Wrist and hand
WEST PALM BEACH, FL
Hand Pain Treatment Without Surgery
Non surgical Hand Pain Treatment
●Orthopedic Care for
Wrist and Hand Pain
At Palm Beach Regenerative Sport and Spine, we specialize in cutting-edge, non-surgical treatments for a wide range of orthopedic conditions that affect the wrist and hands. Our double board-certified neurologist and interventional pain management physician, Dr. Ghattas, brings a wealth of expertise to our practice. With advanced training in regenerative techniques and a prestigious fellowship from the Centeno Schultz Clinic, we offer evidence-based solutions to help you recover.
Our medical facility provides personalized care for patients aged 15 and up, focusing on minimally invasive procedures that promote lasting results with reduced recovery time. We offer in-office X-ray and ultrasound imaging, allowing for comprehensive diagnostics here in our clinic. Our commitment to your well-being extends beyond treatment, with customized supplement regimens and exclusive discounts to support your overall health. Contact us today to start your journey towards optimal orthopedic health.
Carpal tunnel syndrome occurs when the median nerve is compressed at the wrist, causing numbness, tingling, or weakness in the thumb and first few fingers. Dr. Ghattas evaluates the degree of nerve compression to determine appropriate treatment.
De Quervain's tenosynovitis is inflammation of the tendons on the thumb side of the wrist, causing pain with gripping, pinching, or twisting motions. Dr. Ghattas evaluates the affected tendons to determine whether targeted treatment may help.
A TFCC (triangular fibrocartilage complex) tear involves damage to the cartilage and ligament structure that stabilizes the wrist, often causing pain with wrist rotation or gripping. Dr. Ghattas evaluates the tear on imaging to determine whether non-surgical treatment may be appropriate.
Trigger finger occurs when a tendon in the finger becomes inflamed and catches as it moves through its sheath, causing the finger to lock or snap when bending or straightening. Dr. Ghattas evaluates the affected tendon to determine appropriate treatment.
Wrist and hand osteoarthritis is the gradual breakdown of cartilage in the small joints of the hand or wrist, causing pain, stiffness, and swelling, often most noticeable with fine motor tasks. Dr. Ghattas reviews your imaging to determine whether orthobiologic treatment may be appropriate.
Thumb osteoarthritis, most often at the base of the thumb, causes pain, weakness, and difficulty with pinching or gripping motions. Dr. Ghattas reviews your imaging and symptom severity to determine whether orthobiologic treatment may be appropriate.
Precise Image-Guided Treatments
EVIDENCE-BASED PROTOCOLS
One-on-One MRI Reviews
MINIMAL RECOVERY TIMES
Physician-Led Concierge Care
MEANINGFUL RESULTS THAT LAST
Elbow
WEST PALM BEACH, FL
Elbow Pain Treatment Without Surgery
Non surgical Elbow Pain Treatment
●Expert Orthopedic Care for Your
Elbow Conditions
At Palm Beach Regenerative Sport and Spine, we’re dedicated to providing cutting-edge, non-surgical treatments for a wide range of orthopedic conditions related to elbow pain. Our double board-certified neurologist and interventional pain management physician, Dr. Ghattas, has advanced training in regenerative techniques and a prestigious fellowship from the Centeno Schultz Clinic. Choose us for evidence-based solutions tailored to your elbow pain issues.
Our concierge medical facility provides personalized care for patients aged 15 and up, focusing on minimally invasive procedures that promote lasting results with reduced recovery time. In-office X-ray and ultrasound imaging is available as well. Experience the difference of our patient-centered approach at Palm Beach Regenerative in West Palm Beach, FL. Contact us today to start your journey towards optimal orthopedic health.
Cubital tunnel syndrome occurs when the ulnar nerve is compressed at the elbow, causing numbness, tingling, or weakness in the ring and little fingers. Dr. Ghattas evaluates the degree of nerve compression to determine appropriate treatment.
Elbow osteoarthritis is the gradual breakdown of cartilage in the elbow joint, leading to pain, stiffness, and reduced range of motion. Dr. Ghattas reviews your imaging to determine whether orthobiologic treatment may be appropriate for your stage of arthritis.
Pronator syndrome occurs when the median nerve is compressed near the elbow, causing forearm pain and hand symptoms that can resemble carpal tunnel syndrome. Dr. Ghattas uses targeted evaluation to identify the exact site of nerve compression.
