Regenerative Medicine
Regenerative medicine goes beyond disease management to search for and discover therapies that support the body in repairing, regenerating and restoring itself to a state of well-being.
Reduce your pain and restore your function without potentially harmful medications or joint replacement surgery
Mesenchymal stromal cells are rare, non-hematopoietic progenitor cells of mesodermal and neuroectodermal derivation
Stem Cells can replace, restore, and regenerate organs, tissues, cells that have been damaged, diseased, and inflamed with a non-surgical procedure
Addressing and correcting nutrient and hormone deficiencies is a vital part of the hair restoration process
Stimulate your body’s production of building new blood vessels to restore circulation
We achieve wonderful results for our patients without using potentially harmful medications which paralyze your nerves or invasive surgeries
Orthopedic Pain Therapy
Reduce your pain and restore your function without potentially harmful medications or joint replacement surgery
Platelet Rich Plasma
Platelet Rich Plasma therapy is a treatment option for various Orthopedic injuries and conditions, which have traditionally required surgery or other extensive treatments.
PRP injections are being utilized in Orthopedics with increasing frequency and effectiveness, commonly treating areas like joints, muscles, tendons, ligaments, and stem cells.
Stem Cell Therapy
Stem cell therapy is a kind of regenerative medicine. It aims to treat diverse ailments by exploiting the natural healing ability of the body. In other words, stem cells can regenerate areas of the body. This is why they are helpful in various medical conditions. Treatment is non-surgical and can be for inflamed, damaged, or diseased tissues. Some of the conditions treated with stem cells and extra growth factors include:
- Neurological conditions
- Sports injuries
- Spinal injuries
- Anti-aging
Mesenchymal Stem Cell (MSC)
Mesenchymal stromal cells are rare, non-hematopoietic progenitor cells of mesodermal and neuroectodermal derivation.
Mesenchymal stromal cells
Mesenchymal stromal cells are rare, non-hematopoietic progenitor cells of mesodermal and neuroectodermal derivation. At birth, these cells can be found in certain tissue niches, usually in a perivascular distribution. They are derived from Wharton’s Jelly.
Wharton’s jelly: this makes up much of the substance, or tissue, of the umbilical cord that provides most of the support around the blood supply (umbilical artery), and yes, it looks like clear jelly. This is composed of a multitude of “scaffolding” proteins (which provide an “anchor” or network for the other injected substances to stick to and not drain away), growth factors, and in some cases (depending on the preparation) mesenchymal stem cells that can stimulate your body’s own healing factors to repair damaged tissue.
MSCs can be used to develop new body tissues such as cartilage, bone, and fat cells. There is a possibility of using them to tackle a broad range of health challenges in the future.
Exosomes
Exosomes are tiny vesicles that “bud” off from mesenchymal stem cells, which are the newest exciting frontier in regenerative medicine.
Exosomes are composed of messenger-RNA (which sends a “code” to the host’s cells to begin repair), micro-RNA (which has anti-inflammatory properties), cytokines (small proteins that act as messengers for cell-to-cell signaling that can, among other things, strengthen the immune system, carry growth factors, and provide instructions from one cell or cell to others).
Because of their small size, exomes can cross the blood-brain barrier and have higher concentrations of growth factors than adult stem cells. Exomes, can also be added to PRP for the most robust biologic response.
Conditions Generally Treated with Mesenchymal Stem Cell (MSC)
- Ankle pain (e.g., arthritis, chronic instability, tarsal tunnel syndrome)
- Low back pain (including spondylolisthesis, radiculopathy, spinal stenosis)
- Neck pain (e.g., spastic torticollis, neck arthritis, et.)
- Degenerative disc disease
Elbow pain (e.g., lateral or medial epicondylosis—“tennis elbow” and “golfer’s elbow,” respectively) - Fibromyalgia
- Foot pain (including bunions)
- Headaches (tension, migraine)
- Hip pain (e.g., labral tears, femoral-acetabular impingement, iliopsoas tendinopathy, snapping hip syndrome)
- Knee pain (e.g., patellar tendinosis or “jumper’s knee,” patellofemoral syndrome or “runner’s knee,” meniscal tears, et.)
- Osgood-Schlatter disease
- Shoulder pain (e.g., acromio-clavicular joint pain, long head biceps tendinopathy, impingement syndrome, rotator cuff tendinopathy, labral tears, “separated shoulder,” al.)
- Sternal/anterior chest and rib pain (e.g., sternoclavicular joint dislocation, slipped rib syndrome, et.)
