New Fees from May 1st 2017

To our valued patients,

We wish to advise, due to the increasing costs of running the clinic, we are having to increase our prices slightly. This will take affect from 1st May 2017. 

A standard consultation will be $85. The full price list is located at the clinic. 

We thank you for your understanding,

Management.  

Hyperbaric Chamber

You can access this treatment simply by calling the Malvern Health and Fitness staff on 98227951 and making an appointment. 

Hyperbaric Oxygen Chamber


Hyperbaric oxygen therapy creates an environment, under pressure, where cells can be more receptive to repair and recovery. It raises the levels of oxygen in the body’s blood plasma, and increased oxygen in the plasma leads to higher amounts of oxygen being delivered to the body’s tissues, organs and brain.

With increased blood plasma oxygen levels in your body there is an increase of oxygen in the body’s tissues and muscle fibers, especially in regions of injury and swelling. Decreased inflammation increases the recovery rate allowing functional mechanisms to be effectively re-recruited and allowing you to regain optimal performance quickly. 


Mild hyperbaric oxygen therapy promotes relaxation, stimulates the body’s healing processes, increases stamina and endurance and also helps the body to return to a state of balance and well-being. 


Professional athletes as well as occasional athletes from a broad spectrum of sports have adopted mild hyperbaric oxygen therapy as a regular part of their training. Many physicians now recommend mild hyperbaric oxygen therapy for their surgical patients to speed healing and reduce scarring, and for treatment of other conditions including diabetes. Celebrities and people from all walks of life use mild hyperbaric oxygen therapy to take advantage of the host of benefits that it may provide, including: 

  • Increased energy and endurance 
  • Improved concentration and cognitive abilities 
  • Decreased stress and better sleeping 
  • Effective treatment for digestive disorders and headaches 
  • Faster recovery from frequent flying or long flights 
  • Reduced feelings of depression, anger, or sadness 
  • Relief from aching, swollen joints and muscles 
  • An overall feeling of healthy rejuvenation 
  • Time out of your busy day to recharge and simply be 

Intravenous Administration of Adipose-Derived Mesenchymal Stem Cells

Safety of Adipose-Derived Mesenchymal Stem Cells (MSCs)

With all novel and progressive treatments, the medical industry is understandably concerned about safety. At Surecell, our patients’ safety is our number one priority. Studies have shown that even at high doses, treatment with adipose derived MSCs caused no serious side effects. In addition, no immune-rejection responses or tumour developments have been observed (1).

In fact, adipose derived mesenchymal stem cells satisfy all the ideal criteria for a regenerative medical application (2):

  1. They can be found in abundant quantities (millions to billions)
  2. They can be harvested by a minimally invasive procedure
  3. They can differentiate along multiple cell lineage pathways in a regulated and reproducible manner
  4. They can be safely and easily administrated to a patient
  5. They can be manufactured in a safe and regulated way

Tissue Revascularisation

An optimal vascular supply is crucial to tissue healing. Studies have found that administration of MSCs stimulates formation of vessel-like structures and can improve vessel wall (endothelial) function. This can assist with healing from coronary events (such as heart attacks), pulmonary hypertension, primary and post-surgical skin wounds, and cosmetic fat grafting (3).

Stroke

Stroke is a devastating incident, which can leave many patients with functional and cognitive impairment. A number of studies have shown that administration of MSCs can enhance recovery and improve outcomes for patients. They found that administration of adipose derived MSCs to affected animals resulted in the release of multiple regenerative growth factors, such as brain-derived neurotrophic factor (BDNF)(4), insulin-like growth factor-1 (IGF-1)(5) and vascular endothelial growth factor (VEGF)(6). From this we may infer that treatment with MSCs encourages repair and regrowth of nerves, as well as surrounding brain matter.

It has also been observed that adipose derived stem cells had a higher proliferative activity and differentiation than bone marrow derived stem cells. Also considering their significantly better safety profile, this indicates that adipose tissue is a preferable source for cell therapy (6). There are currently clinical trials taking place to further assess the safety and efficacy of MCSs in stroke patients.

