Patellar Tendinopathy Treatment
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Patellar Tendinopathy Treatment Without Surgery
Jumper's Knee (Patellar Tendinopathy): Treatment in Palm Beach
Patellar tendinopathy, commonly called jumper’s knee, is a degenerative condition of the patellar tendon that connects the kneecap to the tibia. It is particularly common in basketball players, volleyball players, and athletes involved in jumping and sprinting, but also affects recreational athletes and active adults.
Image-guided orthobiologic injection is well-supported by evidence for patellar tendinopathy and is a core treatment offering at Palm Beach Regenerative. Contact us today to determine if this is the right treatment for you.
What Is Jumper's Knee (Patellar Tendinopathy)?
Jumper’s knee involves degeneration and micro-tearing of the patellar tendon, typically at its insertion on the lower pole of the patella. Contrary to what the name suggests, this is not primarily an inflammatory condition but a degenerative one involving collagen disorganization within the tendon, which is why anti-inflammatory treatments alone provide limited benefit.
Signs and Symptoms
- Pain at the lower pole of the kneecap (patellar tendon insertion)
- Pain worsening with jumping, squatting, kneeling, or stair climbing
- Localized tenderness at the inferior patellar pole
- Morning stiffness and pain that may warm up with activity initially, then worsen again
- Tendon thickening in chronic cases
Common Causes and Risk Factors
- Repetitive jumping and loading of the extensor mechanism
- Sudden increases in training volume
- Hard training surfaces
- Quadriceps and hip flexor tightness
- Reduced ankle dorsiflexion altering landing mechanics
How It Is Diagnosed
Diagnosis is clinical and confirmed by ultrasound, which shows tendon thickening, collagen disorganization, and neovascularity within the degenerative area. MRI provides additional detail in complex cases.
Conventional Treatment Options
- Load management and activity modification
- Progressive tendon loading program (eccentric and heavy slow resistance)
- Shock wave therapy
- Steroid injection: Provides short-term relief but may weaken tendon with repeated use
- Surgical tendon debridement in refractory cases
The Palm Beach Regenerative Approach
Dr. Ghattas uses real-time ultrasound guidance to deliver Regenexx SCP platelet preparations precisely to the area of tendon degeneration at the inferior patellar pole. This targeted biological stimulus supports the tendon’s healing response and promotes healthy collagen remodeling.
The precise, image-guided delivery is critical: peri-tendinous injection (missing the tendon) produces inferior outcomes. Every PBR injection is confirmed within the tendon tissue under direct ultrasound visualization.
The BioMod Advantage: MLS Robotic Laser Therapy applied to the patellar tendon accelerates cellular recovery within the degenerative tendon tissue and reduces the local inflammatory response. Xymogen collagen support and anti-inflammatory protocols provide the nutritional building blocks and systemic anti-inflammatory environment needed for patellar tendon healing.
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
Meniscus Tear Treatment
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Meniscus Tear Treatment Without Surgery
Meniscus Tears: Non-Surgical Options in Palm Beach
The meniscus is a C-shaped piece of cartilage that acts as a shock absorber between the thigh bone (femur) and shin bone (tibia) in the knee. Meniscus tears are among the most common knee injuries, affecting both athletes and older adults with age-related degeneration.
Depending on the type, location, and severity of the tear, as well as the patient’s age and activity level, orthobiologic treatment may offer a non-surgical alternative worth exploring before committing to arthroscopic surgery. Schedule an appointment to determine your options for meniscus tear treatments.
What Is a Meniscus Tear?
Meniscus tears vary widely in type (radial, horizontal, bucket-handle) and location. Tears at the outer edge of the meniscus, where blood supply is better, generally have a greater capacity for the body’s natural healing response. Tears in the inner, avascular zone have historically been more challenging to address without surgery.
Degenerative meniscus tears, which are common in patients over 40, often occur alongside knee arthritis and may or may not be the primary source of symptoms.
