{"key":"op_1420_CO","page":{"url":"https://ua.bookimed.com/clinics/country=colombia/procedure=stem-cell-therapy-for-back-pain/","procedure":{"id":1420,"slug":"stem-cell-therapy-for-back-pain","name":"Лікування стовбуровими клітинами при болях у спині","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"therapy","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"stem-cells","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":204,"iso":"CO","name":"Колумбія"},"currency":"USD","data_date":"2025-06-17"},"pages":{"clinics_url":"https://ua.bookimed.com/clinics/country=colombia/procedure=stem-cell-therapy-for-back-pain/","cost_url":"https://ua.bookimed.com/clinics/country=colombia/procedure=stem-cell-therapy-for-back-pain/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":6500,"to":30000,"avg":{"value":7940,"method":"median","source":"offers"},"us":{"from":3500,"to":8000},"uk":{"from":4200,"to":8500},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Медельїн","from":6500}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"source":"offers","items":[{"tier":"standard","min":10000,"max":10000,"median":10000,"count":1},{"tier":"premium","min":5880,"max":5880,"median":5880,"count":1}]},"comparison":[{"country_iso":"UA","from":4400,"to":4500},{"country_iso":"FR","from":2800,"to":5200},{"country_iso":"GB","from":4200,"to":8500},{"country_iso":"US","from":3500,"to":8000},{"country_iso":"IL","from":4500,"to":7500},{"country_iso":"TR","from":3700,"to":4800},{"country_iso":"MX","from":3500,"to":8000},{"country_iso":"DE","from":2800,"to":6800},{"country_iso":"CA","from":3500,"to":8000},{"country_iso":"AE","from":5500,"to":10000},{"country_iso":"TH","from":16500,"to":{"status":"missing","reason":"not_collected"}},{"country_iso":"PL","from":1400,"to":3400},{"country_iso":"KR","from":5500,"to":10000},{"country_iso":"CZ","from":7000,"to":11000},{"country_iso":"AT","from":2200,"to":4800},{"country_iso":"ES","from":2300,"to":4500},{"country_iso":"IT","from":7500,"to":13000},{"country_iso":"CN","from":6500,"to":14000},{"country_iso":"AU","from":3500,"to":9000},{"country_iso":"IN","from":6500,"to":11000},{"country_iso":"MY","from":3500,"to":8000},{"country_iso":"VN","from":3500,"to":6500},{"country_iso":"BR","from":2800,"to":5000}],"base_country":"US","base_is_fallback":false},"savings":{"pct":-86,"variant":"ranges_overlap"},"package":{"included":["Boost overall well-being","Consultation with a doctor","Consultation with an anesthesiologist","Rejuvenate body & mind","VIP transfer (premium vehicle service, all transfers between airport, hotel and clinic)","4* Hotel","After Care: Wound care and Hyperbaric Oxygen therapy","Breakfast only","Cleanse your body","Consultation with an orthopedist traumatologist","Follow-up examination","Hotel","Language assistance","Medical Examination for pre-operation","Reduce stress","Relax","Sedation","Ultrasound","Vitamin Infusions"],"excluded":["Accommodation is not included"],"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":5,"items":[{"id":6283,"name":"Stem Cells Colombia","city":"Medellín","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":["Joint Commission International"],"rank":1,"has_procedure":true,"why_ranked":"Uses high-quality passage 3 stem cells with 96.9% viability. Protocol includes 30 million stem cells + 5 billion exosomes per treatment. Procedures performed under sedation with ultrasound/fluoroscopy guidance by specialists with 5,000+ procedures experience.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":[{"id":"67774e1a0846b5ed180f7403","price":5880,"price_before_discount":6500,"nights":0,"included":["Vitamin Infusions","Medical Examination for pre-operation","After Care: Wound care and Hyperbaric Oxygen therapy","Relax","Hotel","Cleanse your body","Boost overall well-being","Rejuvenate body & mind","Reduce stress","Consultation with a doctor","Sedation","Follow-up examination","Consultation with an anesthesiologist","Ultrasound","Language assistance","Breakfast only","4* Hotel","VIP transfer (premium vehicle service, all transfers between airport, hotel and clinic)"],"excluded":{"status":"missing","reason":"not_collected"},"other_services":"🌟60 Millions of Mesenchymal Stem Cells 🌟Trillions of exosomes 🌟Blood Detox and Wellness IV 🌟Hotel accomodation (breakfast included) 🌟All the transfers 🌟 Bilingual Patient Care Coordinator just for you. 🌟The procedure is performed by a skilled anesthesiologist in a surgical setting using local anesthesia and guided by ultrasound for precision"}]},{"id":6835,"name":"Reju Stem Cell Clinic","city":"Medellín","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":{"status":"missing","reason":"not_collected"},"rank":2,"has_procedure":true,"why_ranked":"Uses high-potency stem cells with a replication factor of 12, significantly more effective than standard treatments. Offers a service guarantee with complimentary re-treatment if results aren't achieved.