehensive and systematic approach, we allow the body to reset, rebuild and heal itself. All injection procedures can be performed under Conscious Sedation with a Board Certified Anesthesiologist.  All injection based therapies are placed under direct vision with ultrasound.  We have extensive experience treating nerves and nerve pain with ultrasound guided therapies.

What is Regenerative scar therapy?

This is an exciting treatment because it makes scars look better, and because it often relieves pain at the scar it also helps patients feel better.  Many scars trap the nerves that flow through or close to the incision site.  Often there is scarring at the skin but also scarring up to several inches below the skin.  This internal scarring can cause nerve entrapment and therefore pain.  

We use ultrasound guided injections that break up these adhesions.  At the same time we infuse therapeutic agents around the scar that allow it to heal.  Our most effective approach to scars is ultrasound guided Biologic Therapies.   These include PRP, A2M and Placental Matrix. We are investigating the use of  and BioCellular applications including stem stromal treatments and Stromal Vascular Fraction in the treatment of scars.  The use of stem cells is not FDA approved.

In our experience, while patients are very happy about their improved cosmetic appearance, they are just as happy about the improvement in pain.  We have found this concept to be particularly important in patients who have had spine surgery. There are so many nerves in the back that when a surgery is done it inevitably cuts nerves and leads to entrapment of nerves in the scar.  Therefore treating the scar is a critical component of our back pain protocol.

What is Regenerative orthopedics?

Regenerative orthopedics involves all of the traditional assessment tools of orthopedic and musculoskeletal medicine. These include physical and movement assessments as well as musculoskeletal ultrasound and advanced imaging.

Based on this comprehensive assessment, the goal of regenerative orthopedics is to use ultrasound guided injections of healing solutions to all of the affected areas.  The specific agent used is based on the injury.  Typical modalities include platelet rich plasma (PRP), Alpha 2 Macroglobulin (A2M) Placental Matrix Allograft (PTM therapy), dextrose-based solutions (prolotherapy), Hydrodissection (using any of the above solutions) and stem cell therapy (BioCell Prolotherapy).  Stem Cell Therapies are not FDA approved and BioReset Medical does not claim that stem cells are a cure for any condition disease or injury.  PRP therapy is considered to be an off-label use of an FDA-approved PRP Device.

The goal of the therapy is to use these therapies to regenerate and heal damaged and inflamed tissues. Therapies are targeted to muscles, ligaments, tendons, fascia, joints and nerves.  The regenerative solutions mentioned above contain growth and healing factors and in some cases cells.  Depending on the injury these modalities can be combined.  These therapies may have the potential to heal structural damage such as tendon and ligament tears, to treat nerve impingement, to reduce inflammation, and to reset the immune and nervous system to facilitate healing.

We pair these approaches with functional movement assessment and training so that newly healed tissues can optimally heal in the setting of improved biomechanics and movement.

In conjunction with therapeutic modalities and movement modalities, we offer functional medicine assessments and therapies that assess the metabolic and physiologic health of the body.  Based upon this assessment we offer health optimization strategies that aim to improve physiologic health at the cellular and mitochondrial level.  We have found that by improving and health and wellness at this level, we give the body the best chance to attain the maximum benefit from a regenerative orthopedic approach.

Does stem cell therapy help to regenerate tissues after an injury?

Stem cells use is investigational. We are working to understand the regenerative mechanisms of stem cells and are participating in IRB approved trials with groups of physicians across the country and internationally.  Stem cell therapy is not FDA approved.  It is thought that stem cells coordinate healing but also have the potential to be incorporated into tissues and help them heal.  This allows the stem cells produce healthy cells that will begin to take the place of those that were damaged. It is thought that the regeneration of the new cells helps to hasten the healing process and stabilize the area that results in a stronger joint. The new cells will continue to function and reproduce while the damaged cells begin to die and break down.Stem cells also have an anti-inflammatory and immune modulating effect which helps reduce pain and swelling.  This may be a very important component of the stem cell healing mechanism. We are participating in studies to assess the effectiveness of this new therapy in orthopedic medicine and pain medicine. We are currently enrolling patients in trials.

What is your philosophy in assessing Sports Injuries?