Radial tunnel syndrome occurs when the radial nerve is compressed near the elbow, causing forearm pain that can be mistaken for tennis elbow. Dr. Ghattas uses targeted evaluation to distinguish between nerve-related and tendon-related causes of your pain.
Tennis and Golfer’s Elbow are tendon injuries on the outer or inner side of the elbow, caused by repetitive strain, resulting in pain with gripping or wrist movement. Dr. Ghattas evaluates the affected tendon to determine whether orthobiologic treatment may support your recovery.
Precise Image-Guided Treatments
EVIDENCE-BASED PROTOCOLS
One-on-One MRI Reviews
MINIMAL RECOVERY TIMES
Physician-Led Concierge Care
MEANINGFUL RESULTS THAT LAST
Hip
●Non-Invasive Orthopedic Care for Your
Hip Problems
At Palm Beach Regenerative Sport and Spine, we specialize in providing non-surgical treatments for a wide range of orthopedic conditions related to hip pain. Our double board-certified neurologist and interventional pain management physician, Dr. Ghattas, brings a wealth of expertise to our practice. We offer evidence-based solutions for your specific health conditions. Schedule an appointment at Palm Beach Regenerative today.
Our concierge medical facility provides personalized care for patients aged 15 and up, with a focus on minimally invasive procedures. In-office X-rays and ultrasound imaging are available, giving you comprehensive diagnostics right here in our clinic. Experience the difference of our patient-centered approach – contact us today to start your journey towards optimal orthopedic well-being.
Avascular necrosis occurs when the blood supply to the hip bone is disrupted, causing bone tissue to weaken and potentially collapse over time. Dr. Ghattas evaluates the stage of the condition on imaging to determine whether non-surgical treatment may be appropriate.
Gluteal tears and hip tendinosis involve damage or degeneration of the tendons on the outer hip, a common cause of chronic lateral hip pain, particularly in active adults. Dr. Ghattas uses diagnostic ultrasound to confirm the specific tendon involved before recommending treatment.
Hip bursitis is inflammation of the fluid-filled sac that cushions the outer hip, often causing pain with walking, lying on the affected side, or climbing stairs. Dr. Ghattas uses diagnostic ultrasound to determine whether the bursa, the gluteal tendons, or both are contributing to your pain, before recommending treatment.
Hip impingement, or femoroacetabular impingement (FAI), occurs when extra bone growth causes the hip bones to rub abnormally, which can damage cartilage and cause pain with activity. Dr. Ghattas evaluates the impingement pattern on imaging to determine appropriate treatment.
A hip labrum tear involves damage to the cartilage ring that stabilizes the hip socket, which can cause pain, clicking, or a sense of instability. Dr. Ghattas evaluates the tear pattern on imaging to determine candidacy for non-surgical treatment.
Hip osteoarthritis is the gradual breakdown of cartilage in the hip joint, leading to pain, stiffness, and reduced range of motion, especially with weight-bearing activity. Dr. Ghattas reviews your imaging and severity to determine whether orthobiologic treatment may be appropriate, or whether hip replacement is the better option for your condition.
Precise Image-Guided Treatments
EVIDENCE-BASED PROTOCOLS
One-on-One MRI Review
IMAGE-GUIDED PROCEDURES
Physician-Led Concierge Care
STRUCTURED FOLLOW-UP AND OUTCOME TRACKING
●PATIENT OUTCOMES
Patient Experiences
These testimonials reflect the real-life experiences of patients with the Regenexx protocol but are not necessarily typical of what you or any other patient might experience. Individual results of the procedures using Regenexx lab processes will vary depending on a number of factors, including your diagnosis, the severity of your condition, your overall health, and others. To better understand what large numbers of patients experience on average, please visit the Patient Results page, and inquire with a physician within the licensed Regenexx network near you.
Shoulder
WEST PALM BEACH, FL
Shoulder Treatment Without Surgery
Non surgical Shoulder Treatment
●Non-Surgical Treatment for
Shoulder Issues
At Palm Beach Regenerative Sport and Spine in West Palm Beach, FL, we’re dedicated to providing non-surgical treatments for a wide range of shoulder conditions. Our double board-certified neurologist and interventional pain management physician, Dr. Ghattas, brings a wealth of expertise to our clinic. We offer evidence-based solutions designed to help you recover from a variety of shoulder problems.
