Services · Orthobiologics

Regenerative options, placed precisely and offered with care.

Platelet-rich plasma and other orthobiologic treatments for tendon, ligament and joint problems, recommended only when the diagnosis supports them and the procedure is appropriate.

WHAT WE FOCUS ON

Where orthobiologics may help.

Orthobiologics are one option within a broader plan. These are the conditions where they are most often considered.

  • Chronic tendinopathy

    Tennis elbow, patellar, Achilles and gluteal tendon pain that has not settled with rehab.

  • Knee osteoarthritis

    Mild to moderate arthritis in patients who want to stay active.

  • Partial tendon tears

    Rotator cuff, hamstring and other partial-thickness tears.

  • Ligament injuries

    Selected sprains and chronic ligament laxity.

  • Plantar fasciitis

    Persistent heel pain after conservative care.

  • Hip & shoulder joint pain

    Degenerative joint and labral-related pain.

HOW CARE WORKS

From candidacy to recovery.

01
Assess

Confirm the diagnosis and the fit

We examine the area, image it with ultrasound and review what you have tried. If an orthobiologic is not the right tool, we will say so.

  • Diagnostic ultrasound in the room
  • Review of prior imaging and treatment
  • Candid discussion of evidence and cost
02
Procedure

Prepared in clinic, placed under guidance

Your sample is prepared on site and injected under real-time ultrasound so it reaches the intended tissue.

  • Same-day preparation
  • Ultrasound-guided placement
  • Typical visit of about 60–90 minutes [to confirm]
03
Rebuild

Protected loading, then progression

Healing tissue still needs the right load. We pair every procedure with a structured rehabilitation plan and follow-up imaging when useful.

  • Written post-procedure plan
  • Graded loading with our movement specialist
  • Scheduled follow-up visits
TREATMENTS & TECHNOLOGY

What a procedure involves.

Every orthobiologic procedure is performed in our Carlsbad clinic by the physician who evaluated you.

Platelet-rich plasma (PRP)

Concentrated platelets from your own blood.

Diagnostic ultrasound

Confirms the target tissue before and during treatment.

Ultrasound-guided injection

Placement confirmed in real time to optimize treatment targetting.

Laser therapy

Light-based therapy to support tissue healing and reduce inflamation and pain.

Radial pressure wave & ESWT

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Post-procedure rehabilitation

Tissue and patient-specific loading plan.

Outcome tracking

Pain, function and imaging over time to ensure your recovery is progressing as expected.

A CLOSER LOOK

Preparation, guidance and follow-up.

PATIENT STORIES

A considered option.

[Sample] Two other clinics offered me an injection on the first visit. Here they imaged it, explained the options and started with rehab. PRP came later, and it made sense.
[Patient name] — Tennis player, Carlsbad
[Sample] I appreciated how clear they were about cost and what the research does and does not show.
[Patient name] — Runner, La Costa
[Sample] The rehab plan afterward was as important as the procedure. I knew exactly what to do each week.
[Patient name] — Patient, Vista
QUESTIONS

Before your first visit.

Am I a candidate for PRP?
PRP may be an option for certain tendon conditions and joint problems, including knee osteoarthritis. Whether it is appropriate depends on your diagnosis, symptoms, overall health, previous treatments, and activity goals. We review the evidence for your specific condition and decide together whether PRP belongs in your treatment plan.
I already have an MRI or X-ray. How do I send it?
Upload it securely before your visit on our Upload your imaging page. It takes about five minutes, and Dr. Burman reviews your images before you arrive.
Is PRP covered by insurance?
PRP for orthopedic conditions is generally a self-pay treatment. Medicare does not cover PRP injections for musculoskeletal injuries or joint conditions, and commercial insurance coverage varies. We explain the recommended treatment and total cost before you decide to proceed.
How long is recovery after a procedure?
Recovery depends on the procedure, the area treated, and the demands of your activity. After PRP, temporary soreness and stiffness are common, and some patients experience increased discomfort for one to two weeks. You will receive a personalized plan for daily activity, exercise, and progressive strengthening. Returning to sport is guided by your symptoms and function rather than a fixed date.
How soon will I notice a difference?
Improvement after PRP is usually gradual. Some patients notice a difference within four to six weeks, while others take longer. Progress may continue over several months, particularly when treatment is paired with an appropriate rehabilitation plan. Results vary, and some patients do not improve. We reassess your response and adjust the plan as needed.