WHAT TO EXPECT

PATIENT’S INFO

OVERVIEW OF STEM CELL THERAPY TREATMENT

Step 1: Get a referral from your healthcare professional, or complete the online application: https://regenerative.nz/stem-cell-assessment/
Step 2: Consult with Dr Mubark to decide the best approach for your case
Step 3: abdominal skin Fat Harvesting process by the Auckland Plastic Surgery Group under local anaesthesia
Step 4: Culture/Expansion of your stem cells at our specialized lab in Auckland, an average time of 6-8 weeks (depending on how fast your stem cells grow)
Step 5: Dr Mubark will inject your expanded stem cells at Ormiston Hospital under local anaesthesia with ultrasound guidance, using one session high dose stem cell with combined high concentration plasma (growth factor) and hyaluronic acid for maximum benefit

Preparing For The FAT Harvest

FAT HARVESTING (mini- liposuction) from the abdominal fat under local anaesthesia at Auckland Plastic Surgery Group located at 31 Highbrook Drive, East Tamaki/ Auckland 2013/ Tel:(09) 2202580

STEM CELL INJECTIONS- RECOVERY 2 WEEKS

All injections are done at Ormiston Specialist Centre

Before and During Your Stem Cell +/- PRP Procedure

-We take a sample of your blood and centrifuge it to prepare the PRP.

-The PRP is then combined with your stem cells.

-The injection is performed under local anaesthesia with ultrasound guidance.

-The entire process takes about one hour or longer.

Medications

-Take two Panadol tablets one hour before your injection.

-Continue taking two Panadol tablets, three times daily for three days after the procedure.

–Stop all anti-inflammatory medications (e.g. Celebrex, Brufen, Voltaren) one week before and for four weeks after your stem cell treatment.

-Continue your usual medications, including aspirin (used for coronary heart disease or stroke prevention).

-If you take blood thinners (e.g., warfarin, dabigatran, rivaroxaban), please check with Dr. Mubark at: drhassanmubark@gmail.com.

-If you need oral sedation, request a prescription from Dr. Mubark and take it one hour before your appointment.

Safety & Aftercare

-You may experience some swelling in the treated joint or area after stem cell therapy. This is a normal inflammatory response to the stem cells and usually lasts for less than one week before resolving naturally.

-Do not drive on the day of your procedure—even if you haven’t taken sedation—to avoid strain or injury to the treated area.

-Avoid or limit alcohol for three days after treatment.

-Ensure you are well hydrated before and after the procedure.

-Rest for at least three days afterward; taking time off work is recommended.

–Any concens post the stem cell therapy please contact Dr Mubark or email him at drhassanmubark@gmail.com.

POST INJECTION

First 2 Weeks post stem cell therapy (RECOVERY PHASE)

Lower Limb Rehabilitation After Stem Cell Therapy

Knee (First 2 Weeks)

Begin with gentle knee range-of-motion and strengthening exercises as demonstrated in the Knee Rehabilitation Exercises video.
Wear a knee brace during weight-bearing activities for the first 4 weeks (e.g. McDavid Ligament Knee Support or similar).

Hip (First 2 Weeks)

Perform gentle hip mobility exercises as demonstrated in the Hip Rehabilitation Exercises video.
Use crutches as advised and minimise stair use during the first 2 weeks.

Ankle (First 2 Weeks)

Begin with gentle ankle range-of-motion exercises as demonstrated in the Ankle Exercises video.
Gentle exercise bike (stationary cycling) may be started as tolerated.
Use crutches for the first 2 weeks, unless otherwise advised.
Wear a simple ankle support during activities for 6 weeks.

Important: Perform all exercises within a comfortable range. Stop if you experience significant pain, swelling, or worsening symptoms, and contact your treating doctor if you have any concerns.

Upper Limb Rehabilitation After Stem Cell Therapy

Hands (First 2 Weeks)

Perform gentle hand and finger exercises as demonstrated in the Hand & Finger Exercises.

Elbow (First 2 Weeks)

Perform gentle elbow and forearm exercises as demonstrated in this video:https://www.youtube.com/shorts/zmzHEBSvloI

Shoulder (First 2 Weeks)

Perform gentle shoulder range-of-motion exercises as demonstrated in Shoulder Exercises.
You may use an arm sling for the first few days if needed to reduce post-injection discomfort. Remove the sling several times a day to perform the recommended gentle exercises.

Important: Exercise within a comfortable range only. Stop if you experience significant pain and contact your treating doctor if you have concerns.

General Guidelines:

For lower limb and spinal treatments, avoid stairs and walking uphill when possible.
Do not use heat packs, ice, saunas, or hot pools; warm showers are acceptable.
Avoid running and jumping for 3 months following spine, hip, knee, ankle, foot, or toe stem cell procedures.
In general use braces immediately after the stem cell procedure (bring it with you- buy it from pharmacy or sport shop) and later on only when active (walking, exercising). Do not wear them while sitting, resting, sleeping, or showering.

After 2 weeks post knee, hip and ankle stem cell therapy

Active physical therapy with your preferred physiotherapist.
Begin using the exercycle on low resistance, then gradually increase the resistance as tolerated.

After 2 weeks post shoulder, elbow, wrist and hand stem cell therapy

Please see you physiotherapist for active exercises

After 6 weeks (and in milder cases after 4 weeks)

Start with slow-paced jogging and gradually increase the intensity, preferably on a field or treadmill to minimize high-impact stress on the cartilage.