- Temporomandibular joint pain, or TMJ
- Wrist pain (e.g., degenerative arthritis, triangular fibrocartilage complex tear, al.)
Stem Cell Therapy
Stem Cells can replace, restore, and regenerate organs, tissues, cells that have been damaged, diseased, and inflamed with a non-surgical procedure
What is Stem Cell / Biologic Therapy?
A stem cell is a unique cell with the ability to develop into any cell and is the future of medicine. Stem Cells can replace, restore, and regenerate organs, tissues, cells that have been damaged, diseased, and inflamed with a non-surgical procedure.
Stem Cells are attracted to areas of the body that are inflamed or degenerating from damage or disease. The ability these cells have to regenerate areas of the body are why they are used in various medical conditions and diseases.
Different Sources Of Biologis
Some of the most common substances used in biologics injections:
Autologous (i.e. coming from one’s own body) regenerative tissues are typically taken from the bone marrow or adipose (fat) cells. These have the advantage of no risk of rejection by the body, but the procedure to harvest bone marrow or fat cells is long, very expensive, and risky. Drilling a hole into bone, typically the pelvis, to get bone marrow, and making an incision in the abdomen to macerate, or “mash up” adipose cells, in effect a mini liposuction, can cause pain, bleeding, and even serious infection given the degree of bone and soft tissue penetration.
Additionally, it’s been documented that the stem cells sought in doing such procedures drop severely in number as we age. A study by AI Caplan et. al. showed that the percentage of mesenchymal stem cells, or MSCs to bone marrow cells, drops from around 1 in 10,000 at birth, to 1 in 100,000 by the teenage years, to as low as 1 in 400,000 by age 50 and 1 in 1,000,000 by age 70.
The Most Well-Known Biologics Today
Some of the most well-known biologics today are those that come from the umbilical cord. The umbilical cord contains several valuable substances that are being used at the cutting edge of regenerative medicine today
Wharton’s jelly
This makes up much of the substance, or tissue, of the umbilical cord that provides most of the support around the blood supply (umbilical artery). This is composed of a multitude of “scaffolding” proteins (which provide an “anchor” or network for the other injected substances to stick to and not drain away), growth factors, and in some cases (depending on the preparation) live cells that can stimulate your body’s own healing factors to repair damaged tissue.
These Mesenchymal stromal cells are rare, non-hematopoietic progenitor cells of mesodermal and neuroectodermal derivation.
MSCs can be used to develop new body tissues such as cartilage, bone, and fat cells. There is a possibility of using them to tackle a broad range of health challenges in the future.
Umbilical cord blood
this is one of the newer biologics available, and it contains a variety of different cells, which, like the Wharton’s jelly products noted above, contain a bounty of growth factors.
Additionally, the cells within the cord blood have the ability to develop into more specialized cells in line with what is needed for recovery and healing in the damaged area.
Exosomes
These are tiny vesicles that “bud” off from live cells, that are the newest exciting frontier in regenerative medicine. Exosomes are composed of messenger-RNA (which sends a “code” to the host’s cells to begin repair), micro-RNA (which has anti-inflammatory properties), cytokines (small proteins that act as messengers for cell-to-cell signaling that can, among other things, strengthen the immune system, carry growth factors, and provide instructions from one cell or cell to others). Because of their small size, they can cross the blood-brain barrier, and have higher concentrations of growth factors than adult stem cells.
Another treatment option (or one that can be used in conjunction with the biologics given above) consists of what is known as placental products that are harvested after birth. These products have biologic growth factors and cellular components from sources such as placental tissue that are derived from stem cells.
These growth factors, much like those found in PRP (fibroblast/ epidermal/transforming growth factor,) as well as other elements are useful in tissue healing, like collagen, laminin, fibronectin, hyaluronic acid, etc. Hyaluronic acid is extremely important as the “lubricant” in the joint spaces; it’s “thick” enough to resist pressure as a shock absorber, and works with the other substances to collectively provide a strong anti-inflammatory effect (i.e. less pain). Like umbilical cord biologics products, these substances can provide excellent healing benefits.
What Conditions Can Be Treated With Stem Cell/Biologic Therapy?
