Cubital Tunnel Syndrome Treatment
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Cubital Tunnel Syndrome Treatment Without Surgery
Cubital Tunnel Syndrome: Non-Surgical Treatment in Palm Beach
Cubital tunnel syndrome is the second most common nerve compression syndrome in the upper extremity, after carpal tunnel syndrome. It involves compression of the ulnar nerve at the elbow, inside the bony groove on the inner side of the elbow. The result is numbness, tingling, and weakness in the ring and small fingers and the inner forearm.
At Palm Beach Regenerative, ultrasound-guided ulnar nerve hydrodissection offers a targeted, non-surgical approach for appropriately selected patients with cubital tunnel syndrome. Contact us for more information.
What Is Cubital Tunnel Syndrome?
The ulnar nerve passes through the cubital tunnel, a narrow channel formed by bone, ligament, and muscle on the inner elbow. Compression or irritation here, particularly with elbow flexion, produces the characteristic ulnar nerve symptoms. The nerve is also vulnerable to traction injury with repetitive elbow flexion activities.
Signs and Symptoms
- Numbness and tingling in the ring and small fingers
- Symptoms worsening with elbow bending or prolonged leaning on the elbow
- Weakness of grip and pinch
- Difficulty with fine motor tasks involving the small finger side of the hand
- Aching on the inner elbow
- In severe cases, wasting of the hand muscles and persistent weakness
Common Causes and Risk Factors
- Repetitive elbow flexion activities, particularly in throwing athletes or musicians
- Prolonged elbow flexion during sleep
- Direct pressure on the inner elbow from leaning
- Prior elbow fracture or surgery
- Elbow arthritis
How It Is Diagnosed
Clinical examination including Tinel’s sign at the cubital tunnel, elbow flexion test, and sensory testing localizes the nerve compression. Electrodiagnostic studies (nerve conduction velocity across the elbow) provide objective measurement of nerve function and compression severity.
Ultrasound allows direct visualization of the ulnar nerve at the elbow, showing nerve swelling and evaluating for nerve subluxation (snapping) during elbow movement.
Conventional Treatment Options
- Elbow padding and extension splinting at night
- Activity modification to avoid sustained elbow flexion
- Steroid injection around the ulnar nerve for inflammatory relief
- Surgical ulnar nerve decompression or transposition for moderate to severe cases
The Palm Beach Regenerative Approach
Dr. Ghattas uses ultrasound-guided ulnar nerve hydrodissection at the cubital tunnel, separating the nerve from perineural adhesions and reducing the inflammatory compression environment with targeted platelet preparation.
This technique is performed under direct real-time ultrasound visualization to ensure the nerve is safely and accurately treated. Mild to moderate cubital tunnel syndrome is the ideal candidate for this approach.
The BioMod Advantage: MLS Robotic Laser Therapy reduces ulnar nerve inflammation at the cubital tunnel and the associated medial elbow soft tissue irritation. Xymogen B-vitamin complex and nerve support protocols provide the nutritional foundation for ulnar nerve recovery, making every element of your treatment plan complement one another.
Like all medical procedures, interventional orthobiologics have potential risks and benefits. Results vary by individual. Not all patients are candidates. Dr. Ghattas will discuss your specific situation, realistic expectations, and all treatment options, including when surgery or other interventions may be more appropriate.
Quick Appointments Available
Don't wait in pain. We can see you within 1-2 weeks. Get the orthopedic care you need, fast.
●PATIENT OUTCOMES
Real Patients. Real Results.
No medical procedure can guarantee an outcome. What you should expect is an honest discussion of the evidence, a careful assessment of candidacy, and a recommendation based on your condition.
"Honestly one of the best experiences, I’ve had a really stiff neck for a couple weeks I tried seeing a chiropractor for and it helped marginally but the real jump in relief was coming to see Dr. Ghattas! He has been incredible, wonderful staff, and minimally invasive technique for my pain relief which was super important to me! Thank you Dr. Ghattas recommending to anyone with pain!"Monica A
"Ghattas was instrumental in helping my torn rotator cuff. I did Barbotage for the stone, and then PRP. Great experience. Been about a month or 2 since and I feel great."Ahmet B
"I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them."Roger L
"Over a year ago, both my daughter and I underwent PRP treatment with Dr. Ghattas—PRP for my left knee and PRP for my daughter’s L4-L5 and sacral region. We wanted to wait long enough to truly evaluate the results before sharing our experience. I am pleased to say that the outcomes have been outstanding. My daughter’s improvement has been remarkable, and the treatment has made a significant difference in her quality of life. I have also experienced excellent results with my knee. Dr. Ghattas is an exceptional physician who combines expertise, professionalism, and genuine care for his patients. We are incredibly grateful for the treatment we received and the positive impact it has had on our lives. Thank you, Dr. Ghattas. We are truly grateful for everything you have done. You are simply the best."Dr Jorge A
"Dr. Ghattas is very knowledgable and a sympathetic doctor. Hard to find in America. All questions answered, my procedure went very smoothly, very little pain. Follow up is excellent, I highly recommend his practice."Luciana D
“ I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them. ”Roger L
“Dr. Ghattas was terrific today. He spent a good amount of time examining me and explaining the regenerative process which I intend to have done next month. More to come after the procedure.”Louie R
“I found Dr Ghattas and his staff very welcoming and informative. The process was well explained and gave me encouragement about the potential for fully restoring my knee joint integrity.”Eric C
“I received two treatments from Dr. Ghattas With excellent results, he takes great care in his assessment and in his treatment you couldn’t be in better hands. I highly recommend his work.”Gisela S
“Apart from the exemplary personal service by the reception and the staff that makes us feel we're at home at the clinic, I have experienced remarkable healing in several episodes from shoulder issue to knee injuries and hip pain. The doctor is so thorough in the diagnosis phase that he administered exactly what was needed, no more no less! Thank you folks for a wonderful experience.”RG G
“Went to Dr. Ghattas for chronic knee and neck issue. I’ve already had multiple procedures done on my neck and multiple epidurals with minimal success. My knee I was told needed surgery to fix. I already had surgery in the past with minimal difference. I ended up getting stem cells in my knee and neck and could t be happier with the outcome. Anyone considering surgery I recommend checking out Regenex first. Next I’m doing the ganglion block and look forward to the results.”Logan H
“Dr. James Ghattas and his team are truly top-notch. His office is equipped with state-of-the-art technology and a staff that's exceptional in their fields. I've referred several clients to him, and they've all been incredibly satisfied. Dr. Ghattas is absolutely ahead of the curve, and I wholeheartedly endorse his work.”Ron H
“I am quite active and go to pilates 3-4 times per week. I was having left knee pain and which was treated with PRP. It took about 3 months for me to feel better but then the pain completely subsided. I now am able to exercise without the fear that I will tear a ligament and am pain free.”Ellipsis P
“Transparency, thoroughness, attention to detail, immediate, high quality, follow ups and follow through are just a few words that come to mind throughout my experiences with Palm Beach Regenerative Sport and Spine.”Milton L
Hip Tendon Tear Treatment
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Hip Tendon Tear Treatment Without Surgery
Gluteal Tears and Hip Tendinosis: Treatment in Palm Beach
Gluteal tendinopathy, including tendinosis and partial tears of the gluteus medius and minimus tendons, is a leading cause of lateral hip pain, particularly in middle-aged and older women. It is often called greater trochanteric pain syndrome and is frequently misdiagnosed as hip bursitis.
At Palm Beach Regenerative, image-guided orthobiologic injection to the gluteal tendon insertions at the greater trochanter offers a precise, non-surgical approach to this common and often undertreated condition. Reach out today to schedule your appointment.
What Are Gluteal Tears and Hip Tendinosis?
The gluteus medius and minimus are the primary hip abductor muscles, and their tendons insert onto the greater trochanter of the femur. Degeneration, micro-tearing, and thickening of these tendons produces the lateral hip pain pattern characteristic of gluteal tendinopathy, which is different from and often mistaken for trochanteric bursitis.
Signs and Symptoms
- Pain on the outer hip, over or just below the greater trochanter
- Pain worsening with walking, climbing stairs, or lying on the affected side
- Tenderness with direct pressure over the greater trochanter
- Pain with sitting cross-legged or with hip adduction
- Weakness of hip abduction, sometimes with a Trendelenburg gait pattern
Common Causes and Risk Factors
- Age-related tendon degeneration, particularly in postmenopausal women
- Repetitive hip loading from running, walking, or climbing
- Broad pelvis biomechanics increasing the tendon compression angle at the greater trochanter
- Prior hip surgery
- Weight gain increasing compressive load on the tendon insertions
How It Is Diagnosed
MRI of the hip clearly shows gluteal tendon degeneration, tearing, and associated bursitis. Diagnostic musculoskeletal ultrasound allows dynamic real-time assessment of the tendon and confirms the specific location and extent of pathology.