Our medical facility provides personalized care for patients aged 15 and up, with a focus on minimally invasive procedures. We’re proud to offer in-office X-ray and ultrasound imaging, providing you with comprehensive diagnostics right here in our clinic. Contact us today to start your journey towards optimal orthopedic health at Palm Beach Regenerative!
Frozen shoulder (adhesive capsulitis) causes progressive stiffness and pain that limits shoulder movement, often developing gradually over months. Dr. Ghattas assesses the stage of stiffness to determine the most appropriate non-surgical approach.
A rotator cuff tear involves damage to the tendons that stabilize and move the shoulder, which can cause pain, weakness, or limited range of motion. Dr. Ghattas evaluates the size and location of the tear on imaging to determine whether it's a candidate for non-surgical treatment.
Shoulder calcification occurs when calcium deposits form within the rotator cuff tendons, which can cause significant pain and limited motion. Dr. Ghattas may use image-guided techniques to address the deposits directly.
A labrum tear involves damage to the cartilage ring that stabilizes the shoulder socket, which can cause pain, instability, or a catching sensation. Dr. Ghattas evaluates the tear pattern on imaging to determine candidacy for non-surgical treatment.
Shoulder osteoarthritis is the gradual breakdown of cartilage in the shoulder joint, leading to pain, stiffness, and reduced motion over time. Dr. Ghattas reviews your imaging and symptoms to determine whether orthobiologic treatment may be appropriate for your stage of arthritis.
Precise Image-Guided Treatments
EVIDENCE-BASED PROTOCOLS
One-on-One MRI Review
IMAGE-GUIDED PROCEDURES
Physician-Led Concierge Care
STRUCTURED FOLLOW-UP AND OUTCOME TRACKING
●PATIENT OUTCOMES
Patient Experiences
These testimonials reflect the real-life experiences of patients with the Regenexx protocol but are not necessarily typical of what you or any other patient might experience. Individual results of the procedures using Regenexx lab processes will vary depending on a number of factors, including your diagnosis, the severity of your condition, your overall health, and others. To better understand what large numbers of patients experience on average, please visit the Patient Results page, and inquire with a physician within the licensed Regenexx network near you.
Knee
WEST PALM BEACH, FL
Knee Pain Treatment Without Surgery
Non surgical Knee Pain Treatment
●Non-Surgical Orthopedic Care for Your
Knee Troubles
At Palm Beach Regenerative Sport and Spine, we’re dedicated to providing non-surgical treatments for a variety of knee conditions. Our double board-certified neurologist and interventional pain management physician, Dr. Ghattas, brings a wealth of expertise to our practice here in South Florida. Get evidence-based solutions tailored to your specific recovery needs. Request an appointment at Palm Beach Regenerative today.
Our concierge medical facility provides orthopedic care for patients aged 15 and up, with a focus on minimally invasive procedures. We’re proud to offer in-office X-ray and ultrasound imaging, allowing for comprehensive diagnostics right here in our practice. Contact us today to start your journey towards optimal orthopedic health, thanks to Palm Beach Regenerative.
An ACL tear is damage to one of the knee's main stabilizing ligaments, often causing immediate swelling, instability, and a sense that the knee may give way. Dr. Ghattas evaluates the tear's severity and your activity goals to determine whether non-surgical treatment may be appropriate.
A Baker's cyst is a fluid-filled swelling behind the knee, usually caused by an underlying joint problem such as a meniscus tear or arthritis. Dr. Ghattas evaluates the underlying cause to determine the most appropriate treatment, rather than treating the cyst alone.
Bone marrow lesions are areas of abnormal signal within the bone, often seen on MRI in patients with knee osteoarthritis, and are associated with increased pain. Dr. Ghattas reviews your imaging to determine whether targeted treatment addressing these areas may be appropriate.
IT band syndrome occurs when the iliotibial band, a thick band of tissue running along the outer thigh, becomes irritated from repetitive friction near the knee, common in runners and cyclists. Dr. Ghattas evaluates contributing factors to guide an appropriate treatment and recovery plan.
Jumper's knee is irritation or degeneration of the tendon connecting the kneecap to the shinbone, common in athletes who jump or change direction frequently. Dr. Ghattas evaluates the tendon on imaging to determine appropriate treatment.