Signs and Symptoms
- Pain along the inner or outer line of the knee
- Swelling that develops within 24–48 hours of injury
- Stiffness and difficulty fully bending or straightening the knee
- Locking or catching sensation in the knee
- Instability or feeling that the knee may give out
- Pain worsening with twisting, squatting, or pivoting
Common Causes and Risk Factors
- Sudden twisting or pivoting movement during sport or activity
- Deep squatting or kneeling
- Age-related degeneration of meniscal tissue
- Prior knee injuries or weakened surrounding musculature
- Obesity placing excess load on the knee
How It Is Diagnosed
Physical examination including McMurray and Thessaly tests can help identify meniscus involvement. MRI is the most accurate tool for confirming the diagnosis, identifying tear type and location, and assessing associated knee pathology.
Dr. Ghattas will review MRI findings in detail to determine whether the tear pattern and location may respond to orthobiologic treatment or if surgical consultation is more appropriate.
Conventional Treatment Options
- Conservative care: RICE protocol (rest, ice, compression, elevation) in the acute phase
- Physical therapy: Strengthening the muscles around the knee to offload the meniscus
- Anti-inflammatory medications: For short-term pain and swelling management
- Arthroscopic partial meniscectomy: Surgical removal of the torn tissue, commonly performed but associated with increased risk of knee arthritis over time
- Meniscus repair surgery: Appropriate for certain tear types with adequate blood supply, typically in younger patients
The Palm Beach Regenerative Approach
For appropriately selected patients, image-guided orthobiologic injections targeting the meniscus and surrounding joint structures may help support the body’s natural healing response and reduce inflammation contributing to symptoms.
Dr. Ghattas uses real-time ultrasound guidance to deliver concentrated platelet preparations precisely to the meniscal tissue and joint environment. For patients with associated knee arthritis or bone marrow involvement, a combined treatment approach may be discussed.
Important: The type and location of the tear are critical factors in candidacy. Mechanical tears causing locking or significant instability may require surgical evaluation. Dr. Ghattas will assess your specific MRI findings and discuss realistic expectations. Give us a call today to schedule a visit.
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
Knee Osteoarthritis Treatment
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Knee Osteoarthritis Treatment Without Surgery
Knee Osteoarthritis: Non-Surgical Treatment Options in Palm Beach
Knee osteoarthritis (OA) is one of the most common orthopedic conditions affecting active adults. Also known as degenerative joint disease, it occurs when the protective cartilage cushioning the bones of the knee gradually wears down, causing pain, stiffness, and difficulty with everyday activities.
Treatments for knee OA have traditionally included physical therapy, anti-inflammatory medications, steroid injections, and in advanced cases, surgery. Many of these conventional approaches, however, only manage symptoms temporarily and may carry their own side effects with prolonged use.
At Palm Beach Regenerative, Dr. Ghattas offers image-guided interventional orthobiologics as a non-surgical option for appropriately selected knee OA patients. Contact us today to learn more.
What Is Knee Osteoarthritis?
Knee osteoarthritis is the gradual breakdown of articular cartilage, the smooth tissue covering the ends of the bones in the knee joint. As cartilage thins, bones are more susceptible to friction, swelling, and the formation of bone spurs, which can alter the shape and mechanics of the knee.
Research has identified that much of the pain in knee OA is driven not just by cartilage loss, but by inflammation in the bone itself. Specifically, this is a condition called bone marrow edema (BME), or bone marrow lesions (BML). This is an important distinction because it helps explain why treatments targeting inflammation may help manage symptoms even in the absence of cartilage restoration.
Signs and Symptoms
- Gradually worsening pain during or after activity
- Morning stiffness or stiffness after periods of rest
- Swelling around the knee joint
- Crackling or grinding sensations (crepitus)
- Reduced range of motion
- Instability or buckling of the knee
- Difficulty with stairs, kneeling, or prolonged walking
Common Causes and Risk Factors
- Age-related wear and tear on cartilage
- Excess body weight placing additional stress on the knee
- Prior knee injuries or surgeries
- Repetitive stress from occupation or sport
- Hereditary predisposition
- Muscle weakness or imbalance affecting joint mechanics
How It Is Diagnosed
Diagnosis typically involves a combination of physical examination, patient history, and imaging. Dr. Ghattas will assess your range of motion, stability, and pain patterns during your evaluation.
