Procedures

An evidence-based regenerative treatment using a concentrated sample of your own blood platelets to accelerate the natural healing of chronic tendon injuries, ligament sprains, and joint osteoarthritis — exactly where the body has failed to heal on its own.

Your safety, comfort, and precision are my absolute highest priorities. The PRP workflow is unhurried and state-of-the-art:

• Chronic tendon & ligament injuries
• Joint osteoarthritis

A highly effective, non-surgical option for patients with mild to moderate knee osteoarthritis who have not found sufficient relief from lifestyle modifications alone. As your natural lubricating fluid thins, joint surfaces lose their cushioning — creating the grinding sensation patients often describe as bone-on-bone friction. Viscosupplementation addresses this directly. A purified hyaluronic acid gel is delivered precisely inside the joint capsule — restoring lubrication, dampening pain signals, and signaling the joint to produce more of its own natural hyaluronic acid.

The viscosupplementation workflow is transparent, unhurried, and highly technical:

• Mild to moderate knee osteoarthritis

For patients with mild to moderate knee osteoarthritis, PRP alone addresses the biological healing response — and hyaluronic acid alone addresses joint lubrication. But when both are needed, delivering them together in a single session is not just more convenient — it is more clinically powerful. PRP saturates the joint with concentrated growth factors that stimulate tissue repair and reduce inflammation. Hyaluronic acid simultaneously restores the natural cushioning and lubrication the joint has lost — and signals the joint to produce more of its own. Together they create the biological and mechanical conditions for genuine, lasting recovery.

The PRP + Viscosupplementation Bundle follows the same meticulous, unhurried workflow as each individual procedure — combined into a single precision-guided session:

• Mild to moderate knee osteoarthritis
• Patients who have had incomplete relief from viscosupplementation or PRP alone

An advanced, non-surgical option for chronic tendon pain that has not healed with physical therapy or rest. When a tendon becomes stuck in a degenerative state, a micro-needle is used to make precise multiple passes through the diseased tissue. Like PRP, the goal is to trigger your body's own healing response — except here we use a mechanical stimulus instead of a biologic.

The fenestration workflow is unhurried and state-of-the-art:

• Tennis elbow (lateral epicondylitis)
• Gluteus medius tendinopathy
• Patellar tendinopathy
• Rotator cuff tendinopathy
• Chronic tendon degeneration unresponsive to conservative treatment

A highly specialized non-surgical intervention for calcific tendinitis — a stone-like calcium deposit inside a tendon, most commonly in the rotator cuff. The hardened deposit acts like gravel in a smooth gear: sharp pain, restricted motion, and intense inflammation that conventional treatments cannot resolve. Using high-resolution ultrasound, the exact boundaries of the deposit are located, a micro-needle enters the calcium shell, breaks it up, and repeatedly flushes sterile solution through the area to aspirate and wash out the crystals — clearing the obstruction your tendon has been working around.

Barbotage requires a meticulous, unhurried, and state-of-the-art workflow:

• Calcific tendinitis

An ultra-precise, non-surgical option for nerve entrapments and tendon adhesions. Whether fascia is strangling a peripheral nerve or scar tissue is binding a tendon, the problem is the same: compressed, ischemic tissue that has lost its natural glide — producing burning pain, numbness, tingling, weakness, and stiffness that conventional treatments struggle to resolve. Using high-resolution ultrasound, the exact site of restriction is identified and a specialized fluid solution is introduced around the target structure — mechanically lifting tight tissue away from it and restoring natural glide and blood flow.

This procedure is transparent, unhurried, and highly technical:

This is a staged procedure, not a single shot. The two-visit structure is deliberate.

• Visit 1 — Pure Release (No Steroid): The initial mechanical decompression. Fluid hydraulically separates compressed layers and restores natural glide. 5% dextrose — a natural nerve and tendon anti-inflammatory — down-regulates sensitized receptors and calms sheath inflammation without chemical side effects. No steroids.
• Visit 2 — Pure Release + Steroid (If Clinically Indicated): A second pass is performed only if inflammation or tissue response warrants it. Dextrose remains the primary agent. An ultra-low-dose steroid is introduced only when the clinical picture demands it — never as a default.

• Carpal tunnel syndrome
• Cubital tunnel syndrome
• Peroneal nerve entrapment
• Meralgia paresthetica (lateral femoral cutaneous nerve)
• Tarsal tunnel syndrome

• Tendon sheath adhesions
• Peritendinous scar tissue restriction
• Chronic tendinopathy with impaired glide

An innovative non-surgical option for painful, glued-down scar tissue within the fascia — IT band syndrome, stubborn post-surgical adhesions, and persistent muscular pain that has not responded to deep-tissue massage or physical therapy. Healthy fascial layers slide past each other effortlessly. After surgery, repetitive strain, or trauma they bind together — creating tension, restriction, and pain that conventional treatments cannot reach. Using high-resolution ultrasound, the exact millimeter of adhesion is located and a precise stream of fluid gently separates, unglues, and releases the layers.

