Knee

Regenexx procedures can help improve knee function and decrease pain without the need for surgery. During this outpatient procedure, our expert physicians use precise image guidance to inject custom concentrations of your body’s natural healing agents into the exact areas of damage to tighten and stabilize your knee joint. This precise approach to orthopedic care can’t be replicated by a surgeon or nurse in a chiropractor’s office. Regenexx specialists require thousands of hours of training and follow a standardized protocol process to become a licensed Regenexx physician.





ACL Tears

An injury to the anterior cruciate ligament (ACL) can cause substantial difficulty with basic mobility and function and is especially common among athletes, including professional ones. From NBA point guard Derrick Rose to U.S. soccer player Alex Morgan, ACL injuries and ACL surgeries occur in just about every sport. Strains or sprains to the ACL typically heal with rest, but at the point of ACL tear, the main treatment option is ACL surgery involving applying a tissue graft taken from elsewhere in the body or a cadaver. This graft attaches at a steeper angle than the original tendon which causes more compression on the cartilage in the knee and greatly increased chance of osteoarthritis while the position sense and strength in the repaired knee are never the same. In addition, as is typical with orthopedic surgeries, patients who get this surgery are significantly more likely to experience additional knee injuries. The Regenexx perc-ACLR procedure is an injection-based procedure that can replace 70% of ACL-repair surgeries. During this outpatient procedure, our expert physicians use precise image guidance to inject custom concentrations of your body’s natural healing agents into the precise areas of damage to tighten and stabilize your knee joint for better function and mobility. Call our patient care coordinators today to get started on your path to ACL recovery.





Knee Osteoarthritis

Knee osteoarthritis is one of the most prevalent chronic disabilities in the United States that causes pain and a reduction in range of motion and possible activity until even walking becomes difficult. Common treatment options include harmful steroid injections and risky surgeries that don’t restore patients to full function, while the joint continues to deteriorate over time. As knee osteoarthritis progresses, total knee replacement is the most common treatment.





Alternative to Meniscus Surgery

A knee meniscus tear is one of the most common causes of knee pain. The meniscus is basically the shock absorber within the knee. You can tear either the medial (inside) or lateral (outside) meniscus. The inside meniscus is the more commonly injured side. When someone says they have torn cartilage in the knee, they’re typically referring to a torn meniscus.

The two treatments for a meniscus tear that are most commonly prescribed are surgery or physical therapy. Most noteworthy, if you opt for surgery, you likely will require physical therapy afterward. There is no guarantee that either option alone will eliminate your pain or regain the function in your knee.

However, there is a third choice, Regenexx, which can be used alone or in conjunction with surgery and/or physical therapy to help with the healing process of a torn meniscus.

Recent studies have shown that some of the most popular arthroscopic surgeries, including meniscus surgery, have no benefit at all. Most noteworthy regarding meniscus surgery is that it involves the removal of a portion, if not all of the valuable meniscus tissue. This can accelerate the cascade of degeneration that leads to osteoarthritis. In addition, all surgeries require months of recovery and frequently painful rehabilitation to regain strength and function.

Regenexx regenerative orthobiologic treatments are intended to help you avoid the side effects of surgery and prolong the healthy cushioning environment that the meniscus provides for your knees.

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Spine

Have you been told that epidural steroid injections or invasive surgery are your only options to treat your back pain? Interventional orthopedics provides a non-surgical alternative that uses your own cells to repair the damage.

Steroid epidurals that place steroid medication around irritated or inflamed nerves in the spine do help patients avoid surgery for a time. The very high dose of steroids, however, can also cause severe side effects and actually reduce the body’s ability to heal ultimately leading to degeneration of the tissue and actually speeding the need for surgery.





Bulging Disc

Everybody knows someone once or twice removed who has had a bad result with back or neck surgery. Pain management doctors don’t do much better, as they inject harmful steroids or want to burn away nerves that you need with procedures like radiofrequency lesioning. If you have a disc bulge, even minimally invasive surgeries that cut away the portion of the disc pressing against the nerve leaves the disc structurally weaker and more susceptible to tears or re-herniation in the future.





Pain After Lower Back Surgery

Surgery to help back or neck pain has a bad reputation. Almost everybody knows someone who has had bad results. For example. disc surgery can weaken that structure and it can re-herniate. In a fusion surgery, a procedure where part of the spine is bolted together solid, the structures above and below can get overloaded and torn up and this problem is known as adjacent segment disease.