Dr. Ghattas uses ultrasound to plan and guide the injection treatment, ensuring precise tendon targeting.
Conventional Treatment Options
- Physical therapy with hip abductor strengthening and load management
- Activity modification and avoidance of aggravating positions
- Trochanteric bursa steroid injection: Often misdirected at the bursa rather than the tendon
- Shock wave therapy for tendinopathy
- Surgical tendon repair for large tears in active patients
The Palm Beach Regenerative Approach
Dr. Ghattas uses real-time ultrasound guidance to deliver concentrated platelet preparations precisely to the gluteal tendon insertion at the greater trochanter, targeting the degenerative tendon tissue rather than the adjacent bursa.
This precision is critical. Many patients with this condition have received ineffective bursa injections because the tendon pathology was not the target. Accurate tendon targeting with Regenexx SCP platelet preparations is the Palm Beach Regenerative standard.
The BioMod Advantage: MLS Robotic Laser Therapy applied to the lateral hip and greater trochanteric region reduces tendon inflammation and supports the body’s tendon healing response. Xymogen collagen support and anti-inflammatory protocols provide a systemic healing environment that helps the gluteal tendons recover from chronic degeneration.
Like all medical procedures, interventional orthobiologics have potential risks and benefits. Results vary by individual. Not all patients are candidates. Dr. Ghattas will discuss your specific situation, realistic expectations, and all treatment options, including when surgery or other interventions may be more appropriate.
Quick Appointments Available
Don't wait in pain. We can see you within 1-2 weeks. Get the orthopedic care you need, fast.
●PATIENT OUTCOMES
Real Patients. Real Results.
No medical procedure can guarantee an outcome. What you should expect is an honest discussion of the evidence, a careful assessment of candidacy, and a recommendation based on your condition.
"Honestly one of the best experiences, I’ve had a really stiff neck for a couple weeks I tried seeing a chiropractor for and it helped marginally but the real jump in relief was coming to see Dr. Ghattas! He has been incredible, wonderful staff, and minimally invasive technique for my pain relief which was super important to me! Thank you Dr. Ghattas recommending to anyone with pain!"Monica A
"Ghattas was instrumental in helping my torn rotator cuff. I did Barbotage for the stone, and then PRP. Great experience. Been about a month or 2 since and I feel great."Ahmet B
"I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them."Roger L
"Over a year ago, both my daughter and I underwent PRP treatment with Dr. Ghattas—PRP for my left knee and PRP for my daughter’s L4-L5 and sacral region. We wanted to wait long enough to truly evaluate the results before sharing our experience. I am pleased to say that the outcomes have been outstanding. My daughter’s improvement has been remarkable, and the treatment has made a significant difference in her quality of life. I have also experienced excellent results with my knee. Dr. Ghattas is an exceptional physician who combines expertise, professionalism, and genuine care for his patients. We are incredibly grateful for the treatment we received and the positive impact it has had on our lives. Thank you, Dr. Ghattas. We are truly grateful for everything you have done. You are simply the best."Dr Jorge A
"Dr. Ghattas is very knowledgable and a sympathetic doctor. Hard to find in America. All questions answered, my procedure went very smoothly, very little pain. Follow up is excellent, I highly recommend his practice."Luciana D
“ I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them. ”Roger L
“Dr. Ghattas was terrific today. He spent a good amount of time examining me and explaining the regenerative process which I intend to have done next month. More to come after the procedure.”Louie R
“I found Dr Ghattas and his staff very welcoming and informative. The process was well explained and gave me encouragement about the potential for fully restoring my knee joint integrity.”Eric C
“I received two treatments from Dr. Ghattas With excellent results, he takes great care in his assessment and in his treatment you couldn’t be in better hands. I highly recommend his work.”Gisela S
“Apart from the exemplary personal service by the reception and the staff that makes us feel we're at home at the clinic, I have experienced remarkable healing in several episodes from shoulder issue to knee injuries and hip pain. The doctor is so thorough in the diagnosis phase that he administered exactly what was needed, no more no less! Thank you folks for a wonderful experience.”RG G
“Went to Dr. Ghattas for chronic knee and neck issue. I’ve already had multiple procedures done on my neck and multiple epidurals with minimal success. My knee I was told needed surgery to fix. I already had surgery in the past with minimal difference. I ended up getting stem cells in my knee and neck and could t be happier with the outcome. Anyone considering surgery I recommend checking out Regenex first. Next I’m doing the ganglion block and look forward to the results.”Logan H
“Dr. James Ghattas and his team are truly top-notch. His office is equipped with state-of-the-art technology and a staff that's exceptional in their fields. I've referred several clients to him, and they've all been incredibly satisfied. Dr. Ghattas is absolutely ahead of the curve, and I wholeheartedly endorse his work.”Ron H
“I am quite active and go to pilates 3-4 times per week. I was having left knee pain and which was treated with PRP. It took about 3 months for me to feel better but then the pain completely subsided. I now am able to exercise without the fear that I will tear a ligament and am pain free.”Ellipsis P
“Transparency, thoroughness, attention to detail, immediate, high quality, follow ups and follow through are just a few words that come to mind throughout my experiences with Palm Beach Regenerative Sport and Spine.”Milton L
Hip Osteoarthritis Treatment
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Hip Osteoarthritis Treatment Without Surgery
Hip Osteoarthritis: Candidacy Assessment & Treatment in Palm Beach
Hip osteoarthritis involves the breakdown of cartilage within the hip joint, one of the most load-bearing joints in the body. It is a leading cause of pain and disability in adults over 50, and hip replacement surgery is among the most commonly performed joint procedures in the United States.
At Palm Beach Regenerative, Dr. Ghattas applies strict candidacy criteria to hip OA, because the reality is that advanced hip arthritis, particularly in patients over 55, is often better served by hip replacement surgery. Honest candidacy assessment is a hallmark of our approach. Give us a call for an appointment today.
What Is Hip Osteoarthritis?
The hip joint is a ball-and-socket joint where the head of the femur (thigh bone) sits within the acetabulum (socket) of the pelvis. As cartilage degenerates, the joint space narrows, bone spurs develop, and the friction between joint surfaces increases, causing pain with weight-bearing, walking, and transitional movements.
Signs and Symptoms
- Groin, thigh, or buttock pain, especially with walking or standing
- Pain that worsens with activity and may improve briefly with rest
- Morning stiffness lasting more than 30 minutes
- Reduced range of motion, including difficulty putting on shoes, crossing legs
- Limping or altered gait pattern
- Pain at night disrupting sleep
Common Causes and Risk Factors
- Age-related degeneration of hip cartilage (primary OA)
- Prior hip injuries, fractures, or surgery
- Hip dysplasia or structural abnormalities
- Inflammatory arthritis affecting the hip
- Obesity placing excess mechanical load on the joint
How It Is Diagnosed
X-rays are the standard initial imaging tool for assessing hip joint space and the degree of arthritis. MRI provides additional detail on cartilage quality, labral integrity, and bone marrow changes.
Dr. Ghattas reviews your imaging carefully, with particular attention to the amount of remaining joint space, as this is a critical factor in determining candidacy for orthobiologic treatment.
Conventional Treatment Options
- Physical therapy and targeted exercise to improve hip mobility and surrounding muscle strength
- Weight management to reduce hip joint loading
- NSAIDs and pain medications for symptom control
- Steroid injections for temporary inflammation relief
- Hip replacement surgery: Highly effective for advanced-stage hip OA, providing more complete and predictable pain relief than non-surgical options in advanced cases
The Palm Beach Regenerative Approach
For carefully selected candidates, image-guided orthobiologic injection into the hip joint may help manage arthritis symptoms and delay or potentially avoid surgical intervention.
However, candidacy for this approach is more restricted in the hip than in any other joint we treat. Hip arthritis treatment with orthobiologics works best for patients who:
- Have mild to moderate arthritis with adequate remaining joint space on imaging
- Are generally under age 55 for cases of severe hip arthritis
- Do not have significant bone deformity, hip dysplasia, or near-complete joint destruction
For patients with advanced bone-on-bone hip arthritis, particularly those over 55, hip replacement surgery often provides significantly more complete and predictable pain relief. Dr. Ghattas will provide a straightforward, honest assessment of whether orthobiologic treatment is likely to benefit your specific situation, or whether a referral to an excellent orthopedic surgeon is the better path.
During your consultation, Dr. Ghattas will review your imaging, assess your candidacy, discuss realistic expectations if treatment is appropriate, and refer you to a trusted surgical colleague if surgery is the more appropriate option.
The BioMod Advantage: At Palm Beach Regenerative, treatment does not end with a single injection. Through our BioMod Lab, Dr. Ghattas may combine your orthobiologic procedure with MLS Robotic Laser Therapy to reduce inflammation and support tissue recovery, alongside customized Xymogen supplement protocols designed to optimize your body’s healing environment. This integrated, concierge approach is what sets Palm Beach Regenerative apart from a standard injection clinic.