Regenerative orthopedics techniques are beneficial in treating many types of athletic injuries.  With athletes we use The Functional Movement Screen, Neurokinetic Therapy, Selective Functional Movement Assessment, Titleist Performance Institute Movement Assessment and the BioReset Movement Assessment to assess where the injury is and how it is functionally affecting the athlete.  This information is used to provide doctors with the information they need to help create an effective treatment plan. Understanding how ground force travels through the body is central to our philosophy.  We assess biomechanical function at key points and treat based upon our findings.  This allows an athlete to more efficiently transmit force through the body.

Musculoskeletal ultrasound and physical exam are also extremely helpful in assessing an injury.  Our approach is to integrate all of this data with advanced imaging to develop a comprehensive picture of how the injury is affecting the athlete.

After establishing a baseline assessment we begin to treat athletes and reassess for improvements in terms of tissue healing but also in terms of functional movement, range of motion and strength.  In patients with chronic fascial adhesions it is common to see improvements in range of motion, strength, and function after Hydrodissection.

Does Diagnostic Musculoskeletal Ultrasound Technology Play a Role in the Treatment of Athletic Injuries?

Diagnostic musculoskeletal ultrasound technology is an effective way for a doctor to assess the extent of an athletic injury and create a treatment plan that both manages pain and allows for optimum healing.

Many injuries can be diagnosed with ultrasound as effectively as with an MRI.  Ultrasound is often better than MRI at diagnosing nerve damage.

Our approach with the teams we work with is to do a diagnostic exam after any injury.  Athletic injuries can be treated without surgery using a variety of methods including PRP injections and nerve hydrodissection.. It is important for the doctor to be able to monitor how these methods are working as the patient continues to heal. With the use of ultrasound technology, the doctor can accurately see what is going on inside the tissues and evaluate a patient’s progress. This gives them valuable insight as to whether or not existing treatment should be continued or an new treatment option chosen to replace it.

What Benefit Does Diagnostic Musculoskeletal Ultrasound Offer to Pain Management Plans?

Diagnostic musculoskeletal ultrasound technology allows the doctor to see first hand what is happening inside an injury. This can be accomplished without causing further injury and provides valuable information concerning the extent of the damage, what nerves may be involved, and how much inflammation is in the area. When nerves are compressed they get dilated. This dilation is often seen on ultrasound. The ultrasound technology is also be used during procedures to help guide the doctor in the placement of injections as well as monitoring how well a treatment is working.

Can Diagnostic Musculoskeletal Ultrasound Technology be Used With Chiropractic Care?

Diagnostic musculoskeletal ultrasound technology is extremely effective at helping doctors diagnose and treat both injuries and illness that affects the muscles and skeletal structures within the body.   Ultrasound uses sound waves to create diagnostic images that can be used to effectively view certain structures within the body. By allowing the physician to look inside the body, they can determine exactly what structures are injured and generating pain.

They are able to determine whether the cause of the pain is from ligamentous laxity, nerve impingement or structural damage.

When combined with chiropractic care, the doctor can target appropriate care to the exact location.  The use the images he receives to perform the exact adjustment and manipulation that will allow for the maximum heal response.  This type of diagnostic imaging also help the doctors to evaluate a patient’s healing progress.

Is regenerative orthopedics beneficial in treating sports injuries?

Once the injury is accurately diagnosed, the goal is to develop the most effective treatment plan.  With the use of PRP, Alpha 2 Macroglobulin, Placental Matrix Allograft and dextrose based solutions, our goal is to begin to regenerate and heal injured tissues.  If there is a partial ligament tear on ultrasound, our goal is to try to regenerate that tendon with one of the solutions above.  In addition to these solutions we are studying the use of stem cells to treat sports related traumatic injuries.  These include both musculoskeletal sports injuries and sports related concussions.  Stem Cell Therapy is not FDA approved and this therapy is considered investigational.

We also use Hydrodissection to address nerves and fascial planes.  We find that it is very common for these tissue planes to be involved in sports injuries, and in athletes who regularly perform asymmetrical activities such as throwing athletes, golfers, tennis players, and hitters in baseball.

Our goal is to provide the patient with the most effective treatment plan possible. Regenerative medicine works at a cellular level to provide a more complete and thorough healing. In our practice this is paired with functional medicine techniques that optimize nutrition and health at the both the cellular and mitochondrial level.

