Interventional and Regenerative Injection Solutions
My practice integrates naturopathic regenerative medicine with interventional pain management to provide comprehensive solutions for pain and injury. The latest in interventional techniques, such as epidural injections, peripheral nerve blocks, medial branch blocks, radiofrequency ablation, sympathetic nerve blocks, nerve and fascial plane hydrodissection, perineural injections, cyst drainage/injection, and spinal and peripheral joint injections, are combined with cutting-edge regenerative therapies to address pain at its source and provide a broad range of options for patients.
Regenerative medicine provides sustainable options for managing or resolving pain by working with the body’s natural healing processes. Treatments include neural therapy, trigger point injections, scar therapy, prolotherapy, platelet-rich plasma (PRP), perinatal tissue injections, micronized fat, and bone marrow aspirate concentrate (BMAC). Steroid and hyaluronic acid injections are also available to provide immediate relief in severe cases or to assist with diagnostics, aligning with my mission to meet patients where they are in their healing journey.
All injections are performed with precision using palpation, ultrasound, or fluoroscopy guidance, ensuring safety and accuracy for every treatment area. Whether addressing chronic pain, acute injuries, or aesthetic concerns, such as microneedling with regenerative medicine, our approach prioritizes thorough clinical evaluation and tailored treatment plans to restore function and improve quality of life.to provide comprehensive solutions for pain and injury.
Advanced Orthobiologics
Micronized Fat
Overview: Adipose tissue, commonly known as body fat, is primarily involved in energy storage but also plays a crucial role in providing structural support and cushioning for various tissues. It contains reparative cells, such as mesenchymal stem cells (MSCs), and essential components that help maintain the integrity of connective tissues.
Procedure: Micronized fat injections begin with the gentle harvesting of adipose tissue, typically from the abdomen, using the body-jet® eco system—a closed, water-assisted method designed to minimize tissue trauma. This system uses a pulsating water-jet to carefully dislodge and collect fat cells, preserving their viability while reducing damage to surrounding structures. The harvested fat is then processed with minimal manipulation to create a micronized solution with smaller particles, making it suitable for reinjection.
Conditions: Once prepared, micronized fat can be injected into areas that require additional structural support, particularly in joints, soft tissue, and regions affected by degeneration or injury. Common conditions addressed by micronized fat injections include osteoarthritis, joint instability, tendon and ligament injuries, and other degenerative musculoskeletal conditions. These injections provide natural cushioning and may help reduce discomfort while supporting the body’s inherent tissue maintenance processes.
BMAC
Overview: Bone marrow aspirate concentrate (BMAC) therapy is a regenerative treatment that utilizes biologically active cells and signaling molecules found in bone marrow to promote the repair and regeneration of damaged tissues in normal physiology. Bone marrow is rich in mesenchymal stem cells (MSCs) and other progenitor cells, which aid in the restoration of bone, cartilage, tendons, muscles, and ligaments.
Procedure: BMAC is obtained through a minimally invasive, in-office procedure. Bone marrow is aspirated from the pelvic bone under image guidance to ensure precision. This sample is then concentrated to remove red blood cells.
Conditions Treated: BMAC is an advanced orthobiologic solution used in a wide range of musculoskeletal conditions.
Donor Tissue
Overview: Regenerative injections using donor tissue, such as perinatal tissue or allogeneic fat, provide supportive options for managing advanced musculoskeletal conditions. Perinatal tissues, including amniotic fluid, play a natural role in pregnancy by protecting and nourishing the developing baby, offering a rich supply of hyaluronic acid, structural proteins, and biologically active molecules. Similarly, allogeneic fat tissue contains components that provide natural cushioning and support within the body.
Procedure: These allogeneic products are administered in-office using precise image guidance to support targeted connective tissue areas. In alignment with their original roles, perinatal and fat-derived tissues are used to provide structural support in tissues such as joints, offering cushioning and facilitating the body’s natural mechanisms for maintaining connective tissue health.
Conditions Treated: BMAC is an advanced orthobiologic solution used in a wide range of musculoskeletal conditions.
Safety and Ethical Sourcing: Our donor products are ethically sourced from live, healthy births and rigorously screened and tested to ensure quality and safety.
PRP
Overview: Platelet-rich plasma (PRP) therapy harnesses the body’s natural healing mechanisms by using concentrated platelets—blood components essential for tissue repair and regeneration. This therapy is widely used for musculoskeletal and nerve-related conditions and has applications in aesthetics.
Procedure: PRP is created through a straightforward, in-office process. A small blood sample is taken and processed in a centrifuge to concentrate the platelets, which are rich in growth factors that stimulate healing and tissue regeneration. The prepared PRP is injected into targeted areas to promote cellular repair, enhance collagen production, and reduce inflammation. Research demonstrates that PRP can provide significant improvements in function and pain relief, with benefits often observed after a single injection. However, a series of treatments may be recommended for optimal and sustained outcomes.
Conditions Treated: PRP therapy is effective for a range of musculoskeletal and nerve-related conditions, including osteoarthritis, tendon and ligament injuries, disc degeneration, and neuropathic pain syndromes such as sciatica and carpal tunnel syndrome. It supports joint stability and connective tissue repair, making it valuable for addressing chronic pain and injury recovery.
Dextrose-Derived Injections
Prolotherapy
Overview: Prolotherapy is a regenerative therapy designed to strengthen and repair joints and connective tissues such as cartilage, tendons, ligaments, and muscles. By stimulating the body’s natural healing response, prolotherapy targets the root causes of pain and dysfunction, often linked to aging, injuries, or degenerative changes.