Like all medical procedures, interventional orthobiologics have potential risks and benefits. Results vary by individual. Not all patients are candidates. Dr. Ghattas will discuss your specific situation, realistic expectations, and all treatment options, including when surgery or other interventions may be more appropriate.
Important: Advanced hip osteoarthritis, particularly in patients over 55 with severe disease, is generally not well-suited for orthobiologic treatment. Hip replacement surgery is often the more appropriate and reliable option for this patient group. Dr. Ghattas will conduct an honest candidacy assessment and will not recommend treatment that is unlikely to benefit you.
Quick Appointments Available
Don't wait in pain. We can see you within 1-2 weeks. Get the orthopedic care you need, fast.
●PATIENT OUTCOMES
Real Patients. Real Results.
No medical procedure can guarantee an outcome. What you should expect is an honest discussion of the evidence, a careful assessment of candidacy, and a recommendation based on your condition.
"Honestly one of the best experiences, I’ve had a really stiff neck for a couple weeks I tried seeing a chiropractor for and it helped marginally but the real jump in relief was coming to see Dr. Ghattas! He has been incredible, wonderful staff, and minimally invasive technique for my pain relief which was super important to me! Thank you Dr. Ghattas recommending to anyone with pain!"Monica A
"Ghattas was instrumental in helping my torn rotator cuff. I did Barbotage for the stone, and then PRP. Great experience. Been about a month or 2 since and I feel great."Ahmet B
"I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them."Roger L
"Over a year ago, both my daughter and I underwent PRP treatment with Dr. Ghattas—PRP for my left knee and PRP for my daughter’s L4-L5 and sacral region. We wanted to wait long enough to truly evaluate the results before sharing our experience. I am pleased to say that the outcomes have been outstanding. My daughter’s improvement has been remarkable, and the treatment has made a significant difference in her quality of life. I have also experienced excellent results with my knee. Dr. Ghattas is an exceptional physician who combines expertise, professionalism, and genuine care for his patients. We are incredibly grateful for the treatment we received and the positive impact it has had on our lives. Thank you, Dr. Ghattas. We are truly grateful for everything you have done. You are simply the best."Dr Jorge A
"Dr. Ghattas is very knowledgable and a sympathetic doctor. Hard to find in America. All questions answered, my procedure went very smoothly, very little pain. Follow up is excellent, I highly recommend his practice."Luciana D
“ I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them. ”Roger L
“Dr. Ghattas was terrific today. He spent a good amount of time examining me and explaining the regenerative process which I intend to have done next month. More to come after the procedure.”Louie R
“I found Dr Ghattas and his staff very welcoming and informative. The process was well explained and gave me encouragement about the potential for fully restoring my knee joint integrity.”Eric C
“I received two treatments from Dr. Ghattas With excellent results, he takes great care in his assessment and in his treatment you couldn’t be in better hands. I highly recommend his work.”Gisela S
“Apart from the exemplary personal service by the reception and the staff that makes us feel we're at home at the clinic, I have experienced remarkable healing in several episodes from shoulder issue to knee injuries and hip pain. The doctor is so thorough in the diagnosis phase that he administered exactly what was needed, no more no less! Thank you folks for a wonderful experience.”RG G
“Went to Dr. Ghattas for chronic knee and neck issue. I’ve already had multiple procedures done on my neck and multiple epidurals with minimal success. My knee I was told needed surgery to fix. I already had surgery in the past with minimal difference. I ended up getting stem cells in my knee and neck and could t be happier with the outcome. Anyone considering surgery I recommend checking out Regenex first. Next I’m doing the ganglion block and look forward to the results.”Logan H
“Dr. James Ghattas and his team are truly top-notch. His office is equipped with state-of-the-art technology and a staff that's exceptional in their fields. I've referred several clients to him, and they've all been incredibly satisfied. Dr. Ghattas is absolutely ahead of the curve, and I wholeheartedly endorse his work.”Ron H
“I am quite active and go to pilates 3-4 times per week. I was having left knee pain and which was treated with PRP. It took about 3 months for me to feel better but then the pain completely subsided. I now am able to exercise without the fear that I will tear a ligament and am pain free.”Ellipsis P
“Transparency, thoroughness, attention to detail, immediate, high quality, follow ups and follow through are just a few words that come to mind throughout my experiences with Palm Beach Regenerative Sport and Spine.”Milton L
Hip Labrum Tear Treatment
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Hip Labrum Tear Treatment Without Surgery
Hip Labrum Tears: Non-Surgical Options in Palm Beach
The hip labrum is a ring of cartilage surrounding the rim of the hip socket that helps deepen the joint, seal the joint fluid, and stabilize the femoral head. Labral tears can cause significant hip pain, clicking, and a sense of catching or locking in the hip.
For select candidates, image-guided orthobiologic treatment may offer a non-surgical approach to managing hip labrum tear symptoms. Schedule an appointment today.
What Is a Hip Labrum Tear?
Hip labral tears are most common in athletes participating in sports requiring repetitive hip rotation or pivoting (hockey, soccer, golf, dancing) and in patients with underlying hip structural abnormalities such as femoroacetabular impingement (FAI) or hip dysplasia.
Signs and Symptoms
- Groin pain, often sharp with pivoting or transitional movements
- Clicking, catching, or locking sensation in the hip
- Hip stiffness, particularly in the morning or after sitting
- Pain with prolonged sitting, walking, or athletic activity
- Reduced hip range of motion
Common Causes and Risk Factors
- Femoroacetabular impingement (FAI), involving abnormal bony contact causing labral damage over time
- Hip dysplasia, a shallow socket that places excess stress on the labrum
- Repetitive rotational movements in sport or dance
- Acute trauma or sudden pivoting injury
- Age-related degeneration
How It Is Diagnosed
MRI arthrogram (MRI with contrast injected into the hip joint) is the most sensitive imaging study for hip labral tears. Dr. Ghattas reviews imaging findings alongside your clinical presentation to determine the most appropriate treatment approach.
Conventional Treatment Options
- Physical therapy: Hip strengthening and movement pattern correction
- Activity modification and rest
- Anti-inflammatory medications
- Hip arthroscopy: Surgical repair or debridement of the labral tear, sometimes combined with treatment of associated FAI
The Palm Beach Regenerative Approach
For patients with hip labral tears who prefer to explore non-surgical options, image-guided orthobiologic injection into the hip joint, delivered precisely under fluoroscopic guidance, may help reduce the inflammatory response and support the body’s natural healing processes.
Patients with significant underlying structural abnormalities (FAI, dysplasia) may require surgical correction to address the root mechanical cause of labral damage. Dr. Ghattas will discuss this during your consultation. Contact us to schedule your visit today.
The BioMod Advantage: At Palm Beach Regenerative, treatment does not end with a single injection. Through our BioMod Lab, Dr. Ghattas may combine your orthobiologic procedure with MLS Robotic Laser Therapy to reduce inflammation and support tissue recovery, alongside customized Xymogen supplement protocols designed to optimize your body’s healing environment. This integrated, concierge approach is what sets Palm Beach Regenerative apart from a standard injection clinic.
Like all medical procedures, interventional orthobiologics have potential risks and benefits. Results vary by individual. Not all patients are candidates. Dr. Ghattas will discuss your specific situation, realistic expectations, and all treatment options, including when surgery or other interventions may be more appropriate.
Quick Appointments Available
Don't wait in pain. We can see you within 1-2 weeks. Get the orthopedic care you need, fast.
●PATIENT OUTCOMES
Real Patients. Real Results.
No medical procedure can guarantee an outcome. What you should expect is an honest discussion of the evidence, a careful assessment of candidacy, and a recommendation based on your condition.