X-rays can reveal changes in joint space and the presence of bone spurs. MRI provides a more detailed view of cartilage, bone marrow, ligaments, and soft tissue, giving Dr. Ghattas important information about the severity of your condition and whether you are a candidate for orthobiologic treatment.
Conventional Treatment Options
Standard care for knee OA typically includes:
- Physical therapy to strengthen surrounding muscles and improve joint mechanics
- Weight management to reduce joint load
- NSAIDs (anti-inflammatory medications) for short-term pain relief, though prolonged use carries gastrointestinal and cardiovascular risks
- Hyaluronic acid injections for joint lubrication
- Steroid injections for temporary inflammation control. Research suggests repeated steroid injections may accelerate cartilage damage over time
- Surgical options including arthroscopy, partial knee replacement, or total knee replacement, typically reserved for advanced-stage disease
The Palm Beach Regenerative Approach
For appropriately selected candidates, Dr. Ghattas offers image-guided interventional orthobiologics designed to address the underlying inflammatory processes contributing to knee OA symptoms.
Using real-time ultrasound or fluoroscopic guidance, Dr. Ghattas precisely delivers concentrated preparations of your own cells and platelets, including Regenexx Super Concentrated Platelet (SCP) or Bone Marrow Concentrate (BMC), to the affected area within the knee joint.
For patients with significant bone marrow involvement, Intraosseous (IO) injection may also be incorporated, targeting the subchondral bone layer where inflammation is often a primary pain driver.
These treatments work by supporting your body’s natural healing response, reducing inflammation, and improving the biological environment within the joint.
Important: These treatments do not regenerate or regrow knee cartilage. They are designed to manage inflammation and symptoms, with the goal of improving function and quality of life. For patients with severe bone-on-bone arthritis, joint replacement surgery may provide more complete relief. Dr. Ghattas will provide an honest assessment of all your options.
Based on Regenexx registry data, many knee OA patients report meaningful improvement in pain and function following treatment. Results vary based on the stage of arthritis, overall health, and individual response.
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: These treatments do not regenerate cartilage. For patients with severe bone-on-bone knee arthritis, joint replacement surgery may be the more appropriate option. Dr. Ghattas will provide an honest candidacy assessment.
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
Knee Bursitis Treatment
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Knee Bursitis Treatment Without Surgery
Knee Bursitis: Non-Surgical Treatment in Palm Beach
Knee bursitis refers to inflammation of one of the bursae surrounding the knee joint, small fluid-filled sacs that cushion the joint structures. The most commonly affected bursae are the prepatellar (kneecap surface), infrapatellar (just below the kneecap), and pes anserine (inner knee) bursae.
Precise ultrasound-guided injection at Palm Beach Regenerative ensures the correct bursa is targeted, which is critical for effective treatment. Contact us to learn more.
What Is Knee Bursitis?
Each knee bursa serves a specific mechanical purpose, and the pattern of symptoms reveals which one is involved. Prepatellar bursitis is common in professions requiring kneeling. Infrapatellar bursitis is associated with patellar tendon pathology. Pes anserine bursitis commonly occurs in overweight, middle-aged women with knee OA.
Signs and Symptoms
- Prepatellar: Swelling and tenderness directly over the kneecap, worsening with kneeling
- Infrapatellar: Pain and swelling below the kneecap, worsening with jumping or stair descent
- Pes anserine: Inner knee pain and tenderness, often worse at night and with stair climbing
- Localized swelling at the affected bursa site
- Pain with specific movements that load the involved bursa
Common Causes and Risk Factors
- Repetitive kneeling or friction (prepatellar)
- Overuse and traction at the tendon insertion (infrapatellar)
- Knee OA and obesity (pes anserine)
- Direct trauma or blow to the knee
- Inflammatory or crystalline arthritis (gout, pseudogout)
How It Is Diagnosed
Ultrasound identifies bursal fluid and confirms which bursa is inflamed, guiding precise injection placement. MRI may be used when associated joint or tendon pathology is suspected.