How Does BioReset approach Regenerative Orthopedics?

We take a comprehensive regenerative approach to orthopedic and musculoskeletal problems.  We often start with a functional movement assessment.  Our approach uses physical exam and Musculoskeletal Ultrasound to assess areas of injury and pain and addresses the nerves, muscles, tendons, ligaments, fascia and joints in an affected area.  Because our goal is to restore functional movement we assess gait, muscle strength and movement patterns before and after therapy. When indicated additional diagnostic imaging including X-rays, and MRI scans are used.  All regenerative procedures are ultrasound guided and based upon diagnostic ultrasound.

How can Regenerative Orthopedics help athletes?

We have a focus on functional and sport specific movement. We often use the Functional Movement Screen (FMS) the Selective Functional Movement Assessment (SFMA), Neurokinetic Therapy (NKT) and the BioReset Movement Assessment  to assess functional movement patterns.  For those who want to schedule a 50 minute movement assessment separate from a medical consult we offer that as well.

For athletes, we have developed treatment algorithms that address and treat sport specific problems.  Our treatments are influenced by the Movement Assessment, physical and grasping exam.  Within specific sports we have protocols that are specific and tailored to different athletes. For example we have specific approaches that treat patterns and problems that are common in pitchers, throwers, runners, hitters, kickers and many other positions. After a diagnosis is made a customized therapy plan is developed. Our most effective therapies are based upon PRP Prolotherapy, PTM ProloTherapy and A2M therapy.

This therapy is often complemented with therapy to address nerves including Nerve Hydrodissection, PIT therapy and nerve blocks. All injection procedures can be performed under Conscious Sedation with a Board Certified Anesthesiologist.

How can regenerative techniques be used to help an athlete who tore their anterior cruciate ligament or ACL?

Often when a patient tears their ACL there is significant bleeding in the knee joint.  Our approach is to perform an ultrasound guided assessment as soon as possible after the injury. Because of the trauma associated with this injury there is often fluid or blood in the joint.  We can see this fluid with ultrasound.  Unfortunately, bleeding into joints has been associated with a long term increase in the risk of arthritis.  Our approach in this setting is to and wash the blood out of the joint with a small needle.  After that we typically inject the joint with alpha 2 macroglobulin or A2m.  This is isolated from blood using a sophisticated centrifugation process.  A2M is a compound that blocks serine proteases and decreases inflammation.

We have early clinical experience that this technique may help decrease risk factors for long term arthritis.

At the same time we do these techniques we assess every ligament, tendon and    meniscus in the knee.  Often the medial or lateral meniscus or the collateral ligaments are torn with an ACL injury.  In some cases the ACL is weakened but not completely torn.  Based on the clinical and ultrasound findings a regenerative strategy is determined.  Often this includes placing PRP, or Placental Matrix Allograft into the damaged structures including the ACL, meniscus and associated ligaments.  We are investigating the use of Stem Cells injected directly into the ACL under ultrasound guidance.  This is not an FDA approved treatment and is considered investigational.

In some cases we treat the injury with A2M and follow up a week or 2 later for more definitive therapy after the inflammation in the joint has calmed down.  In cases where the injuries associated with the ACL injury is outside the joint we can treat everything in one setting.

What is Prolotherapy?

Prolotherapy is an injection intended to regenerate damaged tissues or to help build structural integrity in the case of ligamentous laxity.  Prolotherapy is an injection intended to regenerate damaged tissues or to help build structural integrity in the case of ligamentous laxity.

Prolotherapy began 70 years ago.  Traditionally Prolotherapy injections were performed based upon palpating or feeling ligaments, tendons, and joints.

With the advent of musculoskeletal ultrasound, the ability to specifically diagnose a problem with a ligament tendon or joint has dramatically improved. In addition, because we use ultrasound for all procedures we are able to precisely targeted to the area of injury.  It also allows the practitioner to avoid any important structures such as arteries, veins and nerves.  This has dramatically improved the safety and effectiveness of prolotherapy.

