BMAC Stem Cell Therapy for Low Back Pain in Miami
Chronic low back pain driven by disc degeneration, facet arthritis, or sacroiliac dysfunction is one of the most common and difficult-to-treat musculoskeletal conditions. Conventional treatments offer only temporary relief without addressing the biological damage at the root of the pain. Bone marrow aspirate concentrate (BMAC) stem cell therapy targets these spinal structures at the cellular level — using your own living stem cells to support tissue repair in a way no other non-surgical treatment can.
Dr. William Bonner, a credentialed Regenexx network provider in Miami, performs fluoroscopically-guided BMAC injections for low back pain — targeting the disc, facet joints, sacroiliac joints, and other spinal structures based on the the complaint of each specific patient.
Spinal Structures BMAC Can Target
Intervertebral Discs — Intradiscal BMAC
BMAC is injected directly into the nucleus pulposus of a degenerated disc under fluoroscopic guidance. Regenexx registry data has demonstrated meaningful pain reduction and functional improvement in carefully selected patients with discogenic low back pain.
Facet Joints
Facet joint BMAC targets the intra-articular cartilage and synovial environment of arthritic facet joints — addressing the joint pathology itself, distinct from what medial branch blocks or RFA accomplish.
Sacroiliac Joint
SI joint BMAC delivers regenerative cells directly into the joint for patients with confirmed sacroiliac dysfunction contributing to low back and buttock pain.
BMAC vs. Other Spine Treatments
| Treatment | Target | Duration of Benefit | Best For |
| Physical Therapy | Movement, strength, stabilization | Long-term with compliance | All back pain stages |
| Epidural Steroid Injection | Nerve root inflammation | Weeks to months | Radiculopathy, disc herniation flares |
| Medial Branch Block / RFA | Facet nerve pain | Months to 1+ year (RFA) | Confirmed facet-mediated pain |
| PRP Therapy | Growth factors to disc, epidural space, facet, or SI joint | Months to 1+ year | Mild-moderate degeneration |
| BMAC Stem Cell Therapy | Living stem cells to disc, facet, or SI joint | Longest-lasting regenerative option | Moderate-advanced degeneration |
| Spine Surgery | Mechanical structural correction | Permanent | Severe stenosis, instability |
Why a Regenexx Provider Makes a Difference
Many clinics in Miami advertise ‘stem cell therapy’ using amniotic or umbilical cord products that independent research has shown to contain no viable living stem cells. As a credentialed Regenexx network provider, Dr. Bonner uses your own living bone marrow stem cells — harvested and processed the same day — under strict evidence-based protocols backed by the largest regenerative orthopedics outcome registry in the world. Regenexx is the only organization with this combination of proprietary lab processing, published clinical research, and rigorous provider credentialing.
Who Is a Good Candidate?
- Chronic low back pain lasting more than 3–6 months
- Imaging showing disc degeneration, facet arthritis, or SI joint pathology
- Inadequate lasting relief from physical therapy, epidural injections, or PRP
- Not a candidate for or wishing to avoid spine surgery
- Pfirrmann grades II–IV disc degeneration for intradiscal treatment
Frequently Asked Questions
Can BMAC reverse disc degeneration?
Complete reversal is not a realistic expectation. Intradiscal BMAC can support disc cell survival, suppress intra-discal inflammation, and potentially slow further degeneration — resulting in meaningful pain reduction for many patients.
How is BMAC for back pain different from what other Miami clinics advertise?
Many clinics advertising ‘stem cell injections for back pain’ use amniotic or cord products without living stem cells. Intradiscal BMAC uses your own living cells, concentrated the same day, delivered under fluoroscopic guidance by a physician trained in this specific technique through the Regenexx network.
How long does it take to feel results?
Intradiscal healing is slower than peripheral joint healing. Most patients begin noticing improvement between 8 and 16 weeks, with continued improvement possible over 6–12 months.
What to Expect
Bone marrow is aspirated from the posterior iliac crest under local anesthetic and ultrasound or fluoroscopic guidance, concentrated in-office using Regenexx protocols, then injected into the hip joint under fluoroscopic guidance with contrast confirmation. Full procedure time including processing is approximately 2.5 to 3.5 hours in a single visit.
Most patients resume light daily activities within 1–3 days. Improvement develops gradually over 6–12 weeks, with continued benefit over 3–6 months.
Schedule a Consultation
If you are dealing with chronic low back pain or degenerative spine conditions and want to explore whether BMAC therapy is right for you, we are here to help.
Contact our Miami clinic to schedule an appointment with Dr. Bonner, or book online through ZocDoc for available appointment times (if you do not see availability, please reach out to us directly at 786-522-4959).