Alzheimer's Disease

Alzheimer’s dementia is a recalcitrant disease causing cognitive decline that can be very upsetting, both to patients and to their families. Treatment options are limited, however intravenous administration of adipose-derived MSCs to mice significantly improved their memory. The study found that intravenously administered MSCs actually crossed the blood brain barrier, increasing levels of IL- 10 and VEGF in the brain. These results indicate that MSCs could be used both in the prevention and in the treatment of Alzheimer’s disease (7).

Chronic Disease

Type 1 Diabetes Mellitus

Type 1 Diabetes (T1DM) is a notoriously challenging disease, which requires life long medical care and intervention. There is currently no definitive cure, and many patients suffer long-term complications. The regenerative capability of MSCs can potentially be harnessed to replace the pancreatic cells of diabetic patients (8).

The long-term effects of MSC therapy have been studied in streptozocin-induced diabetic mice. Transient reduction in glucose levels following administration of MSCs has been well documented. Further recent study has found that multiple intravenous MSC injections, 2 weeks apart, have the ability to increase insulin production and stabilize glucose levels. In fact, after 6 months, the authors found that MSC cells had been engrafted into the liver tissue, and were producing their own insulin (9). This shows exciting prospects for the long-term therapy of T1DM.

Type 2 Diabetes Mellitus (T2DM)

A similar experiment used a combination of streptozocin and a high-fat diet to induce type 2 diabetes in rats. This study found that by infusing MSCs, not only did insulin production increase, but also insulin resistance was ameliorated (10). The latter is a key characteristic of T2DM. This indicates that intravenous administration of MSCs can be beneficial in maintaining glucose balance in both T1DM and T2DM.

Chronic Kidney Disease

Many disease processes can ultimately result in chronic kidney failure. A recent study found that adipose-derived stem cells, administered as a single intravenous infusion, resulted in a significant improvement in kidney function. Multiple regenerative biomarkers were detected and these directly corresponded with the improvement (11). This paper suggests that MSCs offer a minimally invasive, low-risk method of slowing disease progression.

References

  1. Ra JC, Shin IS, Kim SH, Kang SK, Kang BC, Lee HY, et al. Safety of intravenous infusion of human adipose tissue-derived mesenchymal stem cells in animals and humans. Stem cells and development. 2011 Aug;20(8):1297-308. PubMed PMID: 21303266.
  2. Gimble JM, Katz AJ, Bunnell BA. Adipose-derived stem cells for regenerative medicine. Circulation research. 2007 May 11;100(9):1249-60. PubMed PMID: 17495232.
  3. Zuk P. Adipose-derived stem cells in tissue regeneration: a review. ISRN Stem Cells. 2013.
  4. Chung JY, Kim W, Im W, Yoo DY, Choi JH, Hwang IK, et al. Neuroprotective effects of adiposederived stem cells against ischemic neuronal damage in the rabbit spinal cord. Journal of the neurological sciences. 2012 Jun 15;317(1-2):40-6. PubMed PMID: 22475376.
  5. Wei X, Zhao L, Zhong J, Gu H, Feng D, Johnstone BH, et al. Adipose stromal cells-secreted neuroprotective media against neuronal apoptosis. Neuroscience letters. 2009 Oct 2;462(1):76-9. PubMed PMID: 19549558.
  6. Ikegame Y, Yamashita K, Hayashi S, Mizuno H, Tawada M, You F, et al. Comparison of mesenchymal stem cells from adipose tissue and bone marrow for ischemic stroke therapy. Cytotherapy. 2011 Jul;13(6):675-85. PubMed PMID: 21231804.
  7. Kim S, Chang KA, Kim J, Park HG, Ra JC, Kim HS, et al. The preventive and therapeutic effects of intravenous human adipose-derived stem cells in Alzheimer's disease mice. PloS one. 2012;7(9):e45757. PubMed PMID: 23049854. Pubmed Central PMCID: 3458942.
  8. Mabed M, Shahin M. Mesenchymal stem cell-based therapy for the treatment of type 1 diabetes mellitus. Current stem cell research & therapy. 2012 May;7(3):179-90. PubMed PMID: 22023626.
  9. Ho JH, Tseng TC, Ma WH, Ong WK, Chen YF, Chen MH, et al. Multiple intravenous transplantations of mesenchymal stem cells effectively restore long-term blood glucose homeostasis by hepatic engraftment and beta-cell differentiation in streptozocin-induced diabetic mice. Cell transplantation. 2012;21(5):997-1009. PubMed PMID: 22004871.
  10. Si Y, Zhao Y, Hao H, Liu J, Guo Y, Mu Y, et al. Infusion of mesenchymal stem cells ameliorates hyperglycemia in type 2 diabetic rats: identification of a novel role in improving insulin sensitivity. Diabetes. 2012 Jun;61(6):1616-25. PubMed PMID: 22618776. Pubmed Central PMCID: 3357293. 11. Villanueva S, Carreno JE, Salazar L, Vergara C, Strodthoff R, Fajre F, et al. Human mesenchymal stem cells derived from adipose tissue reduce functional and tissue damage in a rat model of chronic renal failure. Clinical science. 2013 Aug;125(4):199-210. PubMed PMID: 23480877.