Conventional Treatment Options
- Rest, ice, and knee padding
- NSAIDs for inflammation management
- Ultrasound-guided aspiration and steroid injection of the bursa
- Addressing underlying contributing conditions such as knee OA
The Palm Beach Regenerative Approach
Dr. Ghattas uses real-time ultrasound to aspirate any excess bursal fluid and deliver targeted platelet injection directly into the affected bursa, addressing the inflammatory environment with a biological rather than purely pharmacological approach.
For patients with pes anserine bursitis secondary to underlying knee OA, the knee joint itself is addressed simultaneously, treating both the bursal inflammation and the joint pathology driving it.
The BioMod Advantage: MLS Robotic Laser Therapy applied to the knee reduces bursal inflammation and supports local tissue recovery. Xymogen anti-inflammatory protocols reduce the systemic inflammatory load that drives bursal recurrence, making your treatment more durable.
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
IT Band Syndrome Treatment
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IT Band Syndrome Treatment Without Surgery
IT Band Syndrome: Treatment in Palm Beach
Iliotibial (IT) band syndrome is one of the most common overuse injuries in runners, cyclists, and endurance athletes. It causes sharp or burning pain on the outer knee that typically occurs at a predictable point during activity and worsens with repetitive knee flexion-extension.
At Palm Beach Regenerative, IT band syndrome is treated with a combination of targeted injection to the friction zone and a comprehensive approach to the hip and biomechanical factors that drive the condition. Request an appointment at Palm Beach Regenerative today.
What Is IT Band Syndrome?
The IT band is a thick band of connective tissue running from the hip down the outer thigh to the lateral knee. At approximately 30 degrees of knee flexion (the position the knee is in during the mid-stance phase of running), the IT band passes over a prominent bony ridge on the outer femur, creating a friction zone that can become inflamed with repetitive motion.
Signs and Symptoms
- Sharp or burning pain on the outer knee, typically starting at a consistent point during a run
- Pain that is absent at rest and with short distances, then reliably appears with sustained activity
- Tenderness at the lateral femoral epicondyle
- Pain when walking downstairs or with sustained knee bending
- Tightness of the outer thigh and hip
Common Causes and Risk Factors
- Sudden increases in training volume or intensity
- Running on cambered surfaces or consistent road-side running
- Hip abductor weakness allowing excessive hip drop during the running stride
- Tight hip flexors and IT band
- Leg length discrepancy or excessive foot pronation
How It Is Diagnosed
Diagnosis is primarily clinical based on the characteristic symptom pattern and tenderness at the lateral femoral epicondyle. Ultrasound can confirm IT band thickening and fluid accumulation in the friction zone.
Dr. Ghattas assesses hip strength and running mechanics as part of the evaluation to identify the biomechanical contributors.
Conventional Treatment Options
- Activity modification and load management
- Physical therapy for hip abductor strengthening and IT band mobility
- Foam rolling and stretching
- Ultrasound-guided injection to the IT band friction zone
The Palm Beach Regenerative Approach
Dr. Ghattas uses real-time ultrasound guidance to deliver targeted platelet injection to the IT band friction zone at the lateral femoral epicondyle, addressing the local inflammatory response. This is combined with identification and treatment of contributing hip pathology, which is often a hip abductor tendinopathy or lateral hip tightness that perpetuates the IT band tension.
Treating IT band syndrome without addressing the hip mechanics that drive it leads to recurrence. The Palm Beach Regenerative approach addresses both.
The BioMod Advantage: MLS Robotic Laser Therapy applied along the IT band and lateral knee reduces friction zone inflammation and supports tissue recovery. Xymogen anti-inflammatory protocols reduce the systemic inflammatory burden that slows recovery from overuse injury.