"Honestly one of the best experiences, I’ve had a really stiff neck for a couple weeks I tried seeing a chiropractor for and it helped marginally but the real jump in relief was coming to see Dr. Ghattas! He has been incredible, wonderful staff, and minimally invasive technique for my pain relief which was super important to me! Thank you Dr. Ghattas recommending to anyone with pain!"Monica A
"Ghattas was instrumental in helping my torn rotator cuff. I did Barbotage for the stone, and then PRP. Great experience. Been about a month or 2 since and I feel great."Ahmet B
"I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them."Roger L
"Over a year ago, both my daughter and I underwent PRP treatment with Dr. Ghattas—PRP for my left knee and PRP for my daughter’s L4-L5 and sacral region. We wanted to wait long enough to truly evaluate the results before sharing our experience. I am pleased to say that the outcomes have been outstanding. My daughter’s improvement has been remarkable, and the treatment has made a significant difference in her quality of life. I have also experienced excellent results with my knee. Dr. Ghattas is an exceptional physician who combines expertise, professionalism, and genuine care for his patients. We are incredibly grateful for the treatment we received and the positive impact it has had on our lives. Thank you, Dr. Ghattas. We are truly grateful for everything you have done. You are simply the best."Dr Jorge A
"Dr. Ghattas is very knowledgable and a sympathetic doctor. Hard to find in America. All questions answered, my procedure went very smoothly, very little pain. Follow up is excellent, I highly recommend his practice."Luciana D
“ I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them. ”Roger L
“Dr. Ghattas was terrific today. He spent a good amount of time examining me and explaining the regenerative process which I intend to have done next month. More to come after the procedure.”Louie R
“I found Dr Ghattas and his staff very welcoming and informative. The process was well explained and gave me encouragement about the potential for fully restoring my knee joint integrity.”Eric C
“I received two treatments from Dr. Ghattas With excellent results, he takes great care in his assessment and in his treatment you couldn’t be in better hands. I highly recommend his work.”Gisela S
“Apart from the exemplary personal service by the reception and the staff that makes us feel we're at home at the clinic, I have experienced remarkable healing in several episodes from shoulder issue to knee injuries and hip pain. The doctor is so thorough in the diagnosis phase that he administered exactly what was needed, no more no less! Thank you folks for a wonderful experience.”RG G
“Went to Dr. Ghattas for chronic knee and neck issue. I’ve already had multiple procedures done on my neck and multiple epidurals with minimal success. My knee I was told needed surgery to fix. I already had surgery in the past with minimal difference. I ended up getting stem cells in my knee and neck and could t be happier with the outcome. Anyone considering surgery I recommend checking out Regenex first. Next I’m doing the ganglion block and look forward to the results.”Logan H
“Dr. James Ghattas and his team are truly top-notch. His office is equipped with state-of-the-art technology and a staff that's exceptional in their fields. I've referred several clients to him, and they've all been incredibly satisfied. Dr. Ghattas is absolutely ahead of the curve, and I wholeheartedly endorse his work.”Ron H
“I am quite active and go to pilates 3-4 times per week. I was having left knee pain and which was treated with PRP. It took about 3 months for me to feel better but then the pain completely subsided. I now am able to exercise without the fear that I will tear a ligament and am pain free.”Ellipsis P
“Transparency, thoroughness, attention to detail, immediate, high quality, follow ups and follow through are just a few words that come to mind throughout my experiences with Palm Beach Regenerative Sport and Spine.”Milton L
Hip Impingement Treatment
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Hip Impingement Treatment Without Surgery
Hip Impingement (FAI): Non-Surgical Management in Palm Beach
Femoroacetabular impingement (FAI) occurs when abnormal contact between the ball and socket of the hip joint causes pinching of the labrum and cartilage with hip movement. It is a common source of groin pain in active adults and athletes, and if left untreated, can accelerate hip joint degeneration.
At Palm Beach Regenerative, Dr. Ghattas provides honest assessment of FAI, clearly distinguishing the structural component that drives impingement from the inflammatory component that can be addressed with orthobiologic treatment. Give us a call to schedule an appointment today.
What Is Hip Impingement (Femoroacetabular Impingement)?
FAI occurs in two patterns: cam impingement, where the femoral head has an aspherical bony prominence, and pincer impingement, where the acetabulum overcoverage pinches the femoral head. Mixed patterns are common. During hip flexion or rotation, this abnormal morphology creates repetitive impact on the labrum and cartilage.
Signs and Symptoms
- Groin pain with hip flexion, including sitting, squatting, or getting out of a car
- The classic ‘C sign’: the patient cups the hand around the hip when indicating pain
- Pain with athletic activities requiring hip rotation
- Limited hip internal rotation
- Clicking or catching in the hip
- Low back pain from compensatory movement patterns
Common Causes and Risk Factors
- Bony morphological variation of the femoral head or acetabulum, often developmental
- More common in athletic individuals with high hip loading
- Associated with hip dysplasia in some cases
How It Is Diagnosed
X-ray identifies the FAI bony morphology. MRI with arthrogram is the most sensitive study for assessing labral and cartilage damage associated with impingement.
Dr. Ghattas reviews your imaging to assess the degree of structural impingement, labral damage, and cartilage involvement before discussing treatment options honestly.
Conventional Treatment Options
- Physical therapy for hip mobility and movement pattern correction
- Activity modification to avoid impingement positions
- Hip arthroscopy to reshape the bone (osteoplasty) and repair the labrum: The definitive treatment for structural FAI with significant labral damage
The Palm Beach Regenerative Approach
Orthobiologic treatment for FAI focuses on managing the inflammatory component within the hip joint and supporting the labral and cartilage tissues that have been damaged by repetitive impingement. This approach does not correct the underlying bony morphology.
For patients with mild structural impingement and early labral changes who wish to avoid or delay surgery, image-guided hip joint injection may provide meaningful symptomatic relief. For patients with significant structural impingement and complete labral tears, hip arthroscopy is the appropriate intervention and Dr. Ghattas will say so directly.
The BioMod Advantage: MLS Robotic Laser Therapy to the hip joint and surrounding musculature reduces intra-articular inflammation and hip flexor tightness that amplify FAI symptoms. Xymogen joint support and anti-inflammatory protocols create a favorable biological environment within the hip joint.
Like all medical procedures, interventional orthobiologics have potential risks and benefits. Results vary by individual. Not all patients are candidates. Dr. Ghattas will discuss your specific situation, realistic expectations, and all treatment options, including when surgery or other interventions may be more appropriate.
FAI is a structural condition. Interventional orthobiologics addresses the inflammatory component and may help manage symptoms but does not change the underlying bony morphology. Patients with significant impingement and labral damage may be better served by hip arthroscopy.
Quick Appointments Available
Don't wait in pain. We can see you within 1-2 weeks. Get the orthopedic care you need, fast.
●PATIENT OUTCOMES
Real Patients. Real Results.
No medical procedure can guarantee an outcome. What you should expect is an honest discussion of the evidence, a careful assessment of candidacy, and a recommendation based on your condition.
"Honestly one of the best experiences, I’ve had a really stiff neck for a couple weeks I tried seeing a chiropractor for and it helped marginally but the real jump in relief was coming to see Dr. Ghattas! He has been incredible, wonderful staff, and minimally invasive technique for my pain relief which was super important to me! Thank you Dr. Ghattas recommending to anyone with pain!"Monica A
"Ghattas was instrumental in helping my torn rotator cuff. I did Barbotage for the stone, and then PRP. Great experience. Been about a month or 2 since and I feel great."Ahmet B
"I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them."Roger L
"Over a year ago, both my daughter and I underwent PRP treatment with Dr. Ghattas—PRP for my left knee and PRP for my daughter’s L4-L5 and sacral region. We wanted to wait long enough to truly evaluate the results before sharing our experience. I am pleased to say that the outcomes have been outstanding. My daughter’s improvement has been remarkable, and the treatment has made a significant difference in her quality of life. I have also experienced excellent results with my knee. Dr. Ghattas is an exceptional physician who combines expertise, professionalism, and genuine care for his patients. We are incredibly grateful for the treatment we received and the positive impact it has had on our lives. Thank you, Dr. Ghattas. We are truly grateful for everything you have done. You are simply the best."Dr Jorge A
"Dr. Ghattas is very knowledgable and a sympathetic doctor. Hard to find in America. All questions answered, my procedure went very smoothly, very little pain. Follow up is excellent, I highly recommend his practice."Luciana D
“ I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them. ”Roger L
“Dr. Ghattas was terrific today. He spent a good amount of time examining me and explaining the regenerative process which I intend to have done next month. More to come after the procedure.”Louie R
“I found Dr Ghattas and his staff very welcoming and informative. The process was well explained and gave me encouragement about the potential for fully restoring my knee joint integrity.”Eric C
“I received two treatments from Dr. Ghattas With excellent results, he takes great care in his assessment and in his treatment you couldn’t be in better hands. I highly recommend his work.”Gisela S
“Apart from the exemplary personal service by the reception and the staff that makes us feel we're at home at the clinic, I have experienced remarkable healing in several episodes from shoulder issue to knee injuries and hip pain. The doctor is so thorough in the diagnosis phase that he administered exactly what was needed, no more no less! Thank you folks for a wonderful experience.”RG G
“Went to Dr. Ghattas for chronic knee and neck issue. I’ve already had multiple procedures done on my neck and multiple epidurals with minimal success. My knee I was told needed surgery to fix. I already had surgery in the past with minimal difference. I ended up getting stem cells in my knee and neck and could t be happier with the outcome. Anyone considering surgery I recommend checking out Regenex first. Next I’m doing the ganglion block and look forward to the results.”Logan H
“Dr. James Ghattas and his team are truly top-notch. His office is equipped with state-of-the-art technology and a staff that's exceptional in their fields. I've referred several clients to him, and they've all been incredibly satisfied. Dr. Ghattas is absolutely ahead of the curve, and I wholeheartedly endorse his work.”Ron H
“I am quite active and go to pilates 3-4 times per week. I was having left knee pain and which was treated with PRP. It took about 3 months for me to feel better but then the pain completely subsided. I now am able to exercise without the fear that I will tear a ligament and am pain free.”Ellipsis P
“Transparency, thoroughness, attention to detail, immediate, high quality, follow ups and follow through are just a few words that come to mind throughout my experiences with Palm Beach Regenerative Sport and Spine.”Milton L
Hip Bursitis Treatment
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Hip Bursitis Treatment Without Surgery
Hip Bursitis (Trochanteric Bursitis): Treatment in Palm Beach
Trochanteric bursitis refers to inflammation of the bursa overlying the greater trochanter of the hip. While bursal inflammation can certainly contribute to lateral hip pain, it is now understood that gluteal tendinopathy is the primary pain driver in most cases of greater trochanteric pain syndrome.
