Regenerative Spine & Sports MedicineModern Regenerative Medicine

Regenerative Spine & Sports Medicine

Modern regenerative medicine is changing the way acute sports injuries and degenerative conditions are treated

Traditionally, acute sports injuries and overuse, degenerative conditions that do not respond to rest and conservative rehabilitation (such as physical therapy) have been treated with a combination of anti-inflammatory medication taken by mouth, anti-inflammatory medication injected into the affected areas (cortisone injections) and, ultimately, with surgery to remove the injured or degenerated tissue.

But, surgical removal of tissue is an irreversible process which can sometimes lead to more degeneration, and excessive use of steroids can be extremely harmful. At Precision, we believe that regenerative treatments–using the body’s intrinsic ability to self-heal–are often a better, more natural alternative treatment.

Many years ago, regenerative treatments began with prolotherapy, which uses dextrose (sugar solutions) which, when injected into the affected tissue, would stimulate regeneration. Methods evolved to using platelet-rich plasma, a growth factor-rich concentrate obtained from the patient’s own blood. At present, we can obtain and isolate stem cells from patient’s own bone marrow or fat tissue. If those are not available, we can also isolate growth factors and signaling molecules from donated amniotic fluid, umbilical cord and placental tissues.

Many conditions respond to regenerative treatments:

  • Peripheral Joint and Tendon Disorders, such as:
  • Shoulder degeneration, rotator cuff tears, labral tears.
  • Tennis elbow, golfer’s elbow
  • Arthritis of the wrist and hand, especially at the base of the thumb, skier’s thumb.
  • Hip arthritis and labral tears, hamstring tears and tendinosis, trochanter bursitis.
  • Knee arthritis and soft tissue injuries, such as meniscal tears, cruciate and collateral ligament tears, patellar degeneration, runner’s knee
  • Ankle and foot strains and degeneration, heel pain from plantar fasciitis, heel bursitis.
  • Temporo-mandibular joint disorders (TMJ).

  • Central, or axial spinal disorders, such as:
  • Chronic sprain or strain of spinal tendons and ligaments, rib articulations and sacroiliac joints and ligaments.
  • Low back and neck pain from painful lumbar discs and facet joints.

Pain Mapping

Precision Medicine is founded on the primacy of correct knowledge about every patient’s individual circumstances. Its success relies on customized approaches for each one of our patients.

At Precision, we believe that regenerative treatments–using the body’s intrinsic ability to self-heal–are often a better, more natural alternative treatment.

How It Works

Regenerative therapy is new. As such, there is a lot more to learn and study pertaining to the way it works and to the conditions that are appropriately treated. As with any new and experimental field, it will not benefit everybody. This is why it should be used conservatively and after careful diagnosis and patient selection.


New regenerative treatments become available all the time. Alpha-2-macroglobulin and amniotic fluid or amniotic cord blood growth factors and stem cells are just some of current commercial offerings. As the field of regenerative medicine becomes more and more crowded, our patients rely on our experience and our vetting process to guide their decisions on what is best for each individual.

As with everything else, regenerative treatment starts with a correct diagnosis.

Using our pain mapping techniques, combined with advanced radiology (MRI, CT), we find out where the pain comes from. Taking into account the correct diagnosis and how long the injury or condition has persisted, we establish whether a patient is a candidate for regenerative treatments, and which kind of treatment is the most appropriate for the individual patient.

Regenerative treatments usually involve simple injections into the affected areas, done in the office.

Sedation is available, if necessary. Patients may experience increased pain in the affected areas immediately after the treatment, lasting upwards of one week. This is a natural phenomenon elicited by the nature of the regenerative treatments.

Regeneration is a slow process that takes several months to complete.

Therefore, patients may not experience any pain relief for 2-3 months while the treatments are carried out. However, once the tissues start healing, the pain gradually subsides until it goes away completely. The pain relief is the result of a natural healing process, and is not induced by artificial means.

We use proprietary algorithms and methods of collection and concentration...

of blood platelets, bone marrow stem cells, and adipose derived stem cells. Years ago, after rigorous testing, we rejected the commercially available kits and set out to create our own methods. After a painstaking process that took many years, we are proud of our finished regenerative products and our quality controls