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":[{"id":"68508db4d71c6897810e4752","price":10000,"nights":0,"included":["Boost overall well-being","Rejuvenate body & mind","Consultation with a doctor","Consultation with an anesthesiologist","Consultation with an orthopedist traumatologist","VIP transfer (premium vehicle service, all transfers between airport, hotel and clinic)"],"excluded":["Accommodation is not included"],"other_services":"Our protocol was designed to regenerate damaged tissues, repair nerve damage, and improve mobility in patients with spinal cord injury or degenerative disc disease. It utilizes a guided intradiscal injection of mesenchymal stem cells derived from Wharton's jelly. Our stem cells regenerate spinal cord, nerve, and cartilage tissues while the exosomes reduce inflammation, support nerve regeneration, and accelerate healing. Includes pre-treatment IV-detox, hyperbaric chamber session, and post-treatment recovery including pressotherapy, red light therapy, recovery massage, and cryotherapy. Each patient is given a specialized treatment plan aimed to facilitate advanced healing, as well as reduce inflammation and pain. Services included in the package will be specific to patient need and condition. Disclosures - Prices may vary depending on the type of application and the area where it is applied. The number of stem cells and applications may vary based on the patient’s condition and physiological profile. If initial treatment does not yield measurable improvement in 6-8 months, retreatment will be administered at no additional cost. Please contact our rep to get the accurate price for your particular condition."}]},{"id":4347,"name":"Stem Cells Kyron Colombia","city":"Cali","rating":5,"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":{"status":"missing","reason":"not_collected"},"rank":3,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":6817,"name":"Reviv Clinic","city":"Medellín","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":["American Academy of Aesthetic Medicine","International Society for Stem Cell Application","Patient choice in Orthopaedics","Patient choice for Hair transplant","ISO 9001:2015 Quality management systems","Korean Accreditation Program for Hospitals Serving Foreign Patients (외국인환자 유치 의료기관 평가인증)"],"rank":4,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":8732,"name":"Stem Cell Therapy Medellín","city":"Medellín","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":{"status":"missing","reason":"not_collected"},"rank":5,"has_procedure":true,"why_ranked":"Non-surgical injection therapy using mesenchymal stem cells, optionally with exosomes and PRP. Physician is certified in Point of Care Regenerative Medicine. On-site precision lab processes cells.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}}]},"doctors":{"count":3,"languages":{"status":"missing","reason":"not_collected"}},"cities":[{"id":2522,"slug":"medellin","name":"Медельїн","clinics_count":3,"price_from":6500,"profile":{"city_type":"Second-largest city in Colombia","access":["Medellín Airport (MDE), 20 km from Medellín"],"sources":["https://en.wikipedia.org/wiki/Medellín","https://en.wikipedia.org/wiki/José_María_Córdova_International_Airport"],"checked_at":"2026-11-03","status":"ok"}}],"offers":{"active":2,"active_with_related":2,"hospital_nights_median":0,"days_in_country_median":{"status":"missing","reason":"fewer than 10 offers with hotel days"},"top_offers":[{"id":"67774e1a0846b5ed180f7403","clinic_id":6283,"clinic_listed":true,"price":5880,"price_before_discount":6500,"nights":0,"transfer":{"status":"missing","reason":"not_collected"},"tests":{"status":"missing","reason":"not_collected"},"meds":{"status":"missing","reason":"not_collected"},"aftercare":{"status":"missing","reason":"not_collected"},"guarantee":{"status":"missing","reason":"not_collected"},"included":["Vitamin Infusions","Medical Examination for pre-operation","After Care: Wound care and Hyperbaric Oxygen therapy","Relax","Hotel","Cleanse your body","Boost overall well-being","Rejuvenate body & mind","Reduce stress","Consultation with a doctor","Sedation","Follow-up examination","Consultation with an anesthesiologist","Ultrasound","Language assistance","Breakfast only","4* Hotel","VIP transfer (premium vehicle service, all transfers between airport, hotel and clinic)"],"excluded":{"status":"missing","reason":"not_collected"},"other_services":"🌟60 Millions of Mesenchymal Stem Cells 🌟Trillions of exosomes 🌟Blood Detox and Wellness IV 🌟Hotel accomodation (breakfast included) 🌟All the transfers 🌟 Bilingual Patient Care Coordinator just for you. 🌟The procedure is performed by a skilled anesthesiologist in a surgical setting using local anesthesia and guided by ultrasound for precision","is_package":true},{"id":"68508db4d71c6897810e4752","clinic_id":6835,"clinic_listed":true,"price":10000,"nights":0,"transfer":{"status":"missing","reason":"not_collected"},"tests":{"status":"missing","reason":"not_collected"},"meds":{"status":"missing","reason":"not_collected"},"aftercare":{"status":"missing","reason":"not_collected"},"guarantee":{"status":"missing","reason":"not_collected"},"included":["Boost overall well-being","Rejuvenate body & mind","Consultation with a doctor","Consultation with an anesthesiologist","Consultation with an orthopedist traumatologist","VIP transfer (premium vehicle service, all transfers between airport, hotel and clinic)"],"excluded":["Accommodation is not