Our Approach · David Crane, MD Most spine treatments fail because they treat a region instead of a structure.

We identify the specific disc, joint, nerve, or soft tissue generating your pain, then apply the regenerative therapy matched to that tissue's biology. It's a slower, more deliberate process. It's also why it works.

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Every spine has three structural columns that share load, guide motion, and stabilize the whole. Treating one while ignoring the others is the most common reason regenerative spine treatments fail.

The Process

Three principles that guide every treatment plan.

Our process was built to address the spine as a system, not a collection of isolated symptoms. Each step builds on the last.

01

Diagnose the structure, not the region

We use diagnostic injection mapping alongside advanced imaging to identify the precise pain generator. Not the level. The structure. A specific facet, a specific annular tear, a specific ligament. That distinction changes everything about what happens next.

What this means for you

Instead of a generic "L4-L5 problem," we identify whether it's the disc, the facet joint, the nerve root, or the supporting ligament; each requires a completely different treatment.

02

Select for the tissue, not the trend

Each tissue type has distinct regenerative requirements. Tendons need concentrated platelets. Ligaments respond to proliferant signaling. Cartilage requires mesenchymal stem cells. We choose the therapy that matches the biological need of the damaged structure, not the one that's easiest to sell.

What this means for you

Your treatment plan is built around your tissue's biology, not a one-size protocol. PRP for one structure, prolotherapy for another, BMAC for a third; all in the same patient, if that's what the anatomy demands.

03

Restore the environment, not just the sensation

We deliver concentrated biological material (growth factors, cytokines, mesenchymal signals) directly to the damaged tissue under image guidance. The local environment shifts from catabolic breakdown to active repair. The goal is structural recovery, not symptomatic suppression.

What this means for you

We're not masking pain with cortisone or numbing agents. We're changing the biology at the injury site so your body can repair what's actually broken.

Spinal Architecture

The three columns of the spine and why they all matter.

Anterior Column

Discs & Vertebral Bodies

The front of the spine bears the majority of compressive load. Disc degeneration, herniation, and annular tears live here. When this column fails, the other two compensate, and eventually break down as well.

Facet & Nerve Column

Joints, Nerve Roots & Foramina

The facet joints guide spinal motion and protect nerve roots. Arthritis, stenosis, and radiculopathy originate here. This column is where pain signals are generated, amplified, or blocked.

Posterior Soft Tissue

Ligaments, Tendons & Muscles

The back of the spine is stabilized by layers of ligament, tendon, and muscle. Chronic sprains, laxity, and deconditioning here create instability that makes everything else worse.

Philosophy

Treat the source, not the symptom.

We can't cut out pain. We have to address inflammation, biology, and the natural repair cycle.

Too many spine patients receive band-aid solutions: injections that numb pain without addressing why the nerve is inflamed, or muscle relaxers that mask symptoms while atrophy worsens.

Pain isn't just a symptom to manage. It's a biological state that actively blocks healing. Interrupting the pain signal isn't palliative; it's therapeutic, and it's the first step toward real recovery.

This takes more time than a quick injection, and it requires a physician willing to understand your specific anatomy. It's how we practice.

Your Visit

What to expect at your first appointment.

Every treatment plan starts with a thorough evaluation. Here's how it typically unfolds.

01

Comprehensive History & Imaging Review

We review your complete medical history, previous treatments, and all imaging. If you don't have recent imaging, we'll order what's needed. We want to understand your full clinical picture before we touch anything.

02

Physical Examination & Diagnostic Mapping

A hands-on exam combined with diagnostic injection mapping to identify the precise pain generator. We test each spinal column (disc, joint/nerve, and posterior soft tissue) individually to build a structural diagnosis.

03

Honest Assessment

Not every patient is a candidate for regenerative treatment. We'll tell you directly whether we believe regenerative medicine can help your specific condition. If surgery or another approach makes more sense, we'll say so.

04

Personalized Treatment Plan

If regenerative medicine is the right fit, we build a treatment plan matched to your tissue's biology: selecting the specific therapy for each structure, with a timeline for delivery and recovery. No cookie-cutter protocols.

05

Image-Guided Treatment & Follow-Up

Every injection is delivered under fluoroscopic or ultrasound guidance for precision placement. We schedule follow-up appointments to track recovery, adjust the plan, and document outcomes. Measuring results is how we improve.

Get Started

Ready to explore your options?

Every treatment plan starts with an honest conversation about your condition, your goals, and whether regenerative medicine is the right fit.