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
Baker's Cyst Treatment
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Baker's Cyst Treatment Without Surgery
Baker's Cyst: Treating the Cause, Not Just the Cyst
A Baker’s cyst (popliteal cyst) is a fluid-filled sac that forms at the back of the knee, causing a visible bulge, tightness, or aching in the popliteal fossa. Contrary to common belief, the cyst itself is rarely the primary problem. It is a symptom of an underlying intra-articular condition such as knee OA or a meniscus tear that is generating excess synovial fluid.
At Palm Beach Regenerative, the approach to Baker’s cyst is to identify and treat the underlying knee pathology driving the fluid production, which typically causes the cyst to resolve on its own. Reach out today to schedule a consultation at our practice.
What Is Baker's Cyst?
The knee joint communicates with the popliteal bursa at the back of the knee in many adults. When excess synovial fluid accumulates in the knee from arthritis, meniscus tears, or other joint pathology, it can push into this bursa, creating the Baker’s cyst. Treating the cyst alone without addressing the underlying cause leads to recurrence.
Signs and Symptoms
- A palpable bulge or swelling behind the knee
- Tightness or fullness at the back of the knee, particularly with knee bending
- Aching in the popliteal area
- In some cases, calf pain or swelling if the cyst ruptures (must be distinguished from deep vein thrombosis)
Common Causes and Risk Factors
- Knee osteoarthritis (most common cause in older adults)
- Meniscus tears generating excess joint fluid
- Inflammatory arthritis (rheumatoid, gout)
- Any intra-articular condition producing synovial effusion
How It Is Diagnosed
Ultrasound clearly identifies the Baker’s cyst, its size, and whether it has ruptured. MRI is the most valuable imaging tool for identifying the underlying intra-articular pathology driving the cyst.
Dr. Ghattas focuses the evaluation on identifying the underlying knee diagnosis rather than simply characterizing the cyst.
Conventional Treatment Options
- Aspiration of the cyst: Provides temporary relief but high recurrence without treating the source
- Steroid injection into the knee joint
- Treating the underlying condition (arthritis, meniscus tear) surgically or conservatively
The Palm Beach Regenerative Approach
Dr. Ghattas treats the underlying intra-articular knee condition driving the Baker’s cyst with image-guided orthobiologic injection into the knee joint. When the synovitis and joint inflammation is addressed at its source, the excess fluid production decreases and the cyst typically resolves without direct aspiration.
This root-cause approach to Baker’s cyst is what distinguishes the Palm Beach Regenerative philosophy. Give us a call today to learn more.
The BioMod Advantage: MLS Robotic Laser Therapy to the knee reduces the intra-articular synovitis driving Baker’s cyst formation. Xymogen anti-inflammatory and joint support protocols reduce the systemic inflammatory burden contributing to knee synovial fluid overproduction.
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
ACL Tear Treatment
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ACL Tear Treatment Without Surgery
ACL Tears: Non-Surgical Treatment Options in Palm Beach
An ACL (anterior cruciate ligament) tear is one of the most common and significant knee injuries, particularly among athletes and active individuals. Traditionally, complete ACL tears were almost universally treated with reconstructive surgery. However, advances in orthobiologic treatment have opened the door to non-surgical options for select ACL injury cases.
At Palm Beach Regenerative, Dr. Ghattas evaluates ACL injuries on a case-by-case basis. Regenexx has published peer-reviewed research documenting MRI-confirmed healing in select ACL cases treated with orthobiologic injections. This is the only area in regenerative orthopedics where Regenexx can demonstrate documented healing on imaging. Contact us to learn more.
What Is an ACL Tear?
The ACL is a critical ligament that connects the femur (thigh bone) to the tibia (shin bone) and provides rotational stability to the knee. Tears range from partial (Grade 1–2) to complete (Grade 3).
ACL injuries typically occur from sudden deceleration, pivoting, landing incorrectly, or direct contact. This is common in sports like tennis, golf, basketball, skiing, and soccer.