Treatment: The prolotherapy process involves injecting a specific concentration of medical-grade dextrose into the affected area, creating a mild inflammatory response that activates the body’s repair cells. Unlike corticosteroids, which temporarily mask pain by suppressing inflammation, prolotherapy reinitiates the body’s healing processes, prompting the deposition of new collagen and cartilage to restore damaged tissue and stabilize joints. For optimal results, a series of injections is usually recommended, with many individuals experiencing sustainable improvements over several months.
Conditions Treated: Prolotherapy is beneficial for a broad range of musculoskeletal conditions, including joint instability, hypermobility syndromes like Ehlers-Danlos, sports injuries, osteoarthritis, whiplash, tendon and ligament injuries, rotator cuff tears, tennis and golfer’s elbow, meniscal tears, ACL injuries, TMJ disorders, plantar fasciitis, and scoliosis.
Neural Therapy
Overview: Neural therapy provides an innovative approach to addressing nerve-related pain and dysfunction by targeting the neurogenic inflammation often underlying chronic and acute pain. This therapy supports nerve health by reducing inflammation, decompressing nerves, and helping to calm overactive pain signaling.
Procedure: Neural therapy can be administered through two primary techniques. The perineural approach involves palpation-guided injections just beneath the skin, while nerve hydrodissection uses ultrasound guidance for precision, allowing the practitioner to release the nerve from restrictive surrounding tissues. Both techniques involve the injection of a specific concentration of pharmaceutical-grade sugar solution or other orthobiologics, designed to nourish and heal the affected nerves.
Conditions Treated: By addressing neurogenic inflammation, neural therapy is effective for various pain conditions, including those associated with scars, tight muscles, and degenerative or traumatic injuries. This approach is commonly used for conditions such as carpal tunnel syndrome, post-surgical pain, chronic neck and back pain, neuropathy, and other trauma-related nerve dysfunctions.
Trigger Point
Overview: Trigger points are painful, knotted areas within muscles that contribute to both acute and chronic pain, commonly affecting areas like the neck, shoulders, and back. These tight muscle bands are often associated with neurogenic inflammation, where the release of inflammatory substances from nearby nerves leads to muscle contraction, reduced blood flow, and localized ischemia. This cycle creates persistent, painful knots that can significantly impact mobility and daily activities.
Causes: Trigger points can develop due to a variety of factors, including physical injuries, repetitive motions, poor posture, or prolonged inactivity. These stressors cause muscle fibers to tighten and contract, leading to the formation of painful knots and areas of tension. Neurogenic inflammation further contributes to the sensitivity and discomfort of these trigger points, perpetuating the pain cycle.
Symptoms: Symptoms of trigger points include persistent muscle tightness, localized tenderness, reduced range of motion, and pain that may radiate to other areas. They can also contribute to frequent headaches, muscle fatigue, and a general feeling of tension, impacting daily function and overall quality of life.
Treatment: Trigger point injections offer a targeted approach to relieving muscle pain and restoring function. By injecting a local anesthetic directly into the affected muscle, this treatment helps to relax tight muscle fibers, reduce spasms, and alleviate pain, allowing for improved mobility and comfort. In some cases, medical-grade dextrose may be added to the anesthetic solution to further address neurogenic inflammation, providing an additional layer of relief by calming nerve signals and reducing inflammation around the trigger point.
Other Interventional Solutions
Hyaluronic Acid
Overview: Hyaluronic acid is a naturally occurring, thick fluid found in high concentrations within synovial joints, where it functions as a lubricant and shock absorber. In conditions like osteoarthritis, hyaluronic acid helps to alleviate joint pain, reduce inflammation, and protect against further degeneration. Research indicates that hyaluronic acid also plays a regenerative role by stimulating the synthesis of key extracellular components, such as collagen and hyaluronan, which support joint structure and function.
Procedure: The standard protocol for hyaluronic acid injections typically involves an initial series of 3-5 weekly injections. Following this, maintenance injections may be administered every 3-6 months to sustain benefits, depending on individual needs and response to therapy. These injections supplement the body’s natural hyaluronic acid levels, offering additional cushioning and support to compromised joints.
Conditions Addressed: Hyaluronic acid injections are particularly beneficial for individuals with osteoarthritis or similar degenerative joint conditions. In these cases, inflammation and the production of thin, inflammatory joint fluid contribute to pain, stiffness, and swelling. By replenishing hyaluronic acid levels, these injections can help to improve range of motion, alleviate discomfort, and support activities of daily living. Current research highlights hyaluronic acid’s ability to modulate inflammation and contribute to tissue regeneration, making it a valuable option for managing arthritis-related symptoms and supporting joint health.
Steroids
Overview: Corticosteroids are synthetic versions of hormones that naturally occur in the body, and they play a key role in reducing inflammation. When used in targeted injections, these anti-inflammatory steroids can help alleviate pain, stiffness, and inflammation in a variety of musculoskeletal and nerve-related conditions.
Treatment: Corticosteroid injections offer effective, though typically short-term, relief from pain and inflammation. In traditional and interventional pain management, steroids may be used alongside local anesthetics for diagnostic purposes to confirm pain sources and provide immediate relief by resetting pain signals. When combined with regenerative therapies, such as platelet-rich plasma, adipose tissue, or donor tissue injections, corticosteroids can serve as a foundation for a comprehensive, integrative approach that supports both pain management and longer-term tissue health.
Conditions Addressed: Corticosteroid injections are often applied to muscles, nerves, joints, and the spine to support relief from conditions such as osteoarthritis, autoimmune-related joint pain, bursitis, neuritis, tendonitis, disc herniation, and spinal nerve compression. These injections are a valuable part of a broader therapeutic strategy to manage pain while addressing the underlying causes of musculoskeletal dysfunction.