Knee bursitis is inflammation of one of the fluid-filled sacs that cushion the knee joint, which can cause swelling, warmth, and pain with kneeling or bending. Dr. Ghattas evaluates the affected bursa to determine appropriate treatment.
Knee ligament tears, including the MCL, LCL, or PCL, involve damage to the structures that stabilize the knee, which can cause pain, swelling, and instability depending on severity. Dr. Ghattas evaluates the specific ligament and degree of injury to determine whether non-surgical treatment may be appropriate.
A meniscus tear involves damage to the cartilage that cushions the knee joint, which can cause pain, swelling, catching, or limited range of motion. Dr. Ghattas evaluates the tear pattern and location on imaging to determine whether non-surgical treatment may be appropriate.
Knee osteoarthritis is the gradual breakdown of cartilage in the knee joint, leading to pain, stiffness, and swelling that often worsens with activity. Dr. Ghattas reviews your imaging and severity to determine whether orthobiologic treatment may be appropriate, or whether knee replacement is the better option for your condition.
Peroneal neuropathy occurs when the peroneal nerve near the knee is compressed or irritated, causing numbness, tingling, or weakness that can affect your ability to lift the foot. Dr. Ghattas evaluates the site and severity of nerve involvement to determine appropriate treatment.
Precise Image-Guided Treatments
EVIDENCE-BASED PROTOCOLS
One-on-One MRI Review
IMAGE-GUIDED PROCEDURES
Physician-Led Concierge Care
STRUCTURED FOLLOW-UP AND OUTCOME TRACKING
●PATIENT OUTCOMES
Patient Experiences
These testimonials reflect the real-life experiences of patients with the Regenexx protocol but are not necessarily typical of what you or any other patient might experience. Individual results of the procedures using Regenexx lab processes will vary depending on a number of factors, including your diagnosis, the severity of your condition, your overall health, and others. To better understand what large numbers of patients experience on average, please visit the Patient Results page, and inquire with a physician within the licensed Regenexx network near you.
Neck
WEST PALM BEACH, FL
Neck Pain Treatment Without Surgery
Non surgical Neck Pain Treatment
●The Latest Orthopedic Care for
Neck Problems
At Palm Beach Regenerative Sport and Spine, we specialize in cutting-edge, non-surgical treatments for a wide range of neck conditions. Our double board-certified neurologist and interventional pain management physician, Dr. Ghattas, brings a wealth of expertise to our practice. With advanced training in regenerative techniques and a prestigious fellowship from the Centeno Schultz Clinic, we offer the latest solutions to help you with your neck ailments.
Our medical facility provides personalized care for patients aged 15 and up, focusing on minimally invasive procedures that promote lasting results with reduced recovery time. In-office X-rays and ultrasound imaging are available, as well as full spine MRI capabilities, providing comprehensive diagnostics right here in our clinic. Contact us today to start your journey towards improved health, thanks to Palm Beach Regenerative.
A cervical disc herniation occurs when the soft inner material of a neck disc pushes through its outer layer, which can irritate nearby nerves and cause neck or arm pain. Dr. Ghattas reviews your imaging to determine whether image-guided treatment is appropriate for your specific herniation.
Cervical facet disease involves wear or inflammation of the small joints connecting the neck's vertebrae, a common source of chronic neck pain and stiffness. Dr. Ghattas uses image-guided injections to help identify and target the affected facet joints.
Cervical stenosis is a narrowing of the spinal canal in the neck that can compress the spinal cord or nerve roots, leading to pain, numbness, or weakness. Dr. Ghattas evaluates the severity of narrowing on imaging to determine whether non-surgical treatment may be appropriate.
Myofascial pain syndrome involves chronic pain from trigger points, tight knots within muscle tissue that can refer pain to other areas of the body. Dr. Ghattas may use trigger point injections or other targeted treatment to address these areas directly.
A pinched nerve in the neck, or cervical radiculopathy, happens when a nerve root is compressed or irritated, often causing pain, numbness, or weakness that radiates into the arm. Dr. Ghattas reviews your imaging to pinpoint the affected level and determine appropriate treatment.
Thoracic outlet syndrome occurs when nerves or blood vessels between the collarbone and first rib become compressed, causing pain, numbness, or weakness in the neck, shoulder, or arm. Dr. Ghattas evaluates the structures involved to determine whether your case may be appropriate for non-surgical treatment.