During most of history, prolotherapy was performed with 12-18% dextrose solutions.  As a result the therapy was generally targeted toward the area of injury.  The effectiveness of prolotherapy has also been greatly improved with the emergence of Regenerative Medicine. We have found that PRP, Placental Matrix Allograft therapies make prolotherapy much more effective than dextrose based solutions.  We are investigating the use of stem cell based solutions for prolotherapy as well.  This is not FDA approved and we do not claim effectiveness of its treatment for a disease or injury.  We term Prolotherapy that uses regenerative solutions has been termed BioCell Prolotherapy.

What Conditions May Benefit From BioCell Prolotherapy?

Prolotherapy, and in particular BioCell prolotherapy is used to stabilize ligaments and in some cases heal structural damage in every joint in the body.  Regenerative Prolotherapy injections can be used in almost every area of the body where chronic pain is a problem. It has been classically used  for ligament laxity.  We have found that the best results in prolotherapy occur when it is used as part of a regenerative approach.

Because prolotherapy is intended to have a proliferative effect, a patient should try to avoid anti-inflammatory medications after the procedure has been performed.  Pain medications are allowed as well as light to moderate exercise, such a walking and stretching.  All strenuous activity should be avoided temporarily.

Does This Type of Therapy Have Side Effects?

Prolotherapy results in a proliferative response near the injured area. In some cases there is temporarily some inflammation.  We have generally found that this is dramatically less with regenerative solutions than with dextrose.  The treatment area may be painful to the touch for the first few days after the procedure, but the pain will gradually dissipate.  We have found that the use of Clear PRP and Placental Matrix Allograft is associated with less pain than traditional prolotherapy.

What does the term non-surgical orthopedics refer to?

Non-surgical orthopedics refers to the use of orthopedic procedures that are non-invasive in nature. With the development of ultrasound it is now possible to place therapeutic substances into deep structures such as a meniscus in the knee, the ACL in the knee, the rotator cuff in the shoulder or into a labrum in the shoulder or hip. Because this was not possible in the past these were considered surgical procedures. Now, in some cases we are able to treat injuries to these structures with regenerative injections. As more physicians become trained in these types of procedures we believe that less orthopedic surgery will be done.

Are stem cells used for athletic injuries?

Stem cell therapy is considered investigational and is not FDA approved. BioReset does not claim that stem cell therapies are effective for athletic or other injuries. We are investigating the use of stem cells in a few specific problems. One major problem in sports is concussion. There is a major concussion problem in professional, collegiate and recreational sports. Stem cells are currently being studied by multiple groups as a modality to treat concussion. We are also investigating the use of stem cells to treat orthopedic injuries.

How can functional medicine be used in conjunction with treatment plans for sports injuries?

Functional medicine incorporates alternative and holistic treatment options into health and pain management plans that allow for a complete healing without the dependence on strong medications and surgical procedures. Our focus is the use of regenerative strategies to help patients recover. We believe that through health optimization we can support the body’s natural healing processes. By combining these natural healing processes and regenerative strategies, we give the body the best chance to heal itself.

What is your approach to golf?

At BioReset Medical, we use the Titleist Performance Institute (TPI) assessment to design a treatment and training plan.  Titleist Performance Institute is one of the world’s leading educational organization dedicated to studying the relationship of an individual’s physical status and the performance they have in golf.This assessment is used by many elite golfers; 26 out of the top 35 golf pros have worked with TPI certified professionals.    

A proper golf swing requires that the body has both adequate mobility and stability at many of the joints in the body.  When either of these are lacking, the result may be a poor golf swing.  Often it is not your swing that is the issue but instead that your body does not allow you to get into the proper position to perform the swing. Taking a scientific approach to golf allows you to be sure that your body is well prepared to optimize your golf game.

What is your approach to yoga?

At BioReset Medical, we expand our thorough movement assessment to include a representative number of traditional yoga poses and movements to identify limitations that may prevent a yoga practitioner from being able to have a robust practice without injury.  Assessment includes not only movement observation but also using ultrasound imaging to identify the root causes of limitations and pain if needed.  Hydrodissection therapies can then be employed if appropriate.

What is Stem Cell Therapy?

Stem Cell therapy is not FDA approved and we do not claim that it is an effective therapy for any condition, disease or injury.  We are participating with other physicians in clinical trials in an attempt to determine the effectiveness of stem cell therapies.

What are the different types of stem cells?