What you may not know and find frustrating to hear, is that unfortunately, in many cases, these surgeries have been shown to be no more effective than sham surgeries, though the risks associated with them are very real. For example, fusion surgery complications occur in 25% of fusion patients. Further, in one study, 76% of patients still require narcotics for pain and miss three times as much work as those who don’t have surgery. Additionally, fusions lead to the wearing down of the segments above and below the fusion site as those segments now take on more movement than they were designed to accommodate, potentially leading to the need for additional fusions over time.





Herniated Disc

Disc herniation causes the disc to put pressure on or irritate the spinal nerve roots or spinal cord leading to pain, numbness, or weakness. Physicians often recommend a high-dose epidural steroid injection that can temporarily help the pain but can cause severe side effects and reduce your body’s ability to heal. If this fails, the next course of treatment is usually back or neck surgery that cuts away a portion of the disc, though this approach leaves the disc weaker and more likely to be injured again. The final option is often an extremely invasive spinal fusion in which two discs are joined permanently together with hardware.





Neck Pain

Neck pain can be caused by many things including wear and tear or trauma. There are many structures that can cause pain including bad discs, pinched nerves, arthritic or damaged facet joints, loose ligaments, or weak muscles. We focus on identifying and treating many of these structures at the same time, rather than trying to find one thing causing pain. Why? Our research shows that if we precisely inject your body’s healing cells into many damaged structures we get much better results.





Sacroiliac Joint

Typical treatment protocols for patients suffering from injury to the sacroiliac (SI) joints include high-dose steroid injections that come with a number of negative side effects and SI fusion surgery that effectively removes the layer of shock-absorption between the hip and lumbar spine leading to significantly increased stress on those areas and in many cases further injury over time. One studyshowed that after five years 16.5% of patients who had a lower back fusion needed an additional surgery to correct damage caused by the fusion while after 10 years, roughly 1/3 of patients needed another surgery. Additional in another study, 55% of patients were still taking narcotics two years after the surgical fusion.





​Spinal Stenosis

Spinal stenosis is caused when swelling and growth of bones and ligaments in the lower back restrict available space in the spinal canal cause pinching or impingement of nerves. Treatment commonly involves back surgery that opens up the spinal canal by removing tissue around the impingement. Recent studies show after two or more years, surgery is not more effective than physical therapy and its results are indistinguishable from sham surgery. In addition to performing no better than a placebo, spine surgery comes with significant downtime and risk associated with back surgery.





Spondylolysis

Spondylolysis is a break in the bone connecting the facet joints and is especially common for people engaged in athletics that involve considerable strain on the back. Spinal fusion involving fusing together the vertebrae around where the break has occurred is the common treatment option. There is no way to install the hardware to fuse the spine without cutting through the critical muscles and fascia that stabilize the spine. As a result, spinal fusions create spinal instability around the site of the fusion. Spinal fusions have additionally been shown over time to be no more effective than sham or placebo surgeries while complications occur in 36% of fusion patients.





Torn Disc

In many cases, torn discs will heal on their own with rest and time, though the area will be more prone to repeat injury and degenerative disc disease. In the event that symptoms don’t lessen over time, however, the common orthopedic option is spinal fusion, a procedure in which two vertebrae are screwed or fused together. Spinal fusions have been shown over time to be no more effective than sham or placebo surgeries while complications occur in 25% of fusion patients.

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Shoulder

If you experience pain in your shoulder during normal activity, you may be a good candidate for a Regenexx procedure. Shoulder surgery is particularly difficult due to the complexity of the joint. Post surgical recovery can be painful, requiring a lengthy rehab period to restore strength and mobility to the shoulder. As an alternative to shoulder surgery, Regenexx procedures help alleviate shoulder pain and restore joint damage with a non-invasive injection procedure. Downtime is less than half that of surgery, with little to no need for pain management medications, lengthy rehab or time off of work.





Rotator Cuff Tear

Rotator cuff tears are common as people get older. Don’t automatically assume a tear on an MRI is destiny with a surgeon. It’s important to do your homework and not just take the advice of a doctor without knowing what’s at stake for your rotator cuff long term with surgery.

Most patients considering surgery are looking for pain relief in their shoulder. What’s critical for you to know is a shoulder MRI could indicate a tear, but the tear is not necessarily the cause of your shoulder pain. So if research exists that rotator cuff surgery isn’t effective for many shoulder patients, and an MRI can provide a misleading diagnosis from a doctor, where should you turn for objective guidance?