Whiplash is a neck injury caused by a rapid back-and-forth motion, commonly from a car accident, that can strain neck muscles, ligaments, and joints. Dr. Ghattas evaluates the specific structures affected to guide a recovery plan suited to your injury.
Precise Image-Guided Treatments
EVIDENCE-BASED PROTOCOLS
One-on-One MRI Reviews
MINIMAL RECOVERY TIMES
Physician-Led Concierge Care
MEANINGFUL RESULTS THAT LAST
●PATIENT OUTCOMES
Patient Experiences
These testimonials reflect the real-life experiences of patients with the Regenexx protocol but are not necessarily typical of what you or any other patient might experience. Individual results of the procedures using Regenexx lab processes will vary depending on a number of factors, including your diagnosis, the severity of your condition, your overall health, and others. To better understand what large numbers of patients experience on average, please visit the Patient Results page, and inquire with a physician within the licensed Regenexx network near you.
Treatments
Treatment Options, Matched to You
Orthobiologic treatments use concentrated preparations from your own body to support its natural healing response and address the source of pain. The right approach depends on your diagnosis, imaging, condition severity, previous care, goals, and candidacy.
OUR APPROACH
The Procedure is not the Starting Point
Regenerative care often focuses on the product, the preparation, and the injection. We believe the patient comes first. Before discussing treatment, Dr. James Ghattas looks at the full picture, including your diagnosis, imaging, condition severity, health history, previous treatments, goals, and the factors that may influence your readiness for treatment and recovery. The procedure is only one part of the plan. Understanding candidacy, preparing the patient, and supporting the recovery environment before and after treatment all matter. If treatment is not the right option, Dr. Ghattas will tell you.
●ORTHOBIOLOGIC TREATMENTS
Using Your Own Biology
Orthobiologic procedures use concentrated preparations from your own blood or bone marrow, with additional options considered in selected cases. Every procedure is personally performed by Dr. Ghattas using real-time ultrasound or fluoroscopic guidance.
Physician-Led
Every evaluation and procedure personally performed by Dr. Ghattas
Image-Guided
Real-time targeting of the intended joint, tendon, ligament, disc, or nerve
Candidacy-Driven
Treatment considered only when the diagnosis, imaging, severity, and goals support it
Data-Informed
Protocols guided by clinical research and Regenexx outcomes data
●TREATMENT OPTIONS
A Closer Look at the Main Approaches
A concentrated platelet preparation considered for selected joint, tendon, ligament, and spine conditions when diagnosis and imaging support a platelet-based approach.
A concentrated preparation derived from the patient’s own bone marrow. It may be considered for selected higher-severity injuries and degenerative conditions when the diagnosis, imaging, and candidacy assessment support its use.
A preparation derived from the patient’s own adipose tissue. It may be considered in selected cases based on diagnosis, imaging, condition severity, and overall candidacy.
A platelet-derived preparation considered for selected nerve, joint, and spine-related treatment plans. Candidacy depends on the structures involved, the nature and severity of the condition, and other medical factors that all need to be taken into consideration.
Hyaluronic acid injections are used to help lubricate and cushion the joint, which may reduce pain and improve movement in selected patients.
Prolotherapy uses targeted injections to stimulate a healing response in injured or weakened connective tissue, which may help reduce pain and improve function in selected patients.
Depending on the patient and condition, additional options may include:
·Intraosseous procedures for selected cases
·Direct intradiscal procedures in carefully selected cases
·Nerve Hydrodissection An image-guided procedure designed to address selected nerve compression or irritation by carefully separating the nerve from surrounding tissue. It may be considered for certain peripheral nerve conditions after a detailed clinical and imaging evaluation.
These are not appropriate for every patient and are not always the primary treatment approach.
IMAGE-GUIDED PRECISION
Placement Matters
Choosing the right preparation is only part of the procedure. Accurate placement also matters. Dr. Ghattas uses real-time ultrasound or fluoroscopic guidance to visualize the treatment area and direct the procedure toward the intended anatomical structure. This is especially important when treating a specific joint, tendon, ligament, disc, or nerve.
●HOW TREATMENT IS SELECTED
No One-Size-Fits-All Treatment Plan
Diagnosis
Understanding what is actually causing the problem
Imaging
Defining the structure involved and the severity of the condition
Condition Severity
Determining how the stage of injury or degeneration will affect outcomes
Previous Care
Reviewing past procedures, therapies, medications, and surgical recommendations
Personal Goals
Understanding what you want to get back to and what matters most to you.
