Dr. Rowan Paul uses precise image-guided minimally invasive regenerative/restorative therapies to promote natural healing for damaged or diseased soft tissues and joints. His autologous cell-based procedures are incredibly safe because they use cells from the patients’ own bone marrow, blood and adipose (fat) tissue. Cell-based therapies have proven effective at reducing pain, restoring function and healing and repairing damaged tissue, bone, and cartilage for orthopedic injuries.

Take a look at an overview of the procedures Dr. Paul offers and don’t hesitate to reach out for more information.

• Ultrasound-Guided Procedures

  Ultrasound-guided diagnostic and therapeutic procedures enable doctors to locate, examine, and treat soft tissue damage and injuries with more accuracy and precision. US- guided injections help in placing the needle correctly to maximize outcomes in the damaged area and minimize patient discomfort. Dr. Paul performs several ultrasound-guided procedures, including:

  • Nerve block injections
  • Nerve hydrodissection
  • Tendon debridements (TENEX/TENJET)
  • Joint, tendon, ligaments, fascia injections
  • Release of Fascial Adhesions

  Dr. Paul also performs comprehensive diagnostic, dynamic stress-testing ultrasound imaging to ensure an accurate and precise clinical diagnosis, and can aid in determining the optimal therapeutic options.

• Bone Marrow Aspirate Concentrate (BMAC) Injections

  BMAC injections are used to reduce pain and inflammation, restore functional mobility and promote natural healing for several orthopedic conditions, including osteoarthritis, joint pain, cartilage injuries, and tendinopathies.

  Bone marrow is a rich source of adult stem cells, both mesenchymal (MSC’s) and hematopoietic (HSC’s), which have the ability to replicate and develop into different types of cells as well as influence the microenvironment of the tissue or joint via the paracrine effect. Stem cells contain growth factors and anti-inflammatory proteins that promote natural healing, repair and support in areas of damaged or injured tissue. Under certain conditions, stem cells can heal tissues like bone and cartilage.

  During the procedure, under image guidance for precision, nerve blocks and nitrous, and other strategies for comfort, Dr. Paul extracts a small amount of bone marrow using the published Hernigou method. The bone marrow is processed in a centrifuge to concentrate hematopoietic stem cells, mesenchymal stem cells, deliverable platelets, and cytokine mediators, precisely at the point of care. Under direct image-guidance, the concentrated regenerative/restorative solution is injected directly into the injured or damaged tissue to release growth factors and promote healing and restoration. Treatment is incredibly safe, because the patient is receiving their own cells.

• Platelet-Rich Plasma (PRP) Injections

  PRP injections are used to treat injured or damaged muscles, joints, tendons, ligaments and other soft tissues. They are successfully reducing pain and improving functional mobility for patients with rotator cuff tears, tendinitis, tendon ruptures, chronic tendinosis, arthritis, joint injuries and muscle injuries.

  Plasma is the liquid portion of blood that carries red and white blood cells and platelets throughout the body. Platelets are a critical component of the body’s natural healing process. They cause blood clotting and contain natural growth factors that are essential for healing.

  During the treatment, Dr. Paul takes a blood draw and runs it through a centrifuge to separate the platelet-rich plasma. The concentrated platelet solution is injected directly into the injured or damaged tissue to release growth factors and promote healing and restoration. Treatment is incredibly safe, because the patient is receiving their own cells.

• Intraosseous Platelet-Rich Plasma (PRP) Infiltration

  Intraosseous platelet-rich plasma infiltration is a promising treatment method to reduce pain, restore joint function, and slow the progression of joint damage in patients with osteoarthritis.

  Subchondral bone degeneration is a key contributor to progressive cartilage loss, pain, and loss of joint function in osteoarthritis patients. Intraosseous PRP injections use a concentrated form of a patient’s own blood platelets to target subchondral bone and promote natural healing. Platelets — a type of blood cell — are a critical component of the body’s natural healing process. They cause blood clotting and contain natural growth factors that are essential for healing.