included"],"other_services":"Our protocol was designed to regenerate damaged tissues, repair nerve damage, and improve mobility in patients with spinal cord injury or degenerative disc disease. It utilizes a guided intradiscal injection of mesenchymal stem cells derived from Wharton's jelly. Our stem cells regenerate spinal cord, nerve, and cartilage tissues while the exosomes reduce inflammation, support nerve regeneration, and accelerate healing. Includes pre-treatment IV-detox, hyperbaric chamber session, and post-treatment recovery including pressotherapy, red light therapy, recovery massage, and cryotherapy. Each patient is given a specialized treatment plan aimed to facilitate advanced healing, as well as reduce inflammation and pain. Services included in the package will be specific to patient need and condition. Disclosures - Prices may vary depending on the type of application and the area where it is applied. The number of stem cells and applications may vary based on the patient’s condition and physiological profile. If initial treatment does not yield measurable improvement in 6-8 months, retreatment will be administered at no additional cost. Please contact our rep to get the accurate price for your particular condition.","is_package":true}],"packages":[{"id":"67774e1a0846b5ed180f7403","clinic_id":6283,"clinic_listed":true,"price":5880,"price_before_discount":6500,"nights":0,"transfer":{"status":"missing","reason":"not_collected"},"tests":{"status":"missing","reason":"not_collected"},"meds":{"status":"missing","reason":"not_collected"},"aftercare":{"status":"missing","reason":"not_collected"},"guarantee":{"status":"missing","reason":"not_collected"},"included":["Vitamin Infusions","Medical Examination for pre-operation","After Care: Wound care and Hyperbaric Oxygen therapy","Relax","Hotel","Cleanse your body","Boost overall well-being","Rejuvenate body & mind","Reduce stress","Consultation with a doctor","Sedation","Follow-up examination","Consultation with an anesthesiologist","Ultrasound","Language assistance","Breakfast only","4* Hotel","VIP transfer (premium vehicle service, all transfers between airport, hotel and clinic)"],"excluded":{"status":"missing","reason":"not_collected"},"other_services":"🌟60 Millions of Mesenchymal Stem Cells 🌟Trillions of exosomes 🌟Blood Detox and Wellness IV 🌟Hotel accomodation (breakfast included) 🌟All the transfers 🌟 Bilingual Patient Care Coordinator just for you. 🌟The procedure is performed by a skilled anesthesiologist in a surgical setting using local anesthesia and guided by ultrasound for precision","is_package":true},{"id":"68508db4d71c6897810e4752","clinic_id":6835,"clinic_listed":true,"price":10000,"nights":0,"transfer":{"status":"missing","reason":"not_collected"},"tests":{"status":"missing","reason":"not_collected"},"meds":{"status":"missing","reason":"not_collected"},"aftercare":{"status":"missing","reason":"not_collected"},"guarantee":{"status":"missing","reason":"not_collected"},"included":["Boost overall well-being","Rejuvenate body & mind","Consultation with a doctor","Consultation with an anesthesiologist","Consultation with an orthopedist traumatologist","VIP transfer (premium vehicle service, all transfers between airport, hotel and clinic)"],"excluded":["Accommodation is not included"],"other_services":"Our protocol was designed to regenerate damaged tissues, repair nerve damage, and improve mobility in patients with spinal cord injury or degenerative disc disease. It utilizes a guided intradiscal injection of mesenchymal stem cells derived from Wharton's jelly. Our stem cells regenerate spinal cord, nerve, and cartilage tissues while the exosomes reduce inflammation, support nerve regeneration, and accelerate healing. Includes pre-treatment IV-detox, hyperbaric chamber session, and post-treatment recovery including pressotherapy, red light therapy, recovery massage, and cryotherapy. Each patient is given a specialized treatment plan aimed to facilitate advanced healing, as well as reduce inflammation and pain. Services included in the package will be specific to patient need and condition. Disclosures - Prices may vary depending on the type of application and the area where it is applied. The number of stem cells and applications may vary based on the patient’s condition and physiological profile. If initial treatment does not yield measurable improvement in 6-8 months, retreatment will be administered at no additional cost. Please contact our rep to get the accurate price for your particular condition.","is_package":true}],"related_packages":{"status":"missing","reason":"not_collected"},"other_packages":{"status":"missing","reason":"not_classified"}},"medical":{"indications":["Chronic discogenic low back pain unresponsive to conservative care","Degenerative disc disease with chronic low back pain"],"contraindications":["Active infection or fever","Bleeding disorders or uncorrected anticoagulation","Current or past malignancy","Pregnancy or breastfeeding","Severe spinal instability or major neurological deficit","Severe spinal stenosis requiring surgery","Immunosuppression or uncontrolled diabetes","Allergy to local anesthetic or contrast"],"operation_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Includes harvest, cell processing and fluoroscopic injection; processing time varies by method."