Overall Candidacy
Confirming whether orthobiologic treatment may be appropriate
●THE REGENEXX NETWORK
Treatment Planning Informed
by Patient Outcomes Data
Palm Beach Regenerative is part of the Regenexx network, with protocols informed by one of the largest orthobiologic outcomes registries in the world. Treatment decisions are grounded in a defined clinical process and real patient outcomes, not trend or marketing claim.
●THE BIOMOD LAB
Support for Recovery, Performance, and the Broader Care Plan
BioMod Lab brings together selected non-injection therapies and supportive protocols that may be used before treatment, after treatment, or independently when appropriate.Services may include Robotic MLS Laser Therapy, physician-directed supplement protocols, bracing, TENS therapy, and coordination with trusted physical therapy or chiropractic partners.Orthobiologic procedures address the treatment target. BioMod Lab supports the broader recovery and performance plan.
●WHAT TO EXPECT
Your Treatment Journey
01
Request a Consultation
Tell us what you are experiencing and what you want to get back to.
02
Meet With Dr. Ghattas
Your diagnosis, history, goals, and available imaging are reviewed.
03
Understand Your Candidacy
Dr. Ghattas explains whether orthobiologic treatment may be appropriate and why.
04
Review Your Options
If treatment is recommended, you receive a clear explanation of the proposed approach.
05
Move Forward With a Plan
Your treatment and recovery plan is built around your condition, candidacy, and goals.
●COMMON QUESTIONS
Understanding Orthobiologic Treatment
No. Candidacy depends on diagnosis, imaging, severity, health history, previous care, and personal goals.
Yes. Dr. Ghattas performs every procedure using real-time ultrasound or fluoroscopic guidance.
They may provide a non-surgical option for selected candidates. Some patients may still require surgery or another form of care.
The recommendation is based on the structure involved, diagnosis, imaging, severity, previous care, overall health, and treatment goals.
Most insurance plans do not cover orthobiologic treatments, as they are considered investigational. Our team can discuss self-pay options at your consultation. CareCredit financing is available for qualified patients. Our team will walk through your options at your consultation.
Coverage and financing options vary by patient and are not guaranteed. Confirm current terms with our team and with CareCredit directly.
NEXT STEP
Find Out What May Be
Appropriate for You
The first step is not choosing a procedure. It is understanding your diagnosis, your candidacy, and the options that may make sense for your condition.
Conditions
Find Your Condition
Pain can come from many different structures, joints, discs, nerves, tendons, and soft tissue. Dr. Ghattas evaluates each patient individually to determine what's actually driving your pain, and whether orthobiologic treatment may be appropriate.
OUR APPROACH
The Condition Is Only Part
of the Picture
A diagnosis alone doesn't determine your treatment plan. Candidacy depends on your specific condition, its severity, your imaging, your overall health, and your goals. Dr. Ghattas will tell you directly if orthobiologic treatment isn't the right fit for you, and what he'd recommend instead.
●CONDITIONS WE EVALUATE
Where Are You Experiencing Pain?
●WHAT WE LOOK FOR
Understanding the Source of Pain
●COMMON PATIENT QUESTIONS
Could This Be an Alternative to Surgery?
- A diagnosis tells us what’s happening. Candidacy for treatment depends on the severity, your imaging, and your overall health.
- Non-surgical options may be appropriate for some patients, but not for every condition or every stage of one.
- Surgery is sometimes the better choice. Dr. Ghattas will say so directly if that’s the case for you.
- Your treatment plan, if any, is built around your specific condition and goals, not a standard protocol applied to everyone with the same diagnosis.
●CONDITIONS AND CANDIDACY
A Diagnosis Does Not Automatically Mean Treatment
Orthobiologic treatment is not appropriate for every patient or every condition.Candidacy depends on the structure involved, the severity of the condition, available imaging, previous care, overall health, and your functional goals.For some patients, another non-surgical approach may be more appropriate. For others, surgery may ultimately be the better option.The goal is to determine what makes sense for your specific condition—not to fit you into a predetermined treatment.