You should schedule an exam with a Regenexx physician to conduct a diagnostic evaluation using our SANS approach to diagnose your rotator cuff injury and determine your candidacy for a Regenexx PERC rotator cuff repair. If you elect to move forward with treatment, you can expect the following.





Shoulder Labrum Tear

The labrum is the lip around the socket of the main shoulder joint. A shoulder labral tear can be caused by a direct injury to the shoulder or as the result of prolonged wear and tear. The common surgical intervention for labral tears often involves an invasive procedure where the biceps tendon is disconnected and reattached at another location. Basically, the surgeon is a bull in the china shop of your normal shoulder biomechanics. These surgeries, moreover, often don’t lead to better mobility and function while recovery is long, painful, and requires extensive physical therapy.

Another problem with surgery is that it often fails to address the subtle instability of the shoulder joint that caused the tear. Hence, while the labral tear may heal with the invasive surgery, the shoulder remains unstable, causing more labral injuries down the road. Our Percutaneous Labralplasty procedure also injects these lax shoulder capsular ligaments, tightening them down and restoring normal stability.





Shoulder Osteoarthritis

Is shoulder replacement helpful? Many surgeons avoid recommending it because the results can be unreliable. However, shoulder arthritis impacts nearly 25% of adults and leads to chronic shoulder pain, stiffness, limited shoulder function, and decreased mobility. Common non-surgical treatment options include harmful steroid injections that can kill whatever cartilage is left. Shoulder replacement is an amputation of the shoulder joint with an insertion of a prosthesis. Such an invasive surgery leads to a long recovery time and the risk for serious complications. In addition, 40% of shoulder replacements in patients younger than 55 fail within 10 years.

Instead of joint amputation, instead, go with our percutaneous shoulder arthroplasty procedure. During this outpatient procedure, our expert physiciansuse precise image guidance to inject custom concentrations of your body’s natural healing mechanisms into the exact areas of damage to tighten and stabilize your shoulder for better function and mobility. These procedures come with significantly less down time, minimal to no need of opioid pain medication, and little to no time off of work. Best of all these procedures spare normal body biomechanics helping you to remain active for your lifetime. Call our patient care coordinators today to get started on your path to recovery.

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hip pain oceanside california

Hip

Hip pain can be very difficult to deal with on a day-to-day basis and traditionally requires long-term pain management if the underlying causes of the pain are not corrected. Hip replacement surgery and hip resurfacing are often the only surgical options presented to a patient to deal with their debilitating pain, though hip surgeries are typically traumatic and are often followed by months of pain and discomfort while the joint redevelops strength and mobility.





Hip Labrum

Have you been told that a labral tear is causing your hip pain? As many as half of older people who experience no hip pain also have labrum tears. Interventional Orthopedics provides a comprehensive option for healing your hip pain without surgery.

The latest research indicates that labral tears are actually not the cause of hip pain. In fact, one recent study showed no association between hip labral tears seen on an MRI and hip pain. Hip surgery outcomes support this data with one recent study finding that 45% of patients that underwent hip arthroscopic surgery had poor results at an average of five years post-surgery. The results from surgery are even worse when a patient has even minimal hip arthritis. In spite of the surgery to repair the labrum, arthritis worsened in six of 10 patients when even a minimal amount of arthritis was present. During this outpatient procedure, our expert physicians use precise image guidance to inject custom concentrations of your body’s natural healing agents into the exact areas of damage to tighten and stabilize your hip for better function and mobility. Call our patient care coordinators today to get started on your path to recovery.





Hip Osteoarthritis

Osteoarthritis of the hip is characterized by fast-progressing degeneration of hip tissue that causes impairment of function. Pain management strategies involving non-steroidal anti-inflammatory drugs (NSAIDs) raise the risk of stroke and heart attack while opioid pain medications have high risk for abuse. Steroid injections also have significant downsides.

Hip surgeries are especially traumatic and require months of painful recovery while patients redevelop strength and mobility and won’t increase your activity level. Common arthroscopic hip surgeries produce results no better than taking no action, and hip replacements wear out over time and require revision, especially for younger patients. During this outpatient procedure, our expert physicians use precise image guidance to inject custom concentrations of your body’s natural healing mechanisms into the exact areas of damage to tighten and stabilize your hip for better function and mobility. Call our patient care coordinators today to get started on your path to recovery.