At Palm Beach Regenerative, Dr. Ghattas uses diagnostic ultrasound to accurately identify whether the bursa, the gluteal tendons, or both are the primary contributors to your hip pain before determining the most targeted treatment approach. Schedule a visit to Palm Beach Regenerative today by filling out our online form.
What Is Hip Bursitis (Trochanteric Bursitis)?
The trochanteric bursa is a fluid-filled sac that cushions the greater trochanter from the iliotibial band and gluteal tendons. When inflamed, it causes lateral hip pain that can be difficult to distinguish clinically from gluteal tendinopathy. Accurate differentiation guides effective treatment.
Signs and Symptoms
- Pain on the outer hip, often described as a burning or aching sensation
- Pain worsening with lying on the affected side at night
- Discomfort with prolonged walking or stair climbing
- Tenderness with direct pressure over the greater trochanter
- Snapping sensation with hip movement in some cases (iliotibial band snapping)
Common Causes and Risk Factors
- Repetitive friction from the iliotibial band over the greater trochanter
- Hip abductor muscle weakness creating abnormal hip mechanics
- Prior hip surgery or direct trauma
- Leg length discrepancy
- Running with excessive hip adduction
How It Is Diagnosed
Diagnostic ultrasound differentiates bursal inflammation from gluteal tendon degeneration and tearing, and guides precise injection placement. MRI provides the most comprehensive assessment when both conditions are suspected.
Conventional Treatment Options
- Physical therapy for hip abductor strengthening and IT band stretching
- Activity modification
- Trochanteric bursa steroid injection
- Shock wave therapy
The Palm Beach Regenerative Approach
Using real-time ultrasound guidance, Dr. Ghattas delivers targeted orthobiologic injection to the precise location of pathology, whether that is the bursa, the gluteal tendon insertion, or both. This precision is what distinguishes the Palm Beach Regenerative approach from blind or landmark-based injection.
Addressing the correct anatomical target is the most important factor in achieving meaningful relief from lateral hip pain.
The BioMod Advantage: MLS Robotic Laser Therapy to the lateral hip region reduces bursal and tendon inflammation simultaneously. Xymogen anti-inflammatory protocols provide systemic support, reducing the inflammatory burden that drives bursitis recurrence.
Like all medical procedures, interventional orthobiologics have potential risks and benefits. Results vary by individual. Not all patients are candidates. Dr. Ghattas will discuss your specific situation, realistic expectations, and all treatment options, including when surgery or other interventions may be more appropriate.
Quick Appointments Available
Don't wait in pain. We can see you within 1-2 weeks. Get the orthopedic care you need, fast.
●PATIENT OUTCOMES
Real Patients. Real Results.
No medical procedure can guarantee an outcome. What you should expect is an honest discussion of the evidence, a careful assessment of candidacy, and a recommendation based on your condition.
"Honestly one of the best experiences, I’ve had a really stiff neck for a couple weeks I tried seeing a chiropractor for and it helped marginally but the real jump in relief was coming to see Dr. Ghattas! He has been incredible, wonderful staff, and minimally invasive technique for my pain relief which was super important to me! Thank you Dr. Ghattas recommending to anyone with pain!"Monica A
"Ghattas was instrumental in helping my torn rotator cuff. I did Barbotage for the stone, and then PRP. Great experience. Been about a month or 2 since and I feel great."Ahmet B
"I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them."Roger L
"Over a year ago, both my daughter and I underwent PRP treatment with Dr. Ghattas—PRP for my left knee and PRP for my daughter’s L4-L5 and sacral region. We wanted to wait long enough to truly evaluate the results before sharing our experience. I am pleased to say that the outcomes have been outstanding. My daughter’s improvement has been remarkable, and the treatment has made a significant difference in her quality of life. I have also experienced excellent results with my knee. Dr. Ghattas is an exceptional physician who combines expertise, professionalism, and genuine care for his patients. We are incredibly grateful for the treatment we received and the positive impact it has had on our lives. Thank you, Dr. Ghattas. We are truly grateful for everything you have done. You are simply the best."Dr Jorge A
"Dr. Ghattas is very knowledgable and a sympathetic doctor. Hard to find in America. All questions answered, my procedure went very smoothly, very little pain. Follow up is excellent, I highly recommend his practice."Luciana D
“ I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them. ”Roger L
“Dr. Ghattas was terrific today. He spent a good amount of time examining me and explaining the regenerative process which I intend to have done next month. More to come after the procedure.”Louie R
“I found Dr Ghattas and his staff very welcoming and informative. The process was well explained and gave me encouragement about the potential for fully restoring my knee joint integrity.”Eric C
“I received two treatments from Dr. Ghattas With excellent results, he takes great care in his assessment and in his treatment you couldn’t be in better hands. I highly recommend his work.”Gisela S
“Apart from the exemplary personal service by the reception and the staff that makes us feel we're at home at the clinic, I have experienced remarkable healing in several episodes from shoulder issue to knee injuries and hip pain. The doctor is so thorough in the diagnosis phase that he administered exactly what was needed, no more no less! Thank you folks for a wonderful experience.”RG G
“Went to Dr. Ghattas for chronic knee and neck issue. I’ve already had multiple procedures done on my neck and multiple epidurals with minimal success. My knee I was told needed surgery to fix. I already had surgery in the past with minimal difference. I ended up getting stem cells in my knee and neck and could t be happier with the outcome. Anyone considering surgery I recommend checking out Regenex first. Next I’m doing the ganglion block and look forward to the results.”Logan H
“Dr. James Ghattas and his team are truly top-notch. His office is equipped with state-of-the-art technology and a staff that's exceptional in their fields. I've referred several clients to him, and they've all been incredibly satisfied. Dr. Ghattas is absolutely ahead of the curve, and I wholeheartedly endorse his work.”Ron H
“I am quite active and go to pilates 3-4 times per week. I was having left knee pain and which was treated with PRP. It took about 3 months for me to feel better but then the pain completely subsided. I now am able to exercise without the fear that I will tear a ligament and am pain free.”Ellipsis P
“Transparency, thoroughness, attention to detail, immediate, high quality, follow ups and follow through are just a few words that come to mind throughout my experiences with Palm Beach Regenerative Sport and Spine.”Milton L
Avascular Necrosis Treatment
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Avascular Necrosis Treatment Without Surgery
Avascular Necrosis (Osteonecrosis): Non-Surgical Options in Palm Beach
Avascular necrosis (AVN), also called osteonecrosis, occurs when the blood supply to a section of bone is disrupted, causing the bone tissue to die. The hip is the most commonly affected joint, though AVN can also involve the knee, shoulder, and other joints.
When caught in early stages, orthobiologic treatment combined with core decompression may help support the bone’s healing environment and slow disease progression. Advanced AVN typically requires surgical joint replacement. To find out if this procedure is right for you, contact us today.
What Is Avascular Necrosis (Osteonecrosis)?
Without adequate blood supply, bone cells (osteocytes) die, weakening the structural integrity of the bone. Over time, the bone surface can collapse, leading to joint destruction and severe arthritis.
Early-stage AVN (before collapse) is the window in which non-surgical treatment approaches have the most potential to make a difference.
Signs and Symptoms
- Hip, groin, or thigh pain, often beginning gradually
- Pain that worsens with weight-bearing
- Stiffness and limited range of motion
- Groin pain at rest in advanced stages
- Limp or altered gait
Common Causes and Risk Factors
- Long-term or high-dose corticosteroid use (most common non-traumatic cause)
- Excessive alcohol consumption
- Prior hip fracture or dislocation disrupting blood supply
- Sickle cell disease or other blood disorders
- Decompression sickness (in divers)
- Radiation therapy
How It Is Diagnosed
MRI is the most sensitive tool for detecting early AVN, before changes are visible on X-ray. Staging (Ficat & Arlet or ARCO classification) guides treatment decisions and prognosis.
Dr. Ghattas will review your imaging to determine the stage of AVN and whether non-surgical options are appropriate.