Precision Begins
Before the Procedure
Before recommending any treatment, Dr. Ghattas personally reviews your diagnosis and imaging. Every procedure he performs uses real-time ultrasound or fluoroscopic guidance, rather than being placed without direct visualization.
●THE PATIENT JOURNEY
What Happens Next
01
Tell Us What Is Limiting You
Share your symptoms and goals.
02
Meet With Dr. Ghattas
Your condition, history, and imaging are evaluated in person.
03
Understand the Diagnosis
You learn specifically what’s driving your pain.
04
Review Your Candidacy
You get a clear, honest answer on whether treatment may be appropriate.
05
Move Forward with Clarity
If appropriate, a plan is built around your goals.
NEXT STEP
Start With a Clearer Understanding of Your Condition
You do not need to choose a procedure before reaching out. The first step is understanding what is causing the problem and whether a precise,
non-surgical option may be appropriate.
Disclaimer — Results vary. Not all patients are candidates for orthobiologic treatment. Dr. Ghattas will discuss whether treatment is appropriate for your specific condition.
Head and face
WEST PALM BEACH, FL
Head & Face Conditions
Restore Function Without Surgery | Biologics Guided
by Evidence | Board-Certified Physician
●Non-Surgical
Head and Face Conditions
At Palm Beach Regenerative Sport and Spine, we specialize in providing cutting-edge, non-surgical treatments for a wide range of orthopedic conditions affecting the head and face, such as TMJ. Our double board-certified neurologist and interventional pain management physician, Dr. Ghattas, brings a wealth of expertise to each case. We offer evidence-based solutions tailored to your unique needs and situation. Schedule an appointment today via our online form.
Occipital neuralgia causes sharp, shooting pain at the base of the skull that can radiate toward the scalp, and is often mistaken for a headache or migraine. Dr. Ghattas uses targeted nerve evaluation to confirm the diagnosis and determine appropriate treatment.
Temporomandibular joint (TMJ) dysfunction involves pain, clicking, or limited movement in the jaw joint, often linked to joint inflammation or muscle tension. Dr. Ghattas assesses the joint and surrounding muscles to determine whether orthobiologic or supportive treatment may help.
Trigeminal neuralgia causes sudden, severe facial pain along the trigeminal nerve, often triggered by light touch, chewing, or talking. Dr. Ghattas evaluates the nerve's pathway and may consider image-guided, nerve-targeted treatment as part of your care plan.
Precise Image-Guided Treatments
EVIDENCE-BASED PROTOCOLS
One-on-One MRI Reviews
MINIMAL RECOVERY TIMES
Physician-Led Concierge Care
MEANINGFUL RESULTS THAT LAST
Palm Beach Regenerative
A Different Standard for Non-Surgical Orthopedic Care
Image-guided orthobiologic treatments from a double board-certified physician. Many patients return to golf, tennis, and the activities they love, without surgery or extended downtime.
JAMES GHATTAS, DO
Double Board-Certified Physician, Neurology and Interventional Pain Management | Physician in the Licensed Regenexx Network
Disclaimer — Results vary. Not all patients are candidates. Dr. Ghattas will discuss realistic expectations for your specific condition.
●CONDITIONS WE TREAT
Find Your Condition
●TREATMENTS
Treatment Options,
Matched to You
The right treatment depends on your diagnosis, imaging, severity, goals, and candidacy, not a one-size-fits-all protocol.
Interventional Orthobiologics
Image-guided procedures using orthobiologic preparations made from your own tissue.
BioMod Lab
Non-invasive therapies and physician-directed protocols that support recovery before, after, or independent of a procedure.
Regenexx
Injection-based orthobiologic procedures using Regenexx lab processes, informed by outcomes data from patients across the Regenexx network.
●WHY PALM BEACH REGENERATIVE
A More Thoughtful Approach to Non-Surgical Care
We think of healing as needing two things: a signal and energy. Orthobiologic injections, made from your own blood, bone marrow, or fat, provide the signal, placed under real-time imaging at the structure causing your pain. BioMod Lab therapies add energy through light, sound waves, and electromagnetic fields, with no needles. Some patients need one, some need both. Every plan starts with an honest diagnosis.
Measured Outcomes
We follow up with patients at set points after treatment, from 6 weeks to 18 months, and track how pain and function change. As a physician in the licensed Regenexx network, Dr. Ghattas also draws on outcomes data from patients treated across the network. Individual results vary.