Signs and Symptoms
- A ‘pop’ or snap felt or heard at the time of injury
- Rapid swelling within the first few hours
- Knee instability, including the feeling that the knee may give out
- Pain and difficulty bearing weight
- Loss of range of motion
Common Causes and Risk Factors
- Sudden change of direction or pivoting on a planted foot
- Landing incorrectly from a jump
- Direct blow or collision to the knee
- Deceleration while running
- Greater risk in women due to biomechanical differences
How It Is Diagnosed
ACL tears are typically diagnosed through physical examination (Lachman test, anterior drawer test) combined with MRI imaging. MRI is the gold standard for confirming the diagnosis, grading the severity of the tear, and assessing associated injuries to the meniscus, cartilage, and other ligaments.
Dr. Ghattas will review your MRI in detail and discuss whether the injury pattern and grade are appropriate for an orthobiologic treatment approach versus surgical reconstruction.
Conventional Treatment Options
Treatment decisions for ACL tears depend heavily on the grade of the injury, the patient’s activity level, and associated damage:
- Grade 1–2 (partial tears): Often managed conservatively with physical therapy and bracing, though re-injury risk exists without addressing the underlying instability
- Grade 3 (complete tears) in active patients: Typically treated with ACL reconstruction surgery, which replaces the torn ligament with a tendon graft
- Physical therapy: Essential both as a standalone treatment and as rehabilitation following surgery
- Bracing: Provides short-term stability but does not address the underlying structural damage
The Palm Beach Regenerative Approach
Regenexx has published peer-reviewed data demonstrating MRI-confirmed healing in select ACL tear cases following orthobiologic treatment, making this one of the most evidence-supported applications of interventional orthobiologics.
For carefully selected candidates, typically patients with partial ACL tears or specific complete tear patterns, Dr. Ghattas may offer image-guided platelet or bone marrow concentrate injections delivered precisely to the site of the ACL tear under real-time imaging guidance.
The goal of treatment is to support the body’s natural healing response within the ligament, improve stability, and in appropriate cases allow patients to return to activity without surgical reconstruction.
Important: Not all ACL tears are candidates for non-surgical orthobiologic treatment. Complete tears with significant instability, particularly in high-demand athletes, may require surgical reconstruction for full stability. Dr. Ghattas will review your MRI and provide an honest assessment of all your options.
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
Occipital Neuralgia Treatment
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Occipital Neuralgia Treatment Without Surgery
Occipital Neuralgia: Non-Surgical Treatment in Palm Beach
Occipital neuralgia is a distinct type of headache characterized by sharp, electric, or throbbing pain that originates at the base of the skull and can radiate over the scalp, behind the eyes, or into the neck. It results from irritation or compression of the occipital nerves, which run from the upper cervical spine up through the scalp.
At Palm Beach Regenerative, Dr. Ghattas brings specialized neurological and interventional pain expertise to the diagnosis and management of occipital neuralgia, offering precise image-guided nerve treatments as part of a comprehensive, concierge care plan. Schedule your appointment today.
What Is Occipital Neuralgia?
The greater and lesser occipital nerves originate from the upper cervical nerve roots (C2-C3) and travel through the muscles of the upper neck and scalp. When these nerves become irritated, inflamed, or compressed, they produce the characteristic pain pattern of occipital neuralgia.
As a double board-certified neurologist and interventional pain specialist, Dr. Ghattas is uniquely qualified to evaluate and treat conditions involving the nervous system, including complex headache disorders like occipital neuralgia.
Signs and Symptoms
- Sharp, stabbing, or electric shock-like pain starting at the base of the skull
- Pain that radiates over the scalp, behind the eyes, or toward the forehead
- Tenderness and sensitivity of the scalp, particularly at the back of the head
- Pain that worsens with neck movement or pressure on the back of the head
- Light sensitivity during episodes
- A constant aching or burning sensation between episodes
Common Causes and Risk Factors
- Muscle tension and spasm in the upper neck compressing the occipital nerves
- Upper cervical spine pathology, including facet arthritis or disc disease at C2-C3
- Prior neck injury or whiplash
- Poor posture, particularly from prolonged screen or desk use
- Compression from tight neck muscles in athletic individuals
- Inflammatory conditions affecting the cervical nerve roots
How It Is Diagnosed
Diagnosis is primarily clinical, based on the characteristic pain pattern and a careful neurological examination. Tenderness at specific occipital nerve trigger points is a key finding.