Conventional Treatment Options
- Core decompression surgery: Drilling into the affected bone to reduce pressure and promote vascular ingrowth, most effective in early stages
- Protected weight-bearing: To prevent joint collapse during early disease
- Medications: Blood thinners and bisphosphonates, studied with variable results
- Total joint replacement: For advanced AVN with joint collapse
The Palm Beach Regenerative Approach
For appropriately staged early-to-mid-stage AVN, Dr. Ghattas may discuss the potential role of orthobiologic treatment, including bone marrow concentrate (BMC), to support the bone’s biological environment and healing response.
This approach may be considered in conjunction with core decompression or as part of a broader treatment plan. The goal is to support the body’s ability to maintain bone integrity before structural collapse occurs.
Advanced AVN with joint collapse typically requires surgical joint replacement. Dr. Ghattas will provide an honest assessment of whether the stage and location of your AVN make you an appropriate candidate for non-surgical intervention.
The BioMod Advantage: At Palm Beach Regenerative, treatment does not end with a single injection. Through our BioMod Lab, Dr. Ghattas may combine your orthobiologic procedure with MLS Robotic Laser Therapy to reduce inflammation and support tissue recovery, alongside customized Xymogen supplement protocols designed to optimize your body’s healing environment. This integrated, concierge approach is what sets Palm Beach Regenerative apart from a standard injection clinic.
Like all medical procedures, interventional orthobiologics have potential risks and benefits. Results vary by individual. Not all patients are candidates. Dr. Ghattas will discuss your specific situation, realistic expectations, and all treatment options, including when surgery or other interventions may be more appropriate.
Orthobiologic treatment for AVN is most relevant in early-to-mid stages before joint collapse. Advanced-stage AVN with significant bone death or joint destruction typically requires surgical joint replacement. Dr. Ghattas will provide an honest assessment based on your imaging.
Quick Appointments Available
Don't wait in pain. We can see you within 1-2 weeks. Get the orthopedic care you need, fast.
●PATIENT OUTCOMES
Real Patients. Real Results.
No medical procedure can guarantee an outcome. What you should expect is an honest discussion of the evidence, a careful assessment of candidacy, and a recommendation based on your condition.
"Honestly one of the best experiences, I’ve had a really stiff neck for a couple weeks I tried seeing a chiropractor for and it helped marginally but the real jump in relief was coming to see Dr. Ghattas! He has been incredible, wonderful staff, and minimally invasive technique for my pain relief which was super important to me! Thank you Dr. Ghattas recommending to anyone with pain!"Monica A
"Ghattas was instrumental in helping my torn rotator cuff. I did Barbotage for the stone, and then PRP. Great experience. Been about a month or 2 since and I feel great."Ahmet B
"I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them."Roger L
"Over a year ago, both my daughter and I underwent PRP treatment with Dr. Ghattas—PRP for my left knee and PRP for my daughter’s L4-L5 and sacral region. We wanted to wait long enough to truly evaluate the results before sharing our experience. I am pleased to say that the outcomes have been outstanding. My daughter’s improvement has been remarkable, and the treatment has made a significant difference in her quality of life. I have also experienced excellent results with my knee. Dr. Ghattas is an exceptional physician who combines expertise, professionalism, and genuine care for his patients. We are incredibly grateful for the treatment we received and the positive impact it has had on our lives. Thank you, Dr. Ghattas. We are truly grateful for everything you have done. You are simply the best."Dr Jorge A
"Dr. Ghattas is very knowledgable and a sympathetic doctor. Hard to find in America. All questions answered, my procedure went very smoothly, very little pain. Follow up is excellent, I highly recommend his practice."Luciana D
“ I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them. ”Roger L
“Dr. Ghattas was terrific today. He spent a good amount of time examining me and explaining the regenerative process which I intend to have done next month. More to come after the procedure.”Louie R
“I found Dr Ghattas and his staff very welcoming and informative. The process was well explained and gave me encouragement about the potential for fully restoring my knee joint integrity.”Eric C
“I received two treatments from Dr. Ghattas With excellent results, he takes great care in his assessment and in his treatment you couldn’t be in better hands. I highly recommend his work.”Gisela S
“Apart from the exemplary personal service by the reception and the staff that makes us feel we're at home at the clinic, I have experienced remarkable healing in several episodes from shoulder issue to knee injuries and hip pain. The doctor is so thorough in the diagnosis phase that he administered exactly what was needed, no more no less! Thank you folks for a wonderful experience.”RG G
“Went to Dr. Ghattas for chronic knee and neck issue. I’ve already had multiple procedures done on my neck and multiple epidurals with minimal success. My knee I was told needed surgery to fix. I already had surgery in the past with minimal difference. I ended up getting stem cells in my knee and neck and could t be happier with the outcome. Anyone considering surgery I recommend checking out Regenex first. Next I’m doing the ganglion block and look forward to the results.”Logan H
“Dr. James Ghattas and his team are truly top-notch. His office is equipped with state-of-the-art technology and a staff that's exceptional in their fields. I've referred several clients to him, and they've all been incredibly satisfied. Dr. Ghattas is absolutely ahead of the curve, and I wholeheartedly endorse his work.”Ron H
“I am quite active and go to pilates 3-4 times per week. I was having left knee pain and which was treated with PRP. It took about 3 months for me to feel better but then the pain completely subsided. I now am able to exercise without the fear that I will tear a ligament and am pain free.”Ellipsis P
“Transparency, thoroughness, attention to detail, immediate, high quality, follow ups and follow through are just a few words that come to mind throughout my experiences with Palm Beach Regenerative Sport and Spine.”Milton L
Shoulder Labrum Tear Treatment
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Shoulder Labrum Tear Treatment Without Surgery
Shoulder Labrum Tears: Non-Surgical Options in Palm Beach
The shoulder labrum is a ring of cartilage lining the glenoid socket that deepens the socket and provides stability for the ball of the shoulder joint. Labrum tears can cause shoulder pain, instability, clicking, and a sense that the shoulder may ‘pop out.’
Depending on the type and severity of the tear, non-surgical orthobiologic treatment may be an appropriate first step before considering arthroscopic repair. Request an appointment at Palm Beach Regenerative.
What Is a Shoulder Labrum Tear?
Labrum tears are classified by location: SLAP tears (superior labrum from front to back) are common in overhead athletes and throwing sports. Bankart lesions occur in the front of the labrum following anterior shoulder dislocations. Posterior labral tears are less common.
Not all labrum tears cause symptoms, and not all require surgery.
Signs and Symptoms
- Deep shoulder pain, often difficult to localize precisely
- Clicking, popping, or grinding with shoulder movement
- Shoulder instability, or the feeling that the joint may slip or feel loose
- Weakness with overhead activities or throwing
- Night pain, particularly in certain positions
Common Causes and Risk Factors
- Acute trauma, such as a shoulder dislocation or fall on an outstretched arm
- Repetitive overhead motion (tennis, swimming, baseball, volleyball)
- Degeneration with age
- Hypermobility of the shoulder joint
How It Is Diagnosed
MRI, particularly with arthrogram (contrast injection into the joint), is the most sensitive imaging tool for diagnosing labrum tears. Dr. Ghattas reviews imaging findings in the context of your symptoms and functional limitations to determine the most appropriate treatment path.
Conventional Treatment Options
- Physical therapy: Rotator cuff and scapular strengthening to compensate for labral instability
- Activity modification and rest during the acute phase
- Anti-inflammatory medications
- Arthroscopic labrum repair: For significant instability, Bankart lesions, or SLAP tears in high-demand athletes
The Palm Beach Regenerative Approach
For patients with partial labral tears or those who prefer to explore non-surgical options before committing to arthroscopic repair, image-guided orthobiologic injection targeting the shoulder joint and labral tissue may help support the body’s healing response and reduce pain and inflammation.
Dr. Ghattas will review your MRI and clinical presentation to assess whether your tear pattern and stability profile make you an appropriate candidate for this approach.
The BioMod Advantage: At Palm Beach Regenerative, treatment does not end with a single injection. Through our BioMod Lab, Dr. Ghattas may combine your orthobiologic procedure with MLS Robotic Laser Therapy to reduce inflammation and support tissue recovery, alongside customized Xymogen supplement protocols designed to optimize your body’s healing environment. This integrated, concierge approach is what sets Palm Beach Regenerative apart from a standard injection clinic.
Like all medical procedures, interventional orthobiologics have potential risks and benefits. Results vary by individual. Not all patients are candidates. Dr. Ghattas will discuss your specific situation, realistic expectations, and all treatment options, including when surgery or other interventions may be more appropriate.
Quick Appointments Available
Don't wait in pain. We can see you within 1-2 weeks. Get the orthopedic care you need, fast.
●PATIENT OUTCOMES
Real Patients. Real Results.
No medical procedure can guarantee an outcome. What you should expect is an honest discussion of the evidence, a careful assessment of candidacy, and a recommendation based on your condition.