  During the treatment, Dr. Paul takes a blood draw and runs it through a centrifuge to separate the platelet-rich plasma. The concentrated platelet solution is injected directly into the marrow of the damaged bone. Treatment is incredibly safe, because the patient is receiving their own cells.

• Micronized Lipoaspirate Injections

  Micronized Lipoaspirate injections are used  for cushioning, scaffolding and to reduce inflammation, improve pain, restore functional mobility for patients with osteoarthritis, joint pain tendinopathies, and partial tendon tears.

  Adipose tissue is the body’s fat tissue. It’s a valuable source for cell-based therapies because it’s abundant, easily accessible and harvestable, and it’s rich in mesenchymal stem cells (MSCs), vascular cells, and collagen fibers, when mechanically fragmented (non-enzymatic). Like other types of adult stem cells, MSCs have the ability to replicate and develop into different types of cells. Their presence can promote natural healing, repair and support in areas of damaged or injured tissue.

  During the procedure, Dr. Paul removes a small portion of fat using image-guided liposuction. The adipose tissue is processed mechanically, micronized precisely and non-enzymatically, to remove inflammatory cells and fatty oils, creating microfat, and leaving only the MSCs and other helpful cells. The concentrated tissue is injected directly under image-guidance into the site of injury or damage. Treatment is incredibly safe, because the patient is receiving their own cells.

• Alpha 2 Macroglobulin (A2M) Injections

  A2M injection therapy is used to reduce pain and inflammation, prevent cartilage loss, preserve degenerative joints, and promote healing for patients with osteoarthritis, joint pain and other orthopedic injuries.

  Alpha 2 macroglobulin is a large plasma protein found in blood. It functions as a protease inhibitor, which means it blocks the activity of degradative, proinflammatory proteins that cause progressive degeneration in arthritic joints, cartilage and bone. A highly concentrated injection of A2M can prevent the progression of damage and cartilage breakdown, promote new tissue growth, and encourage natural repair and restoration of the degenerated joint.

  During the procedure, Dr. Paul takes a blood draw and processes it in a centrifuge to separate a concentrated volume of A2M and other helpful growth factors and cytokines. The concentrated solution is injected directly into the site of injury or damage. Treatment is incredibly safe, because the patient is receiving their own A2M.

• Nerve hydrodissection

  • Nerve hydrodissection is a treatment technique commonly used in pain management and regenerative medicine. It is an ultrasound guided procedure that uses fluid injection under pressure to separate the nerve from the surrounding tissues to reduce nerve entrapment and irritation and neural inflammation. This can result in the relief of chronic pain and other symptoms caused by nerve entrapment.

    The procedure is usually performed using ultrasound guidance to ensure accuracy and safety. The fluid used can be a local anesthetic, saline, or sometimes substances like dextrose or Platelet-Rich Plasma (PRP), Platelet Poor Plasma (PPP), Alpha-2-Macroglobulin (A2M), or saline depending on the specific situation and desired effect. These fluids are injected around the nerve, creating a small space that allows the nerve to move more freely, reducing friction and irritation.

    The process of nerve hydrodissection can help in treating various conditions including carpal tunnel syndrome, tarsal tunnel syndrome, sciatica, post-traumatic or post-surgical scarring and other similar conditions where a nerve is trapped or compressed or adhered.

• TENEX/TENJET Percutaneous Needle Tenotomy

  • A minimally invasive sutureless percutaneous (no incision) medical procedure used to treat chronic tendon pain.
  • It involves using ultrasound or high pressure saline stream technology to break up and remove damaged tissue from the tendon with saline lavage and aspiration of the damaged tissue. 
  • The procedure is typically performed under local anesthesia and takes about 15 minutes. 
  • It is effective for treating conditions such as plantar fasciitis, Achilles tendinitis, and golfer’s elbow.