Fascial hydrodissection follows an unhurried, state-of-the-art workflow:

• IT band syndrome
• Post-surgical scar adhesions
• Persistent deep muscular pain
• Fascial adhesions from repetitive strain or trauma

A time-tested non-surgical option for chronic musculoskeletal conditions where the body's natural repair has stalled. Traditional medicine crushes inflammation with steroids and NSAIDs — often stopping real repair before it can begin. Prolotherapy does the opposite. A concentrated dextrose solution is placed precisely at the affected tissue — where ligament meets bone, where a tendon has degenerated, or where a joint has lost its structural integrity — sparking a controlled microscopic irritation that recruits fresh blood, growth factors, and structural proteins to the area. The goal is always the same: giving your body another chance to get the healing right. Prolotherapy is most commonly indicated for ligament insufficiency and laxity — but also has meaningful clinical application in chronic tendinopathy and early to moderate osteoarthritis where regenerative stimulation can meaningfully restore function.

Prolotherapy follows an unhurried, state-of-the-art workflow:

• Chronic ligament laxity and instability
• Plantar fasciitis
• SI joint dysfunction
• Chronic tendinopathy unresponsive to conservative treatment
• Chronic ankle instability
• Tennis elbow (lateral epicondylitis)
• Unstable or hypermobile joints

I came to acupuncture as a healthy skeptic with a strict evidence-based academic background — and it works. Formally trained through the Helms Medical Acupuncture program and drawing on Matt Callison's Sports Acupuncture methodology with athletes, I apply medical acupuncture with three concrete clinical goals: • Neuromodulation — calming hyperactive pain pathways that have become sensitized over time • Autonomic balance — down-regulating the fight-or-flight state that keeps the nervous system locked in tension • Microvascular blood flow — directing oxygen and cellular resources to tissues that need to heal

Medical acupuncture here is unhurried and deeply calculated:

Medical acupuncture is a versatile clinical tool applied across a wide range of conditions — from musculoskeletal pain and sports injuries to autonomic dysregulation, chronic fatigue, and systemic health concerns. Your consultation will determine whether it is the right addition to your care plan.

Let's have an honest conversation. Cortisone is incredibly powerful — but it is a double-edged sword. In high-volume clinics it gets overused to mask pain, quietly damaging joints and tendons over time. But used correctly — for an agonizing inflammatory flare that is stopping you from sleeping, moving, or rehabilitating — it is an emergency brake worth pulling. My philosophy is the opposite of standard care: the absolute lowest effective dose, placed only where the inflammation is burning, used only when it is genuinely necessary — and never as a substitute for the regenerative work that comes next.

Cortisone in my clinic follows an unhurried, meticulous workflow:

• Severe acute bursitis
• Knee osteoarthritis flare-up
• Subacromial impingement syndrome
• Frozen shoulder (adhesive capsulitis)
• Intense inflammatory flares unresponsive to conservative management

Unlike traditional static imaging where you must lie perfectly still inside a machine, Point-of-Care Ultrasound allows me to look dynamically at your joints and soft tissue structures in real time — while they are actually in motion. Using high-frequency sound waves right in the examination room, I evaluate how your tendons glide, how your muscles contract, and how fluid shifts under live visualization. This is not a snapshot. It is a living picture of your tissue in action.

A dedicated POCUS evaluation is used to identify functional blockages, structural disruptions, and deep tissue changes — tracking a complex hip injury, mapping a muscle strain, assessing an acute tendon issue, or verifying a clinical finding from your physical exam. The data is immediate and interactive, allowing me to build or refine your personalized care plan on the spot.

The Honest Truth About Recovery. Recovery is rarely a straight line. Sometimes PRP is enough. Sometimes acupuncture unlocks what PRP started. Sometimes it takes a combination of interventions that neither of us can fully predict at the outset — because every patient's biology, history, and healing timeline is completely their own. As a physician, my job is to follow the clinical evidence and adjust your care as your body responds. But I have seen too many patients hesitate at exactly the wrong moment — not because the next step was not the right one, but because the cost of adding another intervention felt like too much to commit to. The Recovery Bundle exists to remove that hesitation entirely. So when the next right clinical step becomes clear, cost is never the reason we hesitate to take it. My goal is simple — to work for your outcome, not your invoice.

From the moment you upgrade, all professional fees are covered for four full months — including:

• All procedure fees (acupuncture, prolotherapy, nerve hydrodissection, fascial hydrodissection, fenestration, cortisone, POCUS, and viscosupplementation)
• All integrative therapy sessions
• All follow-up visits within the coverage period
• All consultation fees within the coverage period

Every intervention within the bundle is clinically indicated and discussed with you in advance — nothing is prescribed unnecessarily. The bundle covers what you need, when you need it. Two items are passed through at wholesale cost — because transparency is non-negotiable here:

• PRP kit — $200 (your cost, no markup)
• HA kit — wholesale cost confirmed at consultation

These are physical biological materials with fixed costs. Everything else — every clinical decision, every session, every follow-up — is covered within your bundle. The Recovery Bundle is available exclusively to comprehensive consultation patients. If you have already begun a course of treatment — acupuncture, prolotherapy, PRP, or any other intervention — and you want to remove the financial uncertainty from what comes next, you can upgrade to the Recovery Bundle at any point within your first eight weeks of care. From the moment you upgrade, four full months of comprehensive covered care begins. You do not need to decide everything upfront. Start your care. See how your body responds. And if the path forward calls for more — the Recovery Bundle is there.