},"anesthesia":["local","local_sedation"],"sessions_or_stages":{"sessions":{"min":1,"max":2,"unit":"visits","qualifier":"Usually one visit with harvest and injection; some clinics add a second injection."},"stages":[{"code":"harvest","label":"Bone marrow or fat harvest","after":{"min":0,"max":0,"unit":"days","qualifier":"Same day as injection."}},{"code":"cell_processing","label":"Cell concentration or processing","after":{"min":0,"max":0,"unit":"days","qualifier":"Same day, during the visit."}},{"code":"injection","label":"Image-guided injection into disc or space","after":{"min":0,"max":0,"unit":"days","qualifier":"Same day after processing."}}],"qualifier":"Single-day protocol with harvest, processing and injection."},"hospital_nights":{"value":0,"source":"offers","parsed_details":{"min":0,"max":0,"unit":"nights","qualifier":"Same-day procedure with harvest and injection; observation for a few hours, no overnight stay."}},"treatment_conditions":["outpatient"],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery to daily activity; guided core exercises may continue longer."},"fly_home_after_days":{"min":3,"max":5,"unit":"days","qualifier":"After post-procedure check, once pain flare and harvest site discomfort are manageable."},"back_to_work_days":{"min":2,"max":7,"unit":"days","qualifier":"Desk work sooner; physical work later; depends on harvest site soreness and injection route."},"exercise_resume_weeks":{"min":2,"max":6,"unit":"weeks","qualifier":"Light walking early; strenuous or impact exercise after clinician clearance, depending on pain and harvest site."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Any benefit develops gradually; assessed at three to six months; outcome is not guaranteed."},"result_longevity":"Where benefit occurs, it is reported to last from several months to a few years. Durability is not established and varies with disc degeneration.","main_risks":["Route-related infection, bleeding, nerve irritation or post-injection pain flare.","Harvest-site risks if autologous bone marrow or fat is used.","Uncertain long-term safety; unregulated products have caused adverse events."],"complication_rate_pct":{"min":2,"max":15,"unit":"percent","qualifier":"Any procedure-related adverse event (pain flare, harvest site pain, bruising); serious events such as infection under 1%."},"revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Repeat injection or conversion to other treatment such as fusion within about 2 years; estimates vary widely."},"success":{"metric":"Reduction in back pain score (VAS/NRS)","value":30,"horizon":"3-6 months","source":{"status":"missing","reason":"not_collected"},"evidence_status":"limited"},"scars":"Tiny puncture or small incision marks at harvest and injection sites; usually fade within weeks.","pain":"Mild to moderate discomfort at harvest site and injection area, with possible temporary back pain flare for a few days. Managed with simple analgesics.","preparation":["Stop blood thinners as advised","Stop NSAIDs about one week before","Fasting only if sedation is used","Arrange transport after procedure","Report any infection symptoms beforehand"],"recovery_timeline":[{"phase":"Day 0-3","description":"Harvest site soreness and possible pain flare at injection level; rest and simple analgesics.","restrictions":["No heavy lifting","No bending or twisting","Keep sites dry"]},{"phase":"Week 1-2","description":"Symptoms settle; gradual return to normal daily activity and walking.","restrictions":["Avoid strenuous exercise","Avoid prolonged sitting"]},{"phase":"Week 2-6","description":"Progressive core strengthening and return to exercise as tolerated.","restrictions":["Avoid high-impact activity until cleared"]},{"phase":"Month 3-6","description":"Gradual change in pain and function is assessed.","restrictions":{"status":"missing","reason":"not_collected"}}],"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":1,"max":7,"unit":"days","qualifier":"Check harvest and injection sites; often remote for international patients."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Pain and function review, often remote with repeat questionnaires or imaging."}}],"sources":{"status":"missing","reason":"not_collected"},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Expect two consultations with the treating surgeon before any surgery, which also gives you time to reconsider","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"New or worsening nerve dysfunction","urgency":"emergency","general":false,"source":{"url":"https://www.ncbi.nlm.nih.gov/sites/books/NBK538173/","host":"ncbi.nlm.nih.gov","quote":"Association with alarming signs, such as nerve dysfunction, warrants a thorough investigation and an interprofessional approach.