Medically reviewed by Derek Wimmer, PA Updated
Exosomes are microscopic vesicles released by mesenchymal stem cells that carry proteins and signaling molecules involved in cellular communication and repair. Exosome therapy is an emerging area of regenerative medicine, and at Wimmer it is discussed honestly, with delivery options including localized image-guided injection (ultrasound or fluoroscopy when it adds precision), only for patients for whom it is appropriate.
| Type | Cell-derived regenerative biologic |
|---|---|
| What they are | Signaling vesicles from mesenchymal stem cells |
| Doses | 50 billion and 180 billion |
| Delivery | Localized, image-guided when needed |
| First results | Gradual over weeks to months |
What are exosomes?
Exosomes are tiny extracellular vesicles released by cells — including mesenchymal stem cells — that act as messengers, carrying proteins, lipids, and genetic signaling material from cell to cell. In regenerative medicine, interest centers on their role in the signaling environment around tissue repair.
Unlike whole-cell products, exosomes contain no living cells; they are the signals, not the cells themselves.
How they're used at Wimmer
For selected patients, exosomes are offered as part of an individualized regenerative plan, typically delivered to a specific area under image guidance. Dosing (50B or 180B) is matched to the clinical picture, and exosomes are sometimes coordinated alongside other therapies such as Wharton's Jelly with mesenchymal stem cells or PRP.
An honest word about the evidence
Exosome therapy is an emerging therapy, and clinical research is still developing. We believe you deserve that stated plainly — along with a candid, individualized discussion of what is and isn't known — before you make any decision. We provide detailed written informed consent, and we encourage you to consult your primary care physician as part of your decision.
Who considers it
Patients exploring the fuller range of non-surgical regenerative options — often alongside established therapies — and who want a provider who will be straight with them about evidence, cost, and expectations.
Terms to know
- Exosomes
- Small extracellular vesicles involved in cell-to-cell signaling.
- Regenerative medicine
- An umbrella term for care that uses biologic materials or physical stimulation as part of an individualized treatment plan.
- Image-guided injection
- An injection performed while the clinician uses real-time imaging to see the treatment area.