Dr. Ghattas may order cervical MRI to evaluate for underlying structural causes at the upper cervical spine. A diagnostic nerve block can both confirm the diagnosis and provide temporary therapeutic relief, helping guide the treatment approach.
Conventional Treatment Options
- Oral medications including anti-inflammatories, muscle relaxants, and nerve pain agents
- Physical therapy targeting upper cervical posture and muscle tension
- Occipital nerve blocks using local anesthetic and steroid, providing temporary relief
- Hyaluronic acid injections for refractory cases
- Surgical decompression of the occipital nerves in rare, severe cases
The Palm Beach Regenerative Approach
Dr. Ghattas applies his neurological background directly to the treatment of occipital neuralgia. Using ultrasound-guided nerve hydrodissection and targeted platelet injections around the occipital nerve roots and upper cervical structures, he addresses the inflammatory and mechanical factors contributing to nerve irritation.
For patients with underlying upper cervical facet arthritis or disc pathology driving the condition, orthobiologic treatment of the root cause at the cervical spine level may provide more lasting relief than peripheral nerve blocks alone.
Your care plan at Palm Beach Regenerative is not a single injection and a follow-up. Dr. Ghattas works directly with you through consultation, treatment, and structured follow-up to manage your condition comprehensively.
The BioMod Advantage: MLS Robotic Laser Therapy delivered to the upper cervical and occipital region can meaningfully reduce nerve inflammation and muscle tension contributing to occipital neuralgia symptoms. Combined with targeted Xymogen supplement protocols supporting nerve health, this integrated approach addresses the condition from multiple angles simultaneously.
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
Cervical Stenosis Treatment
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Cervical Stenosis Treatment Without Surgery
Cervical Stenosis: Non-Surgical Management in Palm Beach
Cervical stenosis is a narrowing of the spinal canal or nerve exit foramina in the neck, which can compress the spinal cord or nerve roots. It is most commonly caused by age-related degenerative changes and can produce symptoms ranging from neck pain and arm tingling to, in severe cases, balance and coordination problems.
Dr. Ghattas’s neurological background makes him particularly well-suited to evaluate the full picture of cervical stenosis, including the critical assessment of whether non-surgical management is safe and appropriate for your specific degree of narrowing. Schedule an appointment with Dr. Ghattas today.
What Is Cervical Stenosis?
Narrowing of the cervical canal can compress either the spinal cord (cervical myelopathy) or individual nerve roots (cervical radiculopathy), or both simultaneously. The distinction matters enormously for treatment planning: myelopathy with cord compression typically requires surgical evaluation, while foraminal stenosis with nerve root compression may be managed with targeted interventions.
Signs and Symptoms
- Neck pain and stiffness
- Arm pain, numbness, or weakness (radiculopathy)
- In myelopathy: hand clumsiness, difficulty with fine motor tasks
- Balance and gait disturbances in more severe cases
- Symptoms that may worsen with neck extension
Common Causes and Risk Factors
- Age-related disc degeneration and osteophyte (bone spur) formation
- Thickening of the posterior longitudinal ligament
- Facet joint arthritic changes contributing to foraminal narrowing
- Congenitally narrow spinal canal (predisposing to earlier symptoms)
- Prior cervical injury or surgery
How It Is Diagnosed
MRI is the primary imaging tool for evaluating the degree of cervical stenosis and its impact on the spinal cord and nerve roots. Dr. Ghattas reviews your imaging with particular attention to whether cord signal changes are present, as this finding significantly impacts treatment direction.
Neurological examination and, when needed, electrodiagnostic testing help establish the functional severity of nerve and cord involvement.
Conventional Treatment Options
- Physical therapy for cervical stabilization and posture
- Anti-inflammatory and nerve pain medications
- Cervical epidural steroid injections for nerve root inflammation management
- Surgical decompression (laminoplasty, anterior cervical discectomy and fusion): The primary treatment for
- myelopathy or severe radiculopathy not responding to conservative care
The Palm Beach Regenerative Approach
For patients with cervical foraminal stenosis and nerve root irritation, without evidence of significant cord compression, targeted orthobiologic injection to the cervical nerve root environment and facet joints may help manage the inflammatory component of the condition.