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Loss of bladder or bowel control","urgency":"emergency","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC9260567/","host":"pmc.ncbi.nlm.nih.gov","quote":"Radiculopathy/cauda equina syndrome|Segmental pain, paresthesia in area of pain, loss of strength (grade 3 or less), sudden loss of bladder/bowel function, perianal/perineal hypaesthesia, death of nerve root","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Loss of strength","urgency":"emergency","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC9260567/","host":"pmc.ncbi.nlm.nih.gov","quote":"Radiculopathy/cauda equina syndrome|Segmental pain, paresthesia in area of pain, loss of strength (grade 3 or less), sudden loss of bladder/bowel function, perianal/perineal hypaesthesia, death of nerve root","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Fever after injection","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11450889/","host":"pmc.ncbi.nlm.nih.gov","quote":"These symptoms included; hypotension, acute respiratory distress, chest pain, upper extremity numbness, weakness, paresthesias, paralysis, and fevers.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":429}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}},"parsed_details":{"procedure_type":"therapy","fields":{"anesthesia":["local","local_sedation"],"back_to_work_days":{"min":2,"max":7,"unit":"days","qualifier":"Desk work sooner; physical work later; depends on harvest site soreness and injection route."},"complication_rate_pct":{"min":2,"max":15,"unit":"percent","qualifier":"Any procedure-related adverse event (pain flare, harvest site pain, bruising); serious events such as infection under 1%."},"contraindications":["Active infection or fever","Bleeding disorders or uncorrected anticoagulation","Current or past malignancy","Pregnancy or breastfeeding","Severe spinal instability or major neurological deficit","Severe spinal stenosis requiring surgery","Immunosuppression or uncontrolled diabetes","Allergy to local anesthetic or contrast"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Same-day procedure with harvest and injection; observation for a few hours, no overnight stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":6,"unit":"weeks","qualifier":"Light walking early; strenuous or impact exercise after clinician clearance, depending on pain and harvest site."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Any benefit develops gradually; assessed at three to six months; outcome is not guaranteed."},"fly_home_after_days":{"min":3,"max":5,"unit":"days","qualifier":"After post-procedure check, once pain flare and harvest site discomfort are manageable."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":1,"max":7,"unit":"days","qualifier":"Check harvest and injection sites; often remote for international patients."},"requirement":"routine"},{"purpose":"result_review","after":{"min":90,"max":180,"unit":"days","qualifier":"Pain and function review, often remote with repeat questionnaires or imaging."},"requirement":"routine"}],"indications":["Chronic discogenic low back pain unresponsive to conservative care","Degenerative disc disease with chronic low back pain"],"main_risks":["Route-related infection, bleeding, nerve irritation or post-injection pain flare.","Harvest-site risks if autologous bone marrow or fat is used.","Uncertain long-term safety; unregulated products have caused adverse events."],"pain":"Mild to moderate discomfort at harvest site and injection area, with possible temporary back pain flare for a few days. Managed with simple analgesics.","preparation":["Stop blood thinners as advised","Stop NSAIDs about one week before","Fasting only if sedation is used","Arrange transport after procedure","Report any infection symptoms beforehand"],"recovery_timeline":[{"phase":"Day 0-3","description":"Harvest site soreness and possible pain flare at injection level; rest and simple analgesics.","restrictions":["No heavy lifting","No bending or twisting","Keep sites dry"]},{"phase":"Week 1-2","description":"Symptoms settle; gradual return to normal daily activity and walking.","restrictions":["Avoid strenuous exercise","Avoid prolonged sitting"]},{"phase":"Week 2-6","description":"Progressive core strengthening and return to exercise as tolerated.","restrictions":["Avoid high-impact activity until cleared"]},{"phase":"Month 3-6","description":"Gradual change in pain and function is assessed.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery to daily activity; guided core exercises may continue longer."},"result_longevity":"Where benefit occurs, it is reported to last from several months to a few years. Durability is not established and varies with disc degeneration.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Repeat injection or conversion to other treatment such as fusion within about 2 years; estimates vary widely."},"scars":"Tiny puncture or small incision marks at harvest and injection sites; usually fade within weeks.","sessions_or_stages":{"sessions":{"min":1,"max":2,"unit":"visits","qualifier":"Usually one visit with harvest and injection; some clinics add a second injection."},"stages":[{"code":"harvest","label":"Bone marrow or fat harvest","after":{"min":0,"max":0,"unit":"days","qualifier":"Same day as injection."}},{"code":"cell_processing","label":"Cell concentration or processing","after":{"min":0,"max":0,"unit":"days","qualifier":"Same day, during the visit."