- Elbow Pain
- Lateral epicondylitis (tennis elbow)
- Medial epicondylitis (golfer’s elbow)
- Knee Pain
- Medial collateral ligament (MCL) knee injuries
- Patpatellar tendinosis or “jumper’s knee”
- Patellofemoral syndrome or “runner’s knee”
- Meniscal tears
- Shoulder Pain
- Acromio-Clavicular joint pain
- Long head biceps tendinopathy
- Impingement Syndrome,
- Rotator cuff tendinopathy
- Labral tears
- Hip Pain
- Labral tears
- Femoral-Acetabular impingement
- Iliopsoas tendinopathy
- Snapping Hip Syndrome
- Ankle Pain
- Arthritis
- Chronic Instability
- Tarsal Tunnel Syndrome
- Wrist Pain
- Degenerative arthritis
- Triangular Fibrocartilage Complex Tear
- Carpal Tunnel Syndrome
- Back Pain & Neck Pain
- Spinal arthritis/injuries
- Degenerative Disc Disease
- Radiculopathy
- Chondromalacia (cartilage softening
- Anti-Aging
- Fibromyalgia / Muscular pain and spasms
- TMJ (Temporomandibular Joint Syndrome)
PRP Therapy
Platelet Rich Plasma
What is Platelet Rich Plasma?
PPR Therapy; Platelet Rich Plasma better known as PRP is the latest cutting-edge, non-invasive therapy or treatment.
The growth factors in PRP we acquire from your blood can activate cells in the body, healing and regenerating new connective tissue, capillaries and collagen in the skin.
How does PRP Therapy work?
PRP Therapy; The provider draws blood from the patient, the blood is then placed in a centrifuge, which spins for 5 to 10 minutes to separate the growth factors in the platelet-rich plasma from the red blood cells.
Platelet-rich plasma (PRP) injections promote faster healing and transferring these growth-factor proteins to other areas of the body essentially helping any damaged area.
When do you use PRP?
Hair Restoration with or without Stem Cells (Restor or Renyte) and Exosomes (Rexo). Would make the words “Restor” “Renyte” and “Rexo) links to products slicks I will forward separately.
Orthopedics (Joint Injections, Neck / Back Injections, tendon injections) with or without Stem Cells and Exosomes.
Hair Restoration
Achieve Healthy Hair Growth
Who is hair restoration treatment for?
You might want to consider hair restoration treatment if you’re experiencing hair loss that’s causing you distress.
Hair loss is common in the United States, affecting millions of men and women. For some, hair loss begins in early adulthood, but for individuals over 50 years old, it can be even more of an issue — around 50% of men experience hair loss in middle age or older.
How can I encourage the hair restoration process?
Addressing and correcting nutrient and hormone deficiencies is a vital part of the hair restoration process.
To achieve healthy hair growth, it’s important to consider all the factors that can lead to hair loss. For example, low testosterone in men, falling estrogen levels in women going through menopause, and thyroid hormone imbalance can all cause hair loss.
If your diet doesn’t contain the vitamins and minerals you need for healthy hair, that can also have an effect. Your general health has an impact, too, with all sorts of disorders potentially affecting hair growth, from diabetes to depression.
Good circulation is also vital for healthy hair growth. If you have a condition like atherosclerosis that reduces blood flow, your scalp won’t receive oxygen at optimal levels.
Alopecia Areata PRP/Restore
before and After
PRP (Platelet-Rich Plasma)
PRP is a substance drawn from your own blood. It contains platelets, i.e. the substances that make your blood clot when you’re injured. Platelets also contain growth factors, which initiate your body’s healing response. PRP is a fluid containing a very high concentration of platelets, along with plasma (the fluid component of your blood) that can boost healing beyond the body’s own ability if left alone. It revives your hair follicles to promote growth of new hair.
What does hair restoration involve?
Most people benefit from platelet-rich plasma (PRP) therapy, while some might require additional treatments using cellular Wharton's jelly and/or exosomes.
PRP
A very popular hair restoration treatment includes injections of platelet rich plasma. Platelet Rich Plasma (or PRP) has often been referred to as your body’s own form of regenerative medicine. PRP has taken the medical field by storm because of the ability to harness your body’s own natural growth factors to fight hair loss, revive your follicles, and promote the growth of new hair. It’s simple — your blood is drawn in our office and spun down in a special centrifuge to separate out red and pro-inflammatory white blood cells and platelet-rich plasma is extracted. This plasma then gets injected into the scalp where hair follicles need stimulation and signals your body to increase blood flow, healing, and new growth.
Wharton's jelly
Wharton’s jelly comes from the umbilical cord of newborn babies delivered by C-section, in a process that does not do any harm to the mother or child. It contains proteins that help bind other substances used in your treatment in a framework that prevents them from draining away. It also contains powerful growth factors and live cells that stimulate the body’s healing processes by directing the body’s own stem cells to congregate at the injection site, multiply there and form the necessary tissues and structures.