Evaluation of the effectiveness of Platelet-Rich Plasma with a large opportunity sample in General Practice

This analysis of a large number of cases provides valuable information about patient characteristics, patterns of treatment and therapeutic response, from an opportunity sample of self-selected patients attending for specialized Platelet Rich Plasma (PRP) treatment of joint pain in the Australian GP context.

It documents the success of PRP treatment for a range of joint pain problems, with particular emphasis on the management of knee pain. Repeat follow-ups of patients are planned to assess the durability of PRP’s benefits.

The role of Exercise, Soft-Tissue Therapy, and Acupuncture post PRP treatment

Written by Steve Moar: Accredited Exercise Physiologist/Acupuncturist/Myotherapist

Platelet-Rich Plasma (PRP) aims to utilise the body's natural inflammatory processes to accelerate and enhance tissue healing. PRP is generally targeted to the primary source of pain - either joint and/or soft-tissue.

Exercise therapy, acupuncture, myofascial release and soft-tissue treatment are ideal modalities to work alongside PRP therapy in addressing both the primary site of injury and pain, and secondary problems associated with muscle imbalances and weaknesses, lack of core strength and dynamic stability, secondary trigger points and areas of muscle tightness. 

  • Individualized exercise prescription helps PRP patients address specific areas of muscle weakness, ensures there are proper movement patterns and muscle activation sequences, and assists in improving balance and core strength. 
  • Lifestyle advice can help PRP patients make healthier lifestyle choices.
  • Acupuncture/Dry needling techniques have a PRP like effect and can be used to enhance the effect of PRP treatment and treat secondary trigger points often associated with chronic injuries and compensatory movement patterns. 
  • Soft-tissue therapy techniques can be used to address areas of muscle spasm, tightness and pain. 

This is particularly the case with chronic conditions such as osteoarthritis, where degenerative changes over time often cause compensatory changes in related structures. 

Exercise Physiology is available for eligible patients as part of a Care Plan, and the costs of treatment are partially covered by Medicare, TAC, WorkCover and private health insurance. 

As an accredited Exercise Physiologist, registered Acupuncturist and Massage Therapist with more than 20 years experience, Steve is uniquely placed to assist physicians and patients post PRP treatment to facilitate and speed up the rate of healing and recovery, and achieve optimal long-term results. 

Appointments available at:

  • 1232 High Street, Armadale [Tel: 9509 5922]
  • 1291 Malvern Road, Malvern [Tel: 9822 7951]

Zostavax available here

Zostavax - Shingles vaccine is now available at the clinic. 

Zostavax® is free for all adults 70 years of age from November 2016.

A single catch-up dose will be funded for adults aged 71-79 years until 31 October 2021. It is recommended for those over the age of 60, and this is available on the private market. This will require a consultation with your doctor where a prescription will be written. 

Please call the clinic to book in today. ph: 95095922.