}},{"code":"injection","label":"Image-guided injection into disc or space","after":{"min":0,"max":0,"unit":"days","qualifier":"Same day after processing."}}],"qualifier":"Single-day protocol with harvest, processing and injection."},"success":{"metric":"Reduction in back pain score (VAS/NRS)","value":30,"unit":"percent reduction from baseline","horizon":"3-6 months","population":"Adults with chronic discogenic low back pain unresponsive to conservative care","evidence_status":"limited"},"techniques":[{"name":"Intradiscal injection of bone marrow concentrate","suits_whom":"Chronic discogenic low back pain with disc degeneration","recovery":"Back to light activity in days; pain flare possible."},{"name":"Intradiscal injection of adipose-derived cells","suits_whom":"Discogenic pain in patients preferring fat harvest","recovery":"Similar recovery; mild harvest site bruising."},{"name":"Epidural or facet injection of cells","suits_whom":"Pain from facet joints or radicular irritation","recovery":"Short recovery, usually a few days."},{"name":"Allogeneic cell product injection","suits_whom":"Patients avoiding harvest, where product is available","recovery":"No harvest site; injection-related soreness only."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Includes harvest, cell processing and fluoroscopic injection; processing time varies by method."},"initial_assessment_documents":["Lumbar spine MRI report and images","Spine X-ray report","Previous treatment and injection records","List of blood thinners","Recent blood test results (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Usually one visit with harvest and injection; stay 3-7 days. Some clinics add a second injection visit."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Expect two consultations with the treating surgeon before any surgery, which also gives you time to reconsider","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"New or worsening nerve dysfunction","urgency":"emergency","general":false,"source":{"url":"https://www.ncbi.nlm.nih.gov/sites/books/NBK538173/","host":"ncbi.nlm.nih.gov","quote":"Association with alarming signs, such as nerve dysfunction, warrants a thorough investigation and an interprofessional approach.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Loss of bladder or bowel control","urgency":"emergency","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC9260567/","host":"pmc.ncbi.nlm.nih.gov","quote":"Radiculopathy/cauda equina syndrome|Segmental pain, paresthesia in area of pain, loss of strength (grade 3 or less), sudden loss of bladder/bowel function, perianal/perineal hypaesthesia, death of nerve root","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Loss of strength","urgency":"emergency","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC9260567/","host":"pmc.ncbi.nlm.nih.gov","quote":"Radiculopathy/cauda equina syndrome|Segmental pain, paresthesia in area of pain, loss of strength (grade 3 or less), sudden loss of bladder/bowel function, perianal/perineal hypaesthesia, death of nerve root","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Fever after injection","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11450889/","host":"pmc.ncbi.nlm.nih.gov","quote":"These symptoms included; hypotension, acute respiratory distress, chest pain, upper extremity numbness, weakness, paresthesias, paralysis, and fevers.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":429}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your back pain is linked to degenerative disc disease","name":"Platelet-rich plasma injection","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12040341/","host":"pmc.ncbi.nlm.nih.gov","quote":"Platelet-rich plasma (PRP) therapies have been shown to accelerate healing by targeting inflammatory processes and promoting tissue regeneration in degenerative disc disease [ 11 ].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You want treatment focused on symptom management","name":"Rehabilitation exercise program","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12995374/","host":"pmc.ncbi.nlm.nih.gov","quote":"Conventional therapeutic approaches which include rehabilitation exercises, medications and operative procedures such as spinal fusion, disc arthroplasty focus predominantly on symptom management without addressing the fundamental degenerative cascade [ 4 – 5 ].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A3","text":"You want a minimally invasive option for pain relief","name":"Epidural steroid injection","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12995374/","host":"pmc.ncbi.nlm.nih.gov","quote":"Medication-based treatment demonstrates restricted long-term effectiveness, and minimally invasive techniques (such as epidural steroid administration) yield transient benefit only [ 8 ].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"intradiscal-injection-bone","name":"Intradiscal injection of bone marrow concentrate","how_it_works":{"text":"Mesenchymal stem cells modulate inflammation and support tissue repair","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12995374/","host":"pmc.ncbi.nlm.nih.gov","quote":"PRP delivers growth factors that stimulate cell proliferation and ECM regeneration, while mesenchymal stem cells and their exosomes modulate inflammation and support tissue repair ( Figure 2 ) [ 19 ].