Precise Placement
Every injection is placed under real-time ultrasound or live X-ray (fluoroscopy) guidance, so placement at the intended joint, tendon, ligament, disc, or nerve can be confirmed as it happens.
A Plan Built Around You
Your plan is shaped by your diagnosis, imaging, and goals. Orthobiologic procedures and BioMod Lab therapies are combined only when that fits your condition.
●HOW WE TREAT
Science-Backed, Physician-Led, Fully Supported
THE DIFFERENCE
Why Our Regenerative Medicine Is Different
Our procedures use preparations made from your own blood, bone marrow, or fat, placed with real-time image guidance rather than a blind injection. Dr. Ghattas personally performs every evaluation and every procedure, and will tell you plainly if you are not a candidate.
THE REGENEXX NETWORK
Informed by Regenexx Registry Data
As a physician in the licensed Regenexx network, Dr. Ghattas's protocols are informed by outcomes data collected across the Regenexx network, one of the larger orthobiologic outcomes registries tracking this type of care. Individual results vary, and registry data reflects patterns across many patients, not a guarantee for any one person.
THE BIOMOD LAB
Support Beyond the Procedure
BioMod Lab offers non-injection therapies, laser, shockwave, EMTT, physician-directed supplement protocols, and bracing, used to support your body before a procedure, after one, during recovery, or on their own.
Your Path to a Plan
●MEET YOUR PHYSICIAN
Meet Dr. James Ghattas
Dr. Ghattas is double board-certified in Neurology and Interventional Pain Management, with fellowship training in interventional orthobiologics. He personally evaluates every patient and personally performs every procedure, reviewing your imaging and history himself rather than delegating that judgment.
Neurology
Board certification in diagnosing and treating conditions of the nervous system, including nerve-related pain.
Interventional Pain Management
Board certification in image-guided procedures for diagnosing and treating the source of musculoskeletal
and nerve pain.
Orthobiologics
Fellowship training in image-guided orthobiologic procedures using a patient's own blood, bone marrow, or fat.
This combination lets Dr. Ghattas look at pain from more than one angle: where it originates, how the nervous system is involved, and whether an orthobiologic approach is appropriate for the structure causing it.
●PATIENT OUTCOMES
Patient Experiences
No procedure can guarantee an outcome. What we can promise is an honest discussion of the evidence and a real candidacy assessment, not a sales pitch.
These testimonials reflect the real-life experiences of patients with the Regenexx protocol but are not necessarily typical of what you or any other patient might experience. Individual results of the procedures using Regenexx lab processes will vary depending on a number of factors, including your diagnosis, the severity of your condition, your overall health, and others. To better understand what large numbers of patients experience on average, please visit the Patient Results page, and inquire with a physician within the licensed Regenexx network near you.
●FINANCING
What This Investment Looks Like
Most insurance plans do not cover orthobiologic treatments, as they are considered investigational. Our team can discuss self-pay options at your consultation. CareCredit financing is available for qualified patients. Our team will walk through your options at your consultation.
Disclaimer — Coverage and financing options vary by patient and are not guaranteed. Confirm current terms with our team and with CareCredit directly.
●COMMON QUESTIONS
Frequently Asked Questions
Candidacy depends on your diagnosis, imaging, severity, and goals. Dr. Ghattas evaluates each patient individually at consultation and will tell you directly if another option is more appropriate.
Regenexx procedures are image-guided injections using Regenexx lab processes, made from your own blood or bone marrow. BioMod Lab is a separate set of non-injection therapies used to support recovery, before, after, or independent of a procedure.
Most insurance plans do not cover orthobiologic treatments, as they are considered investigational. Our team can discuss self-pay options at your consultation. CareCredit financing is available for qualified patients. Our team will walk through your options at your consultation.
Coverage and financing options vary by patient and are not guaranteed. Confirm current terms with our team and with CareCredit directly.
No medical treatment can guarantee an outcome. Dr. Ghattas will discuss realistic expectations for your specific condition based on your evaluation.
Yes. Every evaluation and every procedure is personally performed by Dr. Ghattas.
NEXT STEP
You May Have More Options Than You Think
Before assuming surgery is the only path forward, find out whether a more precise, non-surgical approach could be appropriate for your condition.
Disclaimer — Results vary. Not all patients are candidates. Dr. Ghattas will discuss whether treatment is appropriate for your specific condition.