Dr. Ghattas is explicit about the limitations: these treatments do not widen the spinal canal. For patients with myelopathy or progressive neurological deficits, surgical consultation is the appropriate path and Dr. Ghattas will facilitate that referral directly.
For appropriately selected patients, orthobiologic treatment represents a way to manage symptoms and potentially delay surgical intervention, with honest monitoring of neurological status.
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.
Cervical stenosis with evidence of spinal cord compression (myelopathy) requires neurological and surgical evaluation as a priority. Interventional orthobiologics are not appropriate for patients with progressive neurological deficits from cord compression. Dr. Ghattas will not recommend non-surgical treatment when surgery is clearly the safer option.
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
Cervical Radiculopathy Treatment
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Cervical Radiculopathy Treatment Without Surgery
Pinched Nerve (Cervical Radiculopathy): Treatment in Palm Beach
A pinched nerve in the neck, more precisely called cervical radiculopathy, occurs when a nerve root in the cervical spine is compressed or irritated, typically by a herniated disc, bone spur, or foraminal narrowing. The result is a characteristic pattern of pain, numbness, and weakness that follows the path of the affected nerve into the arm, hand, and fingers.
Dr. Ghattas’s neurological training makes him uniquely suited to evaluate and treat cervical radiculopathy, combining precise nerve localization with targeted image-guided orthobiologic treatment. Contact us today to schedule a visit.
What Is Pinched Nerve (Cervical Radiculopathy)?
Each nerve root exits the cervical spine through a bony opening called the foramen. When this space narrows from disc herniation, bone spurs, or joint arthritis, the nerve becomes compressed and inflamed. The pattern of symptoms, including which fingers are numb and which muscles are weak, helps identify the specific level affected.
Signs and Symptoms
- Sharp, burning, or shooting pain from the neck into the shoulder, arm, and hand
- Numbness or tingling in specific fingers corresponding to the affected nerve root
- Arm or hand weakness
- Pain that worsens with neck extension or looking upward
- Relief in certain positions, such as placing the hand on the head (abduction relief sign)
- Neck stiffness
Common Causes and Risk Factors
- Cervical disc herniation compressing the nerve root
- Foraminal stenosis from bone spurs or disc degeneration
- Cervical facet arthritis narrowing the nerve exit
- Acute neck injury or whiplash
- Repetitive neck strain
How It Is Diagnosed
Clinical examination, including specific neurological tests and reflexes, can localize the affected nerve root level. MRI of the cervical spine confirms the structural cause and severity of nerve compression. EMG and nerve conduction studies provide objective evidence of nerve function and help differentiate cervical radiculopathy from other causes of arm symptoms.
Conventional Treatment Options
- Physical therapy with cervical traction and nerve mobilization exercises
- Oral anti-inflammatories and nerve pain medications
- Cervical epidural steroid injections for targeted nerve root inflammation relief
- Surgical discectomy and fusion or foraminotomy for severe or progressive cases
The Palm Beach Regenerative Approach
Dr. Ghattas combines his neurological precision with orthobiologic technique to address the inflammatory and structural contributors to cervical radiculopathy. Using fluoroscopic guidance, he delivers targeted platelet preparations to the affected nerve root level, reducing the inflammatory environment that amplifies nerve pain.
Structural causes of nerve compression, such as significant disc herniation or severe foraminal stenosis, are carefully evaluated. When the structural compression is the dominant driver rather than inflammation, surgical consultation is recommended honestly and directly.
The BioMod Advantage: MLS Robotic Laser Therapy applied to the cervical nerve roots and shoulder girdle reduces neurogenic inflammation and muscle spasm that amplify radiculopathy symptoms. Xymogen B-vitamin complex and nerve support protocols provide the nutritional foundation for nerve recovery, making every part of your treatment plan work together.
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