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"intradiscal-injection","name":"Intradiscal injection of adipose-derived cells","how_it_works":{"text":"Mesenchymal stem cells modulate inflammation and support tissue repair","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12995374/","host":"pmc.ncbi.nlm.nih.gov","quote":"PRP delivers growth factors that stimulate cell proliferation and ECM regeneration, while mesenchymal stem cells and their exosomes modulate inflammation and support tissue repair ( Figure 2 ) [ 19 ].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"epidural","name":"Epidural or facet injection of cells","how_it_works":{"text":"Injected cells may reduce inflammation and support repair around spinal structures","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12040341/","host":"pmc.ncbi.nlm.nih.gov","quote":"Mesenchymal stem cells, derived from bone marrow or adipose tissue, exhibit anti-inflammatory and reparative properties, with preclinical studies demonstrating their efficacy in mitigating intervertebral disc degeneration by restoring extracellular matrix and disc height [141].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"allogeneic-cell-product","name":"Allogeneic cell product injection","how_it_works":{"text":"Donor-derived cells are delivered to potentially reduce pain and disability","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12995374/","host":"pmc.ncbi.nlm.nih.gov","quote":"Both autologous and allogeneic MSC approaches have demonstrated feasibility and safety profiles, with certain studies documenting persistent benefits across multiple years and minimal complication rates [29].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"techniques":[{"id":"intradiscal-injection-bone","name":"Intradiscal injection of bone marrow concentrate","how_it_works":{"id":"H1","text":"Mesenchymal stem cells modulate inflammation and support tissue repair","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12995374/","host":"pmc.ncbi.nlm.nih.gov","quote":"PRP delivers growth factors that stimulate cell proliferation and ECM regeneration, while mesenchymal stem cells and their exosomes modulate inflammation and support tissue repair ( Figure 2 ) [ 19 ].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Chronic discogenic low back pain with disc degeneration","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Back to light activity in days; pain flare possible."},{"id":"intradiscal-injection","name":"Intradiscal injection of adipose-derived cells","how_it_works":{"id":"H1","text":"Mesenchymal stem cells modulate inflammation and support tissue repair","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12995374/","host":"pmc.ncbi.nlm.nih.gov","quote":"PRP delivers growth factors that stimulate cell proliferation and ECM regeneration, while mesenchymal stem cells and their exosomes modulate inflammation and support tissue repair ( Figure 2 ) [ 19 ].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Discogenic pain in patients preferring fat harvest","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Similar recovery; mild harvest site bruising."},{"id":"epidural","name":"Epidural or facet injection of cells","how_it_works":{"id":"H1","text":"Injected cells may reduce inflammation and support repair around spinal structures","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12040341/","host":"pmc.ncbi.nlm.nih.gov","quote":"Mesenchymal stem cells, derived from bone marrow or adipose tissue, exhibit anti-inflammatory and reparative properties, with preclinical studies demonstrating their efficacy in mitigating intervertebral disc degeneration by restoring extracellular matrix and disc height [141].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Pain from facet joints or radicular irritation","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Short recovery, usually a few days."},{"id":"allogeneic-cell-product","name":"Allogeneic cell product injection","how_it_works":{"id":"H1","text":"Donor-derived cells are delivered to potentially reduce pain and disability","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12995374/","host":"pmc.ncbi.nlm.nih.gov","quote":"Both autologous and allogeneic MSC approaches have demonstrated feasibility and safety profiles, with certain studies documenting persistent benefits across multiple years and minimal complication rates [29].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Patients avoiding harvest, where product is available","price_from":{"status":"missing","reason":"not_collected"},"recovery":"No harvest site; injection-related soreness only."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your back pain is linked to degenerative disc disease","name":"Platelet-rich plasma injection","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12040341/","host":"pmc.ncbi.nlm.nih.gov","quote":"Platelet-rich plasma (PRP) therapies have been shown to accelerate healing by targeting inflammatory processes and promoting tissue regeneration in degenerative disc disease [ 11 ].