#01
Grade III knee osteoarthritis (bilateral, right worse than left)
Treatment received
Ultrasound-guided intra-articular umbilical-cord-derived MSC infiltration (bilateral knees), 2 sessions 6 months apart, plus PRP boosters at month 3 and month 9.
In their words
“I'm 58 and was looking at a double knee replacement. My orthopedic surgeon in Phoenix had already filled out the paperwork. He's a friend, and he actually said — off the record — 'If you have the money and the time, try stem cells first. I wouldn't put my own knees through replacement at your age unless I had to.' That stuck with me. I flew to Cancun a month later. The team did MRI review, weight-bearing X-rays, and a 90-minute physical exam before they agreed to treat me. I appreciated that they almost talked me out of it — they were very direct that grade III is the upper edge of where they expect a good response, and grade IV bone-on-bone is not a candidate. Right knee was the bad one. After the first infiltration I noticed less stiffness in the morning within about 6 weeks. The pain on stairs took longer — maybe 4 months. After the second session and rehab, I'm walking 3 to 5 miles a day, sleeping through the night, and I cancelled the surgery. I won't say it's 'cured' — I still feel it on long hikes — but I bought myself maybe a decade.”
Clinical outcome (anonymized)
VAS pain score (right knee) dropped from 7 to 2 at 12 months. WOMAC functional subscale improved by 62%. MRI at month 14 showed mild improvement in cartilage signal but no full-thickness regeneration. Patient ambulating independently; no NSAIDs needed >2 days/week.
Honest framing
Grade III osteoarthritis is the upper edge of what we treat. Patients with grade IV (bone-on-bone) are not candidates and we decline those cases. This patient avoided surgery for 19+ months — we cannot promise she will not eventually need replacement; we bought her time.