"Honestly one of the best experiences, I’ve had a really stiff neck for a couple weeks I tried seeing a chiropractor for and it helped marginally but the real jump in relief was coming to see Dr. Ghattas! He has been incredible, wonderful staff, and minimally invasive technique for my pain relief which was super important to me! Thank you Dr. Ghattas recommending to anyone with pain!"Monica A
"Ghattas was instrumental in helping my torn rotator cuff. I did Barbotage for the stone, and then PRP. Great experience. Been about a month or 2 since and I feel great."Ahmet B
"I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them."Roger L
"Over a year ago, both my daughter and I underwent PRP treatment with Dr. Ghattas—PRP for my left knee and PRP for my daughter’s L4-L5 and sacral region. We wanted to wait long enough to truly evaluate the results before sharing our experience. I am pleased to say that the outcomes have been outstanding. My daughter’s improvement has been remarkable, and the treatment has made a significant difference in her quality of life. I have also experienced excellent results with my knee. Dr. Ghattas is an exceptional physician who combines expertise, professionalism, and genuine care for his patients. We are incredibly grateful for the treatment we received and the positive impact it has had on our lives. Thank you, Dr. Ghattas. We are truly grateful for everything you have done. You are simply the best."Dr Jorge A
"Dr. Ghattas is very knowledgable and a sympathetic doctor. Hard to find in America. All questions answered, my procedure went very smoothly, very little pain. Follow up is excellent, I highly recommend his practice."Luciana D
“ I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them. ”Roger L
“Dr. Ghattas was terrific today. He spent a good amount of time examining me and explaining the regenerative process which I intend to have done next month. More to come after the procedure.”Louie R
“I found Dr Ghattas and his staff very welcoming and informative. The process was well explained and gave me encouragement about the potential for fully restoring my knee joint integrity.”Eric C
“I received two treatments from Dr. Ghattas With excellent results, he takes great care in his assessment and in his treatment you couldn’t be in better hands. I highly recommend his work.”Gisela S
“Apart from the exemplary personal service by the reception and the staff that makes us feel we're at home at the clinic, I have experienced remarkable healing in several episodes from shoulder issue to knee injuries and hip pain. The doctor is so thorough in the diagnosis phase that he administered exactly what was needed, no more no less! Thank you folks for a wonderful experience.”RG G
“Went to Dr. Ghattas for chronic knee and neck issue. I’ve already had multiple procedures done on my neck and multiple epidurals with minimal success. My knee I was told needed surgery to fix. I already had surgery in the past with minimal difference. I ended up getting stem cells in my knee and neck and could t be happier with the outcome. Anyone considering surgery I recommend checking out Regenex first. Next I’m doing the ganglion block and look forward to the results.”Logan H
“Dr. James Ghattas and his team are truly top-notch. His office is equipped with state-of-the-art technology and a staff that's exceptional in their fields. I've referred several clients to him, and they've all been incredibly satisfied. Dr. Ghattas is absolutely ahead of the curve, and I wholeheartedly endorse his work.”Ron H
“I am quite active and go to pilates 3-4 times per week. I was having left knee pain and which was treated with PRP. It took about 3 months for me to feel better but then the pain completely subsided. I now am able to exercise without the fear that I will tear a ligament and am pain free.”Ellipsis P
“Transparency, thoroughness, attention to detail, immediate, high quality, follow ups and follow through are just a few words that come to mind throughout my experiences with Palm Beach Regenerative Sport and Spine.”Milton L
Shoulder Arthritis Treatment
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Shoulder Arthritis Treatment Without Surgery
Shoulder Osteoarthritis: Non-Surgical Options in Palm Beach
Shoulder osteoarthritis (glenohumeral OA) involves the gradual breakdown of cartilage in the ball-and-socket joint of the shoulder. While less common than knee or hip OA, shoulder arthritis can significantly limit overhead function, sleep quality, and daily activities.
For appropriately selected patients, image-guided orthobiologic treatment may help manage shoulder OA symptoms and improve function without surgery. Make an appointment at Palm Beach Regenerative today.
What Is Shoulder Osteoarthritis?
The glenohumeral joint, where the upper arm bone (humerus) meets the shoulder socket (glenoid), relies on smooth cartilage surfaces for pain-free movement. When this cartilage degenerates, bone-on-bone friction causes pain, inflammation, and progressive stiffness.
Signs and Symptoms
- Deep, aching pain within the shoulder joint
- Pain worsening with overhead activity or reaching
- Morning stiffness easing with movement
- Crackling or grinding with shoulder rotation
- Reduced range of motion, especially internal rotation
- Difficulty sleeping on the affected side
Common Causes and Risk Factors
- Age-related cartilage degeneration
- Prior shoulder injuries, dislocations, or surgeries
- Rotator cuff tear arthropathy (arthritis secondary to a large rotator cuff tear)
- Repetitive overhead sport or occupation
- Inflammatory arthritis affecting the shoulder
How It Is Diagnosed
X-rays can show joint space narrowing and bone spurs. MRI provides a more complete picture of cartilage quality, rotator cuff integrity, and soft tissue involvement.
Dr. Ghattas reviews your imaging and clinical presentation to determine the stage of arthritis and appropriate treatment options.
Conventional Treatment Options
- Physical therapy: Shoulder mobility and strength exercises
- NSAIDs and activity modification
- Steroid injections for temporary pain relief
- Total shoulder replacement or reverse shoulder replacement: For advanced-stage disease
The Palm Beach Regenerative Approach
For patients with mild to moderate shoulder osteoarthritis and preserved joint space, image-guided orthobiologic treatment targeting the glenohumeral joint may help reduce inflammation and support joint health.
Dr. Ghattas uses real-time ultrasound guidance to precisely deliver concentrated platelet or bone marrow preparations into the shoulder joint. These treatments do not regenerate cartilage but may help manage the inflammatory environment and improve function.
Patients with severe bone-on-bone shoulder arthritis may be better served by surgical consultation. Contact us to schedule your visit today
The BioMod Advantage: At Palm Beach Regenerative, treatment does not end with a single injection. Through our BioMod Lab, Dr. Ghattas may combine your orthobiologic procedure with MLS Robotic Laser Therapy to reduce inflammation and support tissue recovery, alongside customized Xymogen supplement protocols designed to optimize your body’s healing environment. This integrated, concierge approach is what sets Palm Beach Regenerative apart from a standard injection clinic.
Like all medical procedures, interventional orthobiologics have potential risks and benefits. Results vary by individual. Not all patients are candidates. Dr. Ghattas will discuss your specific situation, realistic expectations, and all treatment options, including when surgery or other interventions may be more appropriate.
Quick Appointments Available
Don't wait in pain. We can see you within 1-2 weeks. Get the orthopedic care you need, fast.
●PATIENT OUTCOMES
Real Patients. Real Results.
No medical procedure can guarantee an outcome. What you should expect is an honest discussion of the evidence, a careful assessment of candidacy, and a recommendation based on your condition.
"Honestly one of the best experiences, I’ve had a really stiff neck for a couple weeks I tried seeing a chiropractor for and it helped marginally but the real jump in relief was coming to see Dr. Ghattas! He has been incredible, wonderful staff, and minimally invasive technique for my pain relief which was super important to me! Thank you Dr. Ghattas recommending to anyone with pain!"Monica A
"Ghattas was instrumental in helping my torn rotator cuff. I did Barbotage for the stone, and then PRP. Great experience. Been about a month or 2 since and I feel great."Ahmet B
"I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them."Roger L
"Over a year ago, both my daughter and I underwent PRP treatment with Dr. Ghattas—PRP for my left knee and PRP for my daughter’s L4-L5 and sacral region. We wanted to wait long enough to truly evaluate the results before sharing our experience. I am pleased to say that the outcomes have been outstanding. My daughter’s improvement has been remarkable, and the treatment has made a significant difference in her quality of life. I have also experienced excellent results with my knee. Dr. Ghattas is an exceptional physician who combines expertise, professionalism, and genuine care for his patients. We are incredibly grateful for the treatment we received and the positive impact it has had on our lives. Thank you, Dr. Ghattas. We are truly grateful for everything you have done. You are simply the best."Dr Jorge A
"Dr. Ghattas is very knowledgable and a sympathetic doctor. Hard to find in America. All questions answered, my procedure went very smoothly, very little pain. Follow up is excellent, I highly recommend his practice."Luciana D
“ I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them. ”Roger L
“Dr. Ghattas was terrific today. He spent a good amount of time examining me and explaining the regenerative process which I intend to have done next month. More to come after the procedure.”Louie R
“I found Dr Ghattas and his staff very welcoming and informative. The process was well explained and gave me encouragement about the potential for fully restoring my knee joint integrity.”Eric C
“I received two treatments from Dr. Ghattas With excellent results, he takes great care in his assessment and in his treatment you couldn’t be in better hands. I highly recommend his work.”Gisela S
“Apart from the exemplary personal service by the reception and the staff that makes us feel we're at home at the clinic, I have experienced remarkable healing in several episodes from shoulder issue to knee injuries and hip pain. The doctor is so thorough in the diagnosis phase that he administered exactly what was needed, no more no less! Thank you folks for a wonderful experience.”RG G
“Went to Dr. Ghattas for chronic knee and neck issue. I’ve already had multiple procedures done on my neck and multiple epidurals with minimal success. My knee I was told needed surgery to fix. I already had surgery in the past with minimal difference. I ended up getting stem cells in my knee and neck and could t be happier with the outcome. Anyone considering surgery I recommend checking out Regenex first. Next I’m doing the ganglion block and look forward to the results.”Logan H
“Dr. James Ghattas and his team are truly top-notch. His office is equipped with state-of-the-art technology and a staff that's exceptional in their fields. I've referred several clients to him, and they've all been incredibly satisfied. Dr. Ghattas is absolutely ahead of the curve, and I wholeheartedly endorse his work.”Ron H
“I am quite active and go to pilates 3-4 times per week. I was having left knee pain and which was treated with PRP. It took about 3 months for me to feel better but then the pain completely subsided. I now am able to exercise without the fear that I will tear a ligament and am pain free.”Ellipsis P
“Transparency, thoroughness, attention to detail, immediate, high quality, follow ups and follow through are just a few words that come to mind throughout my experiences with Palm Beach Regenerative Sport and Spine.”Milton L
Rotator Cuff Tear Treatment
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Rotator Cuff Tear Treatment Without Surgery
Rotator Cuff Tears: Non-Surgical Treatment in Palm Beach
The rotator cuff is a group of four muscles and their tendons that stabilize the shoulder and allow for overhead movement. Rotator cuff tears are one of the most common sources of shoulder pain, affecting athletes, overhead workers, and older adults with age-related tendon degeneration.
