Regenerative Medicine

When chronic joint pain, muscle tightness, tendon damage, or ligament injury keeps you on the sidelines, major surgery isn’t your only option. Our physicians utilize cutting-edge orthobiologics, minimally invasive, non-surgical treatments that use your body’s natural cellular healing properties to repair tissue, cool down inflammation, and relieve pain. True tissue restoration requires physical optimization alongside biologic signaling. We utilize advanced regenerative medicine therapies to clear the path for healing.

Every procedure we perform can be completed in an outpatient setting using high-resolution musculoskeletal ultrasound guidance. This ensures the procedures are completed with pinpoint accuracy exactly where your tissue needs them most.

Treatment Options

Platelet-Rich Plasma (PRP) Injections

Hyaluronic Acid (HA) Injections

Also known as viscosupplementation, HA acts as a vital fluid lubricant and physical scaffold. In modern sports medicine, we frequently sequence or combine HA with PRP. Clinical evidence shows that this combination provides a powerful synergistic effect, resulting in longer-lasting relief for some patients than either option alone.

Prolotherapy Injections

A foundational regenerative treatment that involves injecting a personalized, concentrated sugar solution into loose ligaments or degenerated tendons. This acts as a local healing stimulant, signaling your body’s healing cascade to lay down new, stronger collagen fibers to stabilize joints and strengthen tendons.

Perineural Injection Therapy (PIT) for Chronic Nerve Pain

Using a gentle 5% dextrose (sugar) solution, we place injections directly around irritated or compressed nerves. This helps soothe overactive nerve pain receptors, offering a unique path to relief for chronic, burning nerve pain.

Myofascial Therapies & Sports Medicine Recovery Treatments

Chronic pain and movement restrictions frequently originate within the muscles and surrounding fascial tissue. We target these painful, hyper-irritable taut bands (trigger points) to reset muscle function, eliminate referred pain, and reduce tension on irritated tendons.

Dry Needling for Muscle Pain & Sports Injuries

A precise mechanical treatment where a thin acupuncture needle is inserted directly into a myofascial trigger point. The goal is to elicit a local twitch response (a brief contraction and relaxation of the muscle fiber). This involuntary twitch interrupts the dysfunctional neuromuscular loop, increases local blood flow, and reduces muscle tension and biochemical pain markers.

Insurance coverage for dry needling varies widely by carrier and plan type. Our billing team will verify your specific benefits during your initial consultation.

Wet Needling / Trigger Point Injections (TPI)

Similar to dry needling but utilizes an injection needle to deliver a targeted therapeutic solution directly into the muscle spasm, often under ultrasound guidance for better accuracy and safety. Needling combined with injection of local anesthetic (like lidocaine) and 5% dextrose mechanically disrupts the taut muscle band while treating local pain receptors, allowing for mechanical release and improved range of motion.

Myofascial Plane Hydrodissection

Fascia is a continuous web of connective tissue wrapping around every muscle. When chronic stress, trauma, or surgery causes adjacent muscle groups to adhere or bind together, natural sliding mechanics are lost. Using dynamic ultrasound guidance, we introduce a fluid sweep (often using 5% dextrose) to physically separate these stuck fascial layers. This can help restore normal tissue gliding, eliminate binding forces, and relieve deep-seated, chronic myofascial restriction. This procedure is often done in conjunction with ultrasound-guided wet needling.

Tendon Barbotage & Tenotomy for Chronic Tendon Injuries

For painful calcium deposits (common in the shoulder’s rotator cuff) or severe tendon scar tissue, these ultrasound-guided procedures precisely break up the blockage or scarred areas. This mechanical reset can be paired with a PRP injection to accelerate structural rebuilding.

Nerve & Tendon Hydrodissection for Nerve Entrapment & Tendon Pain

Using a precise, high-volume fluid stream under live ultrasound, we gently separate compressed nerves from surrounding scar tissue, tight muscles, or restrictive fascial planes. This approach is helpful in conditions like carpal tunnel syndrome, chronic nerve entrapments, or persistent post-surgical scar tissue. We also use this technique around degenerated tendons, such as the patellar and Achilles tendons, to improve pain-free movement.

Standard Interventional & Myofascial Procedures

Traditional trigger point injections (TPI), certain nerve or tendon hydrodissections, and hyaluronic acid (gel) injections for knee osteoarthritis are typically covered by most major commercial insurance plans and Medicare, subject to your plan’s deductibles and co-pays.

Advanced Regenerative Orthobiologics

Regenerative therapies such as Platelet-Rich Plasma (PRP) and prolotherapy are currently classified by most commercial insurance carriers as investigational or elective. As a result, these specific options are generally not covered by insurance and are offered via transparent self-pay pricing.

Please Note: While regenerative medicine treatments may support the body’s natural healing processes, the exact mechanisms by which these therapies work are still being studied, and many proposed explanations remain theoretical. Individual responses and outcomes can vary significantly based on a variety of factors. Not all patients will experience the same results. We encourage you to schedule a consultation with one of our specialists to discuss your condition, treatment goals, and whether regenerative medicine may be an appropriate option for you.