Hip Tendon Tears

This commonly recommended intervention for chronic tendon pain and tightness can involve sewing together tears, cutting the tendon to try to get it to heal, or lengthening a tight tendon. While this approach may lead to relief of the tightness and surrounding symptoms, the body is precisely balanced, and the shortening or lengthening of the tendon often leads to other problems. Moreover, whatever biomechanical problem led to the initial tendon injury has not been resolved. In evaluating these problems, our expert physicians are trained to look for the root cause of any injury and will spend a full hour with each patient diagnosing the problem and laying out an appropriate treatment plan that addresses not only the symptom but the root cause of the injury.

If you elect to move forward with treatment, you can expect the following.

During this outpatient procedure, our expert physicians use precise image guidance to inject custom concentrations of your body’s natural healing agents into the precise areas of damage to tighten and stabilize your hip for better function and mobility. Call our patient care coordinators today to get started on your path to recovery.

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Elbow

The elbow can be the site of pain generation for a number of reasons. The most common is tennis or golfer’s elbow, but other issues such as UCL injury or arthritis also occur. Common surgical interventions lead to considerable downtime. Treating elbow injuries with steroid injections reduces inflammation in the site of an injury and causes the degeneration of cells at the site of the injection and over time actually leads to significant worsening of the condition. In addition, we have little solid scientific evidence that elbow surgery helps, but we do know it’s invasive and has the potential of infection, tissue damage, pain and nerve injury.





Tennis & Golf Elbow

People suffering from tennis or golfer’s elbow often have a difficult time opening a door or shaking someone’s hand. Common approaches to treating tennis elbow include destructive steroid injections or invasive elbow surgery that has been shown to be no better than sham surgery for treating symptoms.

During this outpatient procedure, our expert physicians use precise image guidance to inject custom concentrations of your body’s natural healing cells into the exact areas of damage in your elbow to repair damaged tissues and to improve function and mobility. Best of all, your downtime will be a fraction of surgery, with little to no need for opioid pain medications or time off of work. Call our patient care coordinators today to get started on your path to recovery.





Tommy John Surgery (UCL Ligament)

Tommy John Surgery (TJS) is a colloquial name for a surgery to reconstruct the ulnar collateral ligament (UCL), the ligament that holds the elbow together and stabilizes it. Injuries to the UCL are especially common in baseball among pitchers due to the incredible physical strain caused to the arm by pitching. The common treatment for pitchers suffering from tears in their UCL has been the Tommy John Surgery, a procedure that involves drilling holes in the ulna and the humerus and attaching a graft tendon taken from elsewhere in the body. Pitchers can typically begin throwing again after 18 weeks and will miss a full professional season in recovery. A percentage never return to play while some careers are cut short. Regenexx has helped a number of high-level athletes with UCL tears avoid surgery and get back on the field faster.

During this outpatient procedure, our expert physicians use precise image guidance to inject custom concentrations of your body’s natural healing mechanisms into the exact areas of damage in your elbow to repair damaged tissues and to improve function and mobility. Best of all, your downtime will be a fraction of surgery, with little to no need for opioid pain medications or time off of work. Call our patient care coordinators today to get started on your path to recovery.

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foot & ankle pain oceanside, CA

Foot & Ankle

Have you been told that steroid injections or invasive surgery are your only options to treat your foot or ankle pain? Interventional orthopedics provides a non-surgical alternative that uses your own cells to repair the damage.

Surgical treatment options for common foot and ankle injuries and arthritis include interventions such as ankle arthroscopy to clean up damaged cartilage, fusion of ankle bones where cartilage has been lost, and tendon grafts screwed in place to strengthen loose connections between bones. These surgeries also typically involve a painful post surgical recovery with a lengthy rehab period to restore strength and mobility.





Ankle Ligament Tears

Ankle sprains often cause stretched or torn ligaments that change how you walk, putting painful stress on other joints of the foot as well as making it more likely that you will sprain the ankle again. This incomplete healing leads to a cycle of chronic pain and instability. Research shows invasive ankle ligament surgeriesare no more effective than physical therapy or no surgery at all while adding risk and significant recovery time. Without proper restoration of normal mechanics, other parts of the ankle also wear out faster due to abnormal biomechanics. These surgical intervention typically only add to instability, pain, and increased risk of problems that permanently affect the body’s ability to move properly.





Ankle Osteoarthritis

Osteoarthritis of the ankle leads to tenderness, pain, swelling, stiffness, and even an inability to bear weight that in turn change how you walk leading to additional stress on other parts of the foot and increased likelihood of additional injury. When arthritis reaches a point where quality of life is significantly compromised, one of several invasive surgical interventions may be recommended including ankle fusion, a procedure that uses screws to severely limit ankle mobility, or ankle joint replacement, a complex procedure that involves replacing a part of the extremely complex ankle joint. Both of these surgical options come with significant downtime and need for pain management.