Stem Cell have many versions.  The most common stem cells used in clinical practice are harvested from adipose tissue and bone marrow.  These are generally harvested in an office based setting in a procedure room, or in a small operating room. Adipose stem cells are rich in stem cells.   It has been found that 90% of the cells in adipose tissue are adult stem cells while 90% of the volume is fat.   This is because stem cells are much smaller that fat cells.  There are about 9 stem cells for every fat cell.  

Adipose tissue is rich in Mesenchymal stem cells or MSC’s.  These are cells that in the proper environment, can differentiate into cells that are part of the musculoskeletal system including cartilage, ligaments and tendons.  Adipose tissue is also rich in Adipose-derived Stem/Stromal Cells (ASCs).  When adipose stem cells are processed to make stromal vascular fraction it includes a number of other cell types including T regulatory cells.  Bone marrow is also also rich in bone marrow stromal or mesenchymal stem cells (MSC’s).   When these cells are placed in the in the proper environment, they can also differentiate into cells that are part of the musculoskeletal system. Adipose tissue can also be emulsified to create nano fat.  This creates a mixture of stromal elements and cells that together form a matrix.  The matrix acts as a skeleton that the cells can bind to. When stromal vascular fraction is added to nano fat it has been termed cell enriched.

Another type of stem cell are umbilical cord stem cells. These are donated cells that are harvested after a baby is born. We work with a cell bank in Southern California that collects these stem cells from screened donors.

Where do adult Stem Cells Come From?

In clinical practice Stem cells are harvested from adipose tissue and bone marrow. The most common location to harvest adipose stem cells from is the abdomen and flank, but other areas can be used.  The most common area to harvest bone marrow from is from the iliac crest.

How do adult stem cells normally function?

Adult stem cells are generally not active when they are in the bone marrow or adipose tissue. When they wake up they move from the adipose or bone marrow to the circulation where the home to areas of inflammation in the body.

Do stem cells actually perform healing?

This is something that we are studying. Stem cells appear to have the capability of assuming the characteristics of damaged cells, rejuvenating the area and helping to speed up the healing process. During an athletic injury, several components within the joint may become damaged. The ligaments, tendons, muscles, bones, and other tissues can easily be damaged during an athletic injury. When stem cells are injected into a damaged joint, they are strategically placed near or into the tissues that have been damaged. If any of the associated tissues around a joint are injured, such as ligaments or tendons, these can be treated as well. We hope to answer this question, but at this point stem cell therapy is investigational.

What Health Conditions May Benefit From Stem Cell Therapy?

Stem cell therapy is investigational and is not FDA approved. We are participating in clinical trials to help answer that question. BioReset Medical does not claim that any stem cell therapy is a cure for any condition, disease or injury. In general there are 2 common categories of stem cell therapy. The first is musculoskeletal. In these cases stem cells are being studied to see their effect on musculoskeletal problems including arthritis, degenerative joint disease (DJD), tendonitis or tendinosis, and nerve pain. Stem cell therapy is also being studied for Systemic or intravenous use. This is most commonly done for autoimmune, immunological and neurological conditions. When stem cells are placed IV they are felt to migrate to areas of tissue inflammation and damage. As a result, they are being investigated for a wide variety of conditions. These include includes neurological problems such as MS, Parkinson’s, dementia and post concussion syndrome. There are also trials evaluating autoimmune conditions including Hashimotos thyroiditis, Ulcerative Colitis and crohn’s disease.

What is BioCell Prolotherapy?

Prolotherapy has traditionally meant the injection of a sclerotic agent into a tendon, ligament or joint to create an inflammatory and healing response. In recent years prolotherapy has been advanced by using regenerative solutions for the injectate. These include platelet rich plasma (PRP), and Stem cell applications. We use our entire suite of regenerative solutions for prolotherapy injections. We define the use of biologic and stem cell therapies for prolotherapy as BioCell Prolotherapy. We believe that BioCell Prolotherapy may be our most potent form of Prolotherapy. Stem cell applications are thought to have anti inflammatory effects and also has a local effect of decreasing autoimmunity.

How do you place the stem cells?

All stem cell deployments are made under ultrasound guidance. The stem cells are placed into a syringe and then injected into the affected area under direct ultrasound vision. Stem Cells can also be deployed systemically through an IV.

