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Image-Guided Regenerative Orthopedics

Regenerative
Medicine

Regenerative medicine at Interventional Orthopedics of Washington uses image-guided, non-surgical treatments such as platelet-rich plasma (PRP), bone marrow concentrate (BMC), and prolotherapy. These procedures may be used for selected injuries and degenerative conditions affecting joints, tendons, ligaments, and spinal structures. Every treatment plan is physician-led and tailored to the patient’s diagnosis, anatomy, imaging, health history, and goals, with the aim of supporting the body’s healing response, reducing pain, improving stability, and restoring function.

  • PRP, Bone Marrow Concentrate & Prolotherapy
  • Ultrasound or Fluoroscopy Guidance, When Appropriate
  • Physician-Led, Diagnosis-Based Planning
  • Non-Surgical, Outpatient Treatment

Regenerative treatments are not appropriate for every condition or patient. A consultation, clinical evaluation, and review of relevant imaging are required to determine whether a specific treatment may be appropriate. Individual outcomes and recovery timelines vary.

Physician performing an image-guided regenerative orthopedic procedure
Services We Offer

Personalized Regenerative Medicine Treatments

Advanced non-surgical orthopedic solutions designed to support healing, restore function, and help patients move with greater confidence.

Stem Cell Therapy

Regenerative Medicine

Stem Cell Therapy

Regenerative care designed to support tissue repair and long-term orthopedic function.

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Platelet-Rich Plasma Therapy

Injection Therapy

Platelet-Rich Plasma Therapy

Uses concentrated platelets to help support the body’s natural healing response.

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Prolotherapy

Injection Therapy

Prolotherapy

A targeted approach designed to support ligaments, tendons, and joint stability.

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Precision Musculoskeletal (MSK) Diagnostics

Precision Diagnostics

Precision Musculoskeletal (MSK) Diagnostics

Detailed diagnostic insight to better understand pain sources and treatment options.

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Alternatives to Neck and Back Surgery

Spine Care

Alternatives to Neck & Back Surgery

Non-surgical options for patients exploring a more conservative path forward.

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Alternatives to Joint Replacement and Orthopedic Surgery

Orthopedic Alternatives

Alternatives to Joint Replacement & Orthopedic Surgery

Personalized treatment planning for patients seeking options before surgery.

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Non-Surgical Care Pathway

Why Choose Non-Surgical First?

Surgery is sometimes necessary, but it should rarely be the first step. Non-surgical treatments often provide meaningful relief without the risks, downtime, and permanent changes that can come with invasive procedures.

Here’s how the process at IOW works:

Diagnosis icon
01

Diagnosis

Your evaluation begins with a detailed history, physical exam, and advanced imaging review.

Treatment icon
02

Treatment

You receive tailored, image-guided injections designed to promote tissue repair.

Results icon
03

Results

Patients often experience less pain and better function within weeks to months without surgery.

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Your doctor will help determine whether non-surgical care is appropriate for your condition.
Frequently Asked Questions

Regenerative Medicine FAQ

Have questions about non-surgical regenerative care? Here are some of the most common things patients want to know before getting started.

Regenerative medicine uses targeted, non-surgical therapies to support the body’s natural healing response. At IOW, this may include PRP, bone marrow concentrate, or prolotherapy, depending on your condition and goals.
These treatments may be considered for joint pain, tendon or ligament injuries, spine-related pain, early to moderate arthritis, soft tissue injuries, and certain degenerative orthopedic conditions.
Yes. IOW uses advanced imaging tools such as ultrasound or fluoroscopy to help deliver treatment precisely to the affected area.
Results vary by patient, diagnosis, and treatment type. Some patients notice improvement within weeks, while others may experience progress over several months as the healing response develops.
For some patients, regenerative medicine may provide a non-surgical path for pain relief, improved function, and tissue support. Your physician will help determine whether it is appropriate based on your evaluation.

Medically reviewed by Dr. Otoño Silva, M.D.

Board Certified in Physical Medicine & Rehabilitation · Fellowship-Trained in Interventional Orthopedics, Centeno-Schultz Clinic

Last reviewed