🧬 Regenerative Medicine Aftercare

    Stem Cell Injection (Knee, Shoulder, or Hip) Aftercare Instructions

    A day-by-day recovery guide for stem cell injection (knee, shoulder, or hip): what to expect, how to care for yourself, and when to call. Free to read and print.

    Typical recovery: about 90 daysRegenerative Medicine

    What to expect

    What to expect from regenerative treatment

    • •Regenerative injections work gradually. The soreness flare in the first days is not a setback; it is the healing signal.
    • •Protecting that signal (no NSAIDs, no ice, relative rest) in the first 2 weeks is the single most important thing you can do for your result.

    Stem Cell Injection (Knee, Shoulder, or Hip) recovery, day by day

    Day 0 (Injection Day)

    What is normal in the first 48 hours

    • A dull ache, stiffness, warmth, and mild swelling in the treated joint are expected and are part of how the treatment works.
    • This flare often peaks 2 to 3 days after your injection and can feel like the joint is temporarily worse before it gets better.
    • Rest the joint for the first 48 hours. Normal daily movement is fine, but avoid loading it hard.

    Do NOT use anti-inflammatory medication (no NSAIDs, no ice)

    • Do not take ibuprofen, naproxen, aspirin, or other NSAIDs, and avoid icing the joint, for at least the first 2 weeks unless your physician tells you otherwise.
    • The healing response depends on a controlled inflammatory signal, and anti-inflammatories and ice blunt exactly the process you paid for.
    • Use acetaminophen (Tylenol) for pain instead. If your pain is not controlled by acetaminophen, call the clinic rather than reaching for an NSAID.
    Days 1 to 2

    Relative rest, then gentle motion

    • For the first 48 to 72 hours, keep the joint moving through its comfortable range but avoid impact, heavy lifting, and end-range strain.
    • No running, jumping, heavy squatting, or overhead loading. Gentle walking and light range-of-motion movement is encouraged; complete immobility is not the goal.
    • Let comfort be your guide and back off anything that produces sharp pain.

    Hydrate and support healing

    • Drink at least 64 ounces of water a day for the first week and eat protein-forward meals to give the repair process its building blocks.
    • Avoid alcohol for 48 hours and avoid nicotine, which meaningfully reduces regenerative healing.
    • Do not start new anti-inflammatory supplements (high-dose fish oil, turmeric, systemic enzymes) during the first 2 weeks for the same reason you are holding NSAIDs.
    Days 3 to 7

    Progressive return to movement

    • As the early flare settles, gradually reintroduce controlled movement. Low-impact activity (walking, stationary cycling, swimming once any needle sites are fully closed) is usually comfortable now.
    • Continue to avoid high-impact loading and heavy resistance.
    • If your physician prescribed physical therapy, begin it on the schedule they set; guided loading is what turns the biology into function.
    Weeks 2 to 6

    Rebuild load deliberately

    • Most patients can progressively return to strength work and their sport during this window, adding load in steps rather than all at once.
    • You may still notice good days and flare days; that is normal during remodeling.
    • Keep sessions submaximal and stop anything that causes sharp or lasting pain.
    Weeks 6 to 12

    Assess response and plan next steps

    • Regenerative treatment builds over time. Many patients feel meaningful improvement by weeks 6 to 12, and tissue remodeling can continue for several months.
    • Around this point your physician will assess your response and discuss whether a follow-up injection or a maintenance plan makes sense.
    • Track your pain, stiffness, and function so that conversation is grounded in your real progress.

    Medications you may be given

    Acetaminophen (Tylenol) 500mg

    Take 1 to 2 tablets by mouth every 6 hours as needed for soreness. Do not exceed 3000mg in 24 hours. Do NOT substitute ibuprofen, naproxen, or aspirin.

    Always follow the exact directions your own provider gives you. This is general information, not a prescription.

    When to call your provider or 911

    • •Increasing redness, warmth, or swelling that worsens after day 3 to 4 rather than improving
    • •A joint that becomes hot, red, and very painful
    • •Fever over 101F or chills
    • •Drainage or pus at an injection site
    • •Calf pain or swelling
    • •Pain that is severe and not controlled by acetaminophen

    When in doubt, call your clinic. For a medical emergency, call 911.

    Recovery milestones

    1. Day 0

      Injection day

      Rest the joint; expect a soreness flare; no NSAIDs and no ice; use acetaminophen only.

    2. Day 3

      Flare peaks

      Soreness and stiffness typically at their worst around now, then begin easing.

    3. Day 7

      Gentle movement resumes

      Low-impact motion comfortable; still avoiding NSAIDs and high-impact loading.

    4. Day 30

      Progressive loading

      Structured return to strength and activity, adding load in steps.

    5. Day 90

      Response check

      Assess pain and function with your physician; plan any follow-up or maintenance.

    For clinics

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