How do you decide where to place stem cells?

The first step is to determine the exact area of injury or dysfunction and the scope of the problem. We determine placement of stem cells based upon physical exam, movement assessment and diagnostic musculoskeletal and nerve ultrasound. Our goal is to address every factor contributing to the problem. This always involves a specific injury or area of tissue damage. We also address biomechanical factors that may contribute to the injury, as well as the areas associated with the damage such as surrounding nerves, ligaments, tendons, joints and fascial planes.

We inject stem cells based upon this assessment, and particularly based upon where we see damage. All injections are ultrasound guided. We often treat nerves ligaments and tendons in addition to joints.

I am looking for job opportunities in this field. Where can I go for more information?

Please contact us via the Contact Us Form and we’ll be in touch with any updates on open positions or future opportunities.

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What is your approach to golf?

At BioReset Medical, we use the Titleist Performance Institute (TPI) assessment to design a treatment and training plan.  Titleist Performance Institute is one of the world’s leading educational organization dedicated to studying the relationship of an individual’s physical status and the performance they have in golf.This assessment is used by many elite golfers; 26 out of the top 35 golf pros have worked with TPI certified professionals.    

A proper golf swing requires that the body has both adequate mobility and stability at many of the joints in the body.  When either of these are lacking, the result may be a poor golf swing.  Often it is not your swing that is the issue but instead that your body does not allow you to get into the proper position to perform the swing. Taking a scientific approach to golf allows you to be sure that your body is well prepared to optimize your golf game.

What is your approach to yoga?

At BioReset Medical, we expand our thorough movement assessment to include a representative number of traditional yoga poses and movements to identify limitations that may prevent a yoga practitioner from being able to have a robust practice without injury.  Assessment includes not only movement observation but also using ultrasound imaging to identify the root causes of limitations and pain if needed.  Hydrodissection therapies can then be employed if appropriate.

What does NAD stand for?

NAD (nicotinamide adenine dinucleotide) is a coenzyme found in all living cells, and it’s required for the fundamental biological processes that make life possible. It’s main purpose is to fuel metabolic reactions forward. It is used by every cell in the body to perform fundamental cell processes, including turning nutrients into energy, maintaining the health of DNA, and regulating circadian rhythms. Without NAD, your cells won’t be able to metabolize carbohydrates, fats and amino acids. NAD also plays a significant role in gene expression linked to age-related diseases.

Why do NAD+ levels decline?

As we age, our NAD+ levels decline, putting your body at risk for physical and mental decline. Factors such as stress, lack of sleep, poor diet, alcohol and a lack of exercise can further decline your NAD+ levels.

What is NAD treatment?

NAD+ is an all-natural, vitamin B derivative, with minimal side effects. Many chronic conditions, including chronic fatigue syndrome, neurodegenerative disease and mental health disorders have been linked to cellular dysfunction and dysregulation. NAD+ therapy may help reduce the symptoms of many chronic conditions, and may help individuals suffering from chronic conditions regain their vitality and strength.

What is NAD treatment used for?

NAD is used to treat a number of conditions and symptoms. These include the following categories and more:

  • Chronic Conditions: e.g. Chronic Pain, Chronic Nerve Damage (Peripheral Neuropathy), Chronic Fatigue syndrome etc.
    Neurodegenerative Diseases and Mental Health Disorders – these include conditions as prevalent as Alzheimer’s, Parkinsons, Depression, PTSD and Anxiety etc.
  • Addiction-Related Detoxification: including alcohol addiction, drug addiction from all types of legal and illegal substances including methadone, benzodiazepines, stimulants, methamphetamines etc.
  • Age-Related Degeneration: appearance, attitude, sexual health etc.
  • Athletic Injuries: common knee, back, neck, and elbow injuries etc.
How is NAD different from typical addiction treatment options?
  • ​It is natural, compared to toxic pharmaceuticals which mostly harm your brain in the long run.
  • It is restorative. NAD helps your cells heal and helps with cellular biogenesis.
  • It is protective. NAD has shown to be neuroprotective.

Take Care of Your Health

Speak to Dr. Cook’s experienced team of specialists to understand what your personalized regenerative medicine options are. In order for us to put you in touch with the right person, please click the button below and fill out our contact form.