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You want treatment focused on symptom management","name":"Rehabilitation exercise program","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12995374/","host":"pmc.ncbi.nlm.nih.gov","quote":"Conventional therapeutic approaches which include rehabilitation exercises, medications and operative procedures such as spinal fusion, disc arthroplasty focus predominantly on symptom management without addressing the fundamental degenerative cascade [ 4 – 5 ].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A3","text":"You want a minimally invasive option for pain relief","name":"Epidural steroid injection","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12995374/","host":"pmc.ncbi.nlm.nih.gov","quote":"Medication-based treatment demonstrates restricted long-term effectiveness, and minimally invasive techniques (such as epidural steroid administration) yield transient benefit only [ 8 ].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"visa","audience":"uk","volatile":true,"text":"UK passport holders can visit Colombia for up to 90 days without a visa for business or tourism, at the immigration officer's discretion on arrival","source":{"url":"https://www.gov.uk/foreign-travel-advice/colombia/entry-requirements","host":"gov.uk","quote":"You can visit Colombia for up to 90 days without a visa for business or tourism, at the discretion of the Colombian immigration officer on arrival.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"visa","audience":"us","volatile":true,"text":"U.S. citizens do not need a Colombian visa for tourism or business if staying for 90 days or less","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Colombia.html","host":"travel.state.gov","quote":"U.S. citizens do not need a Colombian visa for tourism or business if staying for 90 days or less.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"passport_validity","audience":"uk","volatile":true,"text":"To enter Colombia, a British citizen's passport must be valid on the day of entry","source":{"url":"https://www.gov.uk/foreign-travel-advice/colombia/entry-requirements","host":"gov.uk","quote":"To enter Colombia, your passport must be valid on entry.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V4","item":"passport_validity","audience":"us","volatile":true,"text":"Non-Colombian citizens must show a valid U.S. passport to enter and leave Colombia","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Colombia.html","host":"travel.state.gov","quote":"You must show a valid U.S. passport to enter and leave Colombia if you are not a Colombian citizen.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V5","item":"medicines","audience":"all","volatile":false,"text":"Carry prescription medications in original packaging, along with your doctor's prescription","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Colombia.html","host":"travel.state.gov","quote":"You must carry prescription medications in original packaging, along with your doctor’s prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"hospital_payment","audience":"all","volatile":false,"text":"Hospitals and doctors in Colombia may ask for payment upfront before admission","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Colombia.html","host":"travel.state.gov","quote":"Hospitals and doctors may ask for payment upfront before admission.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V7","item":"emergency_number","audience":"all","volatile":false,"text":"Call 123 and ask for an ambulance","source":{"url":"https://www.gov.uk/foreign-travel-advice/colombia/health","host":"gov.uk","quote":"Call 123 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["czech-republic","dominican-republic","greece","india","mexico","thailand","turkey","ukraine"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":{"status":"missing","reason":"not_collected"},"count":{"status":"missing","reason":"not_collected"},"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":{"status":"missing","reason":"not_collected"},"faq":{"status":"missing","reason":"not_collected"},"h2":[{"text":"Яка вартість лікування стовбуровими клітинами при болях у спині в Колумбії?","kind":"content"},{"text":"Переваги та гарантії Bookimed","kind":"content"},{"text":"Ваш особистий лікар-координатор Bookimed","kind":"content"},{"text":"Пропозиції з лікування стовбуровими клітинами при болях у спині в Колумбії — листопад 2026","kind":"content"},{"text":"Дізнайтеся про найкращі клініки з лікування стовбуровими клітинами при болях у спині у Колумбії: 5 перевірених клінік та ціни","kind":"content"},{"text":"Огляд процедури Лікування стовбуровими клітинами при болях у спині в Колумбії","kind":"content"},{"text":"Отримайте медичну консультацію щодо лікування стовбуровими клітинами при болях у спині в Колумбії: Обирайте серед найкращих фахівців у галузі","kind":"content"},{"text":"Відеоісторії пацієнтів Bookimed","kind":"content"},{"text":"Корисні статті","kind":"content"},{"text":"Поділитися цим контентом","kind":"content"},{"text":"Отримати безкоштовну консультацію","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}