David Crane, MD Spinal Care · Sports Medicine
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Spine Conditions · David Crane, MD Every spine condition has a structural cause. We find it.

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.

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Your spine has three interdependent structural columns: disc, joints, and surrounding soft tissue. Damage rarely stays in one. We assess and treat the full picture, because addressing only one column is why so many treatments fail.

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  • Disc Conditions
  • Joint & Bone
  • Nerve & Pain
  • Soft Tissue

Disc Conditions

Structural injuries and degeneration of the intervertebral discs that compromise spinal stability and compress neural structures.

Degenerative Disc Disease

Progressive loss of disc height and hydration creates abnormal load transfer to facet joints and endplates. Regenerative treatment stabilizes the disc, promotes hydration, and reduces inflammatory signaling.

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Disc Bulge & Herniation

The nucleus pulposus extends beyond the annular fibers, often compressing nerve roots. Regenerative treatment reinforces the annular containment barrier and stimulates fibrocyte proliferation to restore structural integrity.

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Annular Tears

Micro-injuries to the outer fiber layers of the disc create pathways for nuclear migration and inflammatory leakage. Targeted regenerative treatment repairs these tears from the inside, restoring structural integrity.

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Joint & Bone

Degenerative and inflammatory conditions affecting the facet joints, sacroiliac joint, and bony spinal structures.

Spinal Arthritis & Facet Arthropathy

Osteoarthritic changes in the posterior joints create pain and instability. Regenerative treatment reduces synovial inflammation and promotes cartilage stability.

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Sacroiliac Joint Dysfunction

Instability or inflammatory arthropathy of the SIJ creates lower back and buttock pain. Regenerative treatment restores joint stability and reduces ligamentous laxity.

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Pars Stress Reaction

Stress fracture of the pars interarticularis, common in young athletes and workers with repetitive extension-rotation. Regenerative treatment stimulates bone healing and stabilizes the adjacent structures.

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Spinal Stenosis

Narrowing of the spinal canal or neural foramina limits space for the spinal cord and nerve roots. While not all stenosis reverses, conservative regenerative approaches can reduce inflammation, slow progression, and improve symptoms.

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Nerve & Pain

Conditions involving nerve compression, irritation, or neuropathic pain pathways originating from spinal structures.

Neuralgia & Neuropathic Pain

Nerve-mediated pain from adhesions, chronic irritation, or inflammatory compression. We address the underlying structural cause, whether disc, joint, or soft tissue, rather than mask nerve pain.

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Piriformis Syndrome

Myofascial compression or inflammation of the piriformis muscle irritates the sciatic nerve. Targeted regenerative injection decompresses the nerve and resolves sciatic symptoms.

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Soft Tissue

Ligament, tendon, and muscular injuries that compromise spinal stability and perpetuate chronic pain cycles.

Chronic Sprains & Strains

Soft tissue injury with chronic inflammation, muscle inhibition, and scar tissue formation. Regenerative medicine breaks the chronic pain cycle, restores proprioception, and promotes functional recovery.

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High Hamstring Syndrome

Chronic tendinopathy at the proximal hamstring attachment to the ischial tuberosity causes gluteal and posterior thigh pain. Regenerative therapy restores tendon integrity and reduces adhesion formation.

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Costovertebral Rib Pain

Costochondritis, rib-vertebral joint inflammation, or intercostal neuralgia creates chest and rib pain. Regenerative injection therapy targets the joint, periosteum, and surrounding soft tissue with precision.

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David Crane, MD
Spinal Care · Sports Medicine

Precision regenerative medicine for spine conditions. Bluetail Medical Group.

Conditions
Degenerative Disc Disease Herniated Disc Spinal Stenosis Spinal Arthritis SI Joint Dysfunction
Treatments
PRP Therapy Prolotherapy BMAC Therapy Exosome Therapy Hyperbaric Oxygen Sports Medicine
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