Ankle Tendon Tears

Damage to the Achilles tendon is the most common form of tendon damage and typically results from acute injury or overuse often as a result of athletics. When the Achilles Tendon tears, the recommended course of treatment is a risky surgery with a > 10% complication rate. Because of the invasive nature of this procedure, recovery is lengthy, and a recent study suggests that it is no more effective than immobilizing and bracing the ankle for a few weeks.





Toe Osteoarthritis

Toe arthritis is a big issue as when it advances, it can cause the toes to bend sideways and create painful bone spurs. If left untreated, the big toe in particular can become rigid, putting more stress on the rest of the foot and ankle. Surgery to cut out the bone spurs is common, but this just leads to a floppy and unstable toe as important ligaments are cut. Fusing the toe just adds more pressure elsewhere.

Our approach is to use advanced interventional orthopedics instead of surgery.

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Hand & Wrist

Wear and tear on the wrists and hands is increasingly common in a world filled with hand-held devices and keyboards. As we place more and more strain on our hands and wrists, they can wear down over time beyond our body’s natural ability to repair damage. While total joint reconstruction surgery may improve the condition for some, new problems can easily develop over time when we fail to address the biomechanical causes of our injury. As a result, many surgical patients go on to experience continued symptoms such as numbness, tenderness, or reduced range of motion or function.





Carpal Tunnel Syndrome

Roughly 5% of people in the workplace are affected by Carpal Tunnel Syndrome, a condition that causes pain, numbness, or tingling in the thumb, index finger, middle finger, and inside of the ring finger. Treatment for Carpal Tunnel Syndrome involves destructive steroid injections and ultimately an invasive surgery to reduce nerve pinching by cutting ligaments in the wrist. This surgery directly impacts the stability of the wrist and can lead to the formation of scar tissue that compresses the nerve again.





TFCC Tear

The triangular fibrocartilage complex (TFCC) is responsible for the use of our opposable thumbs and wear or injury can lead to wrist pain and swelling. In many cases, the recommended treatment for chronic TFCC problems is a surgery that involves shortening the ulna, the arm bone leading to the wrist, in order to reduce pressure. Research shows that this surgery, far from being a helpful long-term solution, actually leads to an increase in negative forces in the wrist that lead to future injuries. Beyond that, significant complications have been found in nearly 50% of patients following surgery.





​Thumb Osteoarthritis

Hand and thumb osteoarthritis is the second most common type of arthritis. The constant swiveling and pivoting motions from writing, using a phone, and other daily activities cause the cartilage to wear out easily. While there are a number of surgical options, none have been shown in research to be effective and all come with significant risk of complications. The innovative Regenexx procedures preserve function and mobility and decrease pain without the need for surgery.

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Other Conditions

Current surgical treatment options for common orthopedic injuries and arthritis include pain-management strategies, steroid injections, and ultimately surgical interventions. While all of these approaches may offer temporary relief of symptoms, they are ultimately destructive and over time often do as much harm as good.





Non-Union Fractures

Your body is typically able to repair fractures over time after the bone has been set and secured in place. A non-union fracture occurs when the bone is not healing on its own because your body’s natural healing agents are not strong enough to affect healing of the bone. In such cases, an invasive surgical intervention is often recommended to remove damaged tissue and immobilize the site with screws or plates.





Osteonecrosis / Avascular Necrosis

Avascular necrosis (AVN) or Osteonecrosis is death of bone tissue that occurs when healthy stem cells in a bone die off, become sick, or are too few in number to keep up with normal wear and tear. The single most common cause of osteonecrosis is use of oral steroids like Prednisone that in high doses stunt your body’s natural healing ability. While oral steroids can reduce swelling, they are frequently given in such high doses that they can cause cells that help to maintain your bone to actually die off or become stunned.





TMJ Syndrome

Disorders of the TMJ caused by car accidents, muscular imbalance, braces, or other dental work are particularly challenging and often treatment options are no better than at-home remedies. Common treatment ranges from electric nerve stimulation to trigger point injections and acupuncture, but these methods treat the symptoms and not the underlying problem. Jaw surgery and jaw replacement can result in lengthy rehab, immobility, and further jaw or nerve damage. Regenexx invented a non-surgical procedure that uses your body’s natural healing agents to treat TMJ pain and dysfunction.

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