At Palm Beach Regenerative, Dr. Ghattas evaluates rotator cuff tears on an individual basis and offers image-guided orthobiologic treatment as a non-surgical option for appropriately selected partial and, in some cases, complete tear patterns. Give us a call to schedule a visit.
What Is a Rotator Cuff Tear?
Rotator cuff tears range from partial thickness tears (the tendon is partially torn but still intact) to full-thickness tears (the tendon is completely separated). Partial tears are often more amenable to non-surgical treatment, while large full-thickness tears in active patients may require surgical repair.
The supraspinatus is the most commonly injured rotator cuff tendon, though tears of the infraspinatus, subscapularis, and teres minor also occur.
Signs and Symptoms
- Shoulder pain, often worsening at night or when lying on the affected side
- Pain with overhead reaching, lifting, or reaching behind the back
- Weakness in the shoulder, including difficulty lifting objects or raising the arm
- Crackling or popping sensations with shoulder movement
- Limited range of motion
Common Causes and Risk Factors
- Age-related tendon degeneration
- Repetitive overhead activities (tennis, golf, swimming, throwing sports)
- Acute injury or fall
- Heavy lifting with poor mechanics
- Prior shoulder injuries or impingement
How It Is Diagnosed
Physical examination tests (Hawkins, Neer, drop arm, empty can) help identify rotator cuff pathology. MRI is the gold standard for confirming tear type, size, and location, and for assessing overall shoulder joint health.
Dr. Ghattas reviews your MRI in detail and will discuss whether your specific tear pattern is appropriate for non-surgical treatment or whether surgical consultation is warranted.
Conventional Treatment Options
- Physical therapy: Rotator cuff strengthening and shoulder mechanics correction
- NSAIDs for pain and inflammation management
- Steroid injections: Temporary relief of shoulder inflammation, though repeated injections may affect tendon integrity
- Surgical repair: Typically recommended for large full-thickness tears in active patients, or those who have not responded to conservative care
The Palm Beach Regenerative Approach
For partial rotator cuff tears and select complete tear patterns, image-guided orthobiologic injection, delivered precisely to the tear site under real-time ultrasound guidance, may support the body’s natural healing response and help reduce inflammation within the tendon.
Dr. Ghattas uses Regenexx Super Concentrated Platelet (SCP) or Bone Marrow Concentrate (BMC) preparations, customized based on your tear characteristics and MRI findings.
All injections are performed under real-time ultrasound guidance, confirming precise delivery to the tendon. This is a key distinction from blind or landmark-based injections.
Large full-thickness tears with significant tendon retraction typically require surgical evaluation. Dr. Ghattas will provide an honest assessment of whether orthobiologic treatment is likely to be beneficial in your specific case. Schedule an appointment with him today.
The BioMod Advantage: At Palm Beach Regenerative, treatment does not end with a single injection. Through our BioMod Lab, Dr. Ghattas may combine your orthobiologic procedure with MLS Robotic Laser Therapy to reduce inflammation and support tissue recovery, alongside customized Xymogen supplement protocols designed to optimize your body’s healing environment. This integrated, concierge approach is what sets Palm Beach Regenerative apart from a standard injection clinic.
Like all medical procedures, interventional orthobiologics have potential risks and benefits. Results vary by individual. Not all patients are candidates. Dr. Ghattas will discuss your specific situation, realistic expectations, and all treatment options, including when surgery or other interventions may be more appropriate.
Quick Appointments Available
Don't wait in pain. We can see you within 1-2 weeks. Get the orthopedic care you need, fast.
●PATIENT OUTCOMES
Real Patients. Real Results.
No medical procedure can guarantee an outcome. What you should expect is an honest discussion of the evidence, a careful assessment of candidacy, and a recommendation based on your condition.
"Honestly one of the best experiences, I’ve had a really stiff neck for a couple weeks I tried seeing a chiropractor for and it helped marginally but the real jump in relief was coming to see Dr. Ghattas! He has been incredible, wonderful staff, and minimally invasive technique for my pain relief which was super important to me! Thank you Dr. Ghattas recommending to anyone with pain!"Monica A
"Ghattas was instrumental in helping my torn rotator cuff. I did Barbotage for the stone, and then PRP. Great experience. Been about a month or 2 since and I feel great."Ahmet B
"I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them."Roger L
"Over a year ago, both my daughter and I underwent PRP treatment with Dr. Ghattas—PRP for my left knee and PRP for my daughter’s L4-L5 and sacral region. We wanted to wait long enough to truly evaluate the results before sharing our experience. I am pleased to say that the outcomes have been outstanding. My daughter’s improvement has been remarkable, and the treatment has made a significant difference in her quality of life. I have also experienced excellent results with my knee. Dr. Ghattas is an exceptional physician who combines expertise, professionalism, and genuine care for his patients. We are incredibly grateful for the treatment we received and the positive impact it has had on our lives. Thank you, Dr. Ghattas. We are truly grateful for everything you have done. You are simply the best."Dr Jorge A
"Dr. Ghattas is very knowledgable and a sympathetic doctor. Hard to find in America. All questions answered, my procedure went very smoothly, very little pain. Follow up is excellent, I highly recommend his practice."Luciana D
“ I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them. ”Roger L
“Dr. Ghattas was terrific today. He spent a good amount of time examining me and explaining the regenerative process which I intend to have done next month. More to come after the procedure.”Louie R
“I found Dr Ghattas and his staff very welcoming and informative. The process was well explained and gave me encouragement about the potential for fully restoring my knee joint integrity.”Eric C
“I received two treatments from Dr. Ghattas With excellent results, he takes great care in his assessment and in his treatment you couldn’t be in better hands. I highly recommend his work.”Gisela S
“Apart from the exemplary personal service by the reception and the staff that makes us feel we're at home at the clinic, I have experienced remarkable healing in several episodes from shoulder issue to knee injuries and hip pain. The doctor is so thorough in the diagnosis phase that he administered exactly what was needed, no more no less! Thank you folks for a wonderful experience.”RG G
“Went to Dr. Ghattas for chronic knee and neck issue. I’ve already had multiple procedures done on my neck and multiple epidurals with minimal success. My knee I was told needed surgery to fix. I already had surgery in the past with minimal difference. I ended up getting stem cells in my knee and neck and could t be happier with the outcome. Anyone considering surgery I recommend checking out Regenex first. Next I’m doing the ganglion block and look forward to the results.”Logan H
“Dr. James Ghattas and his team are truly top-notch. His office is equipped with state-of-the-art technology and a staff that's exceptional in their fields. I've referred several clients to him, and they've all been incredibly satisfied. Dr. Ghattas is absolutely ahead of the curve, and I wholeheartedly endorse his work.”Ron H
“I am quite active and go to pilates 3-4 times per week. I was having left knee pain and which was treated with PRP. It took about 3 months for me to feel better but then the pain completely subsided. I now am able to exercise without the fear that I will tear a ligament and am pain free.”Ellipsis P
“Transparency, thoroughness, attention to detail, immediate, high quality, follow ups and follow through are just a few words that come to mind throughout my experiences with Palm Beach Regenerative Sport and Spine.”Milton L