Exosomes
Exosomes are vesicles that “bud” off of cells that serve as messengers that trigger hair growth. Introducing concentrated exosomes into your scalp reactivates dormant cells, encouraging hair to grow.
Hair restoration begins with microneedling. The microneedling device creates tiny channels in your scalp that enable your body to absorb the PRP, cellular Wharton’s jelly, and/or exosomes.
Regenerative Medicine For Pain Management
For Chronic Degenerative Knee and Shoulder Pain
We will address the cause of your Chronic Degenerative Knee Pain at the cellular level without potentially harmful medications or joint replacement surgery. We use Regenerative Medicine to reduce your pain and restore your function. To Regenerate means to Make New Again and that is what we can accomplish for you by introducing concentrated healing factors from your own blood, the latest generation in Visco Supplementation to repair and stimulate the degenerative cartilage in your knee, and cellular factors that stimulate your body’s production of new cartilage, tendons, ligaments and synovial fluid. Additionally, we use special modalities in our office which will increase your results and speed up your recovery. We achieve over 90% long-lasting results for our patients. Our job is to reduce your pain, increase your function and restore your quality of life.
Peripheral Neuropathy
Stimulate your body’s production of building new blood vessels to restore circulation.
This condition affects over 20 million Americans. It begins with a blood sugar imbalance that reduces your blood flow to your hands and feet through the smallest of blood vessels. It results in numbness, tingling, pain and lost function of your hands and feet. Using Regenerative Medicine we can stimulate your body’s production of building new blood vessels, which will restore your circulation and repair your damaged tissues. Reducing your pain and discomfort and restoring your quality of life is our goal.
Cosmetics & Aesthetics
We achieve wonderful results for our patients without using potentially harmful medications which paralyze your nerves or invasive surgeries
Natural Facial Rejuvenation
Our use of Regenerative Medicine truly shines in this area as well. We achieve wonderful results for our patients, this can be used in conjunction with Botox / Dysport / Xeomin and Fillers. At the cellular level we can increase your collagen production, restore a smoother, tighter and younger-looking skin for a Natural, More Youthful Appearance.
Hair Restoration
In today’s environment, both men and women experience thinning hair and hair loss. Regenerative Medicine treats your hair loss at the cellular level by stimulating new circulation and the nourishment and regrowth of hair follicles. We use healing and growth factors from you that are concentrated over 100 times in our special equipment and then reintroduced into your problem areas. We also use ethically obtained tissue allografts to have your body stimulate the production of new hair follicles.
About Chapel Health
Meet Our Team
Premier team for skin, face, and body treatments & procedures.
Dr. Arriviello, CEO
Dr. Richard Arriviello grew up in Southern New Jersey and graduated from the Philadelphia College of Osteopathic Emergency Medicine. Dr. Arriviello completed his residency at Midwestern University in Chicago, IL and is board certified in Emergency Medicine. He is licensed to practice medicine in over 20 states. He has worked for the past 25+ years in a variety of settings, ranging from level one trauma centers to regional community hospitals to multinational corporations. He has been the CMO for InHouse Physicians for over 15 years providing employee health services to some of the largest corporations in the world. Most recently, he has spearheaded IHP’s COVID return to work program for employers. He is the owner of Family Urgent Care, which offers full-service medical care and Occupational Health and Workman’s Comp. He is also the founder and CEO of Chapel Health which offers aesthetics and regenerative medicine.
Carrie Dobson, RN
Carrie has called Charlotte home since 2007. She has a bachelor‘s of science degree in exercise physiology and furthered her education by completing her nursing degree from Mercy School of Nursing. Carrie has extensive experience in surgical nursing, which led her to plastics and aesthetics in 2017. She has been trained on various aesthetic procedures and is certified to inject neuromodulators and dermal fillers. She loves to personalize her care to each specific patient and feels everyone deserves to feel and look their best every day! In her spare time, she enjoys running on the greenway, reading a good book and spending time with her two teenage daughters and her husband.
Melissa Chu, RN
Melissa has been a registered nurse since 2012. She has worked in multiple specialties throughout the years, including cardiac stepdown, emergency, and medical stepdown. After working as a staff nurse for five years, then a travel nurse for three years, she decided to pursue her dream career as an aesthetic nurse. Trained in the medical spa setting since 2020, she specializes in injectables, such as wrinkle relaxers, fillers, and more. “I’m so excited to begin this new chapter working at Chapel Health as an aesthetic nurse injector! I love working with my clients to develop a treatment plan to help them feel confident in their own skin. Call today to book your appointment with me!”
CUSTOMER TESTIMONIALS
Chapel Health would love your feedback.
