WEST PALM BEACH, FL

Back Pain Treatment Without Surgery

Non surgical Back Pain Treatment

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●Comprehensive Orthopedic Care for Your

How Dr. Ghattas Evaluates Your Spine

A functional spinal unit is the basic working segment of your spine, two adjacent vertebrae along with the disc, facet joints, and ligaments between them. Rather than treating a single structure in isolation, Dr. Ghattas evaluates how each functional spinal unit works together, the disc, the joints, the surrounding muscles, and the nerves that pass through it, to identify which segment, and which specific structure within it, is actually generating your pain. This matters because imaging often shows more than one abnormality, and not every abnormality seen on a scan is the source of your symptoms.

Degenerative disc disease refers to the natural wear and breakdown of spinal discs over time, which can lead to chronic back pain and reduced flexibility. Dr. Ghattas evaluates which discs are involved to determine whether orthobiologic treatment may be appropriate.

Lumbar facet disease involves wear or inflammation of the small joints connecting the vertebrae in the lower back, a common source of chronic low back pain. Dr. Ghattas uses image-guided injections to help identify and target the affected joints.

Multifidus atrophy is the weakening or shrinking of a deep spinal muscle that stabilizes the lower back, often associated with chronic low back pain. Dr. Ghattas evaluates muscle function alongside your imaging to guide an appropriate treatment plan.

Piriformis syndrome occurs when the piriformis muscle in the buttock irritates or compresses the nearby sciatic nerve, causing pain that can radiate down the leg. Dr. Ghattas uses targeted evaluation to distinguish this from other causes of sciatic-type pain.

Sacroiliac joint dysfunction occurs when the joint connecting the spine and pelvis moves abnormally or becomes inflamed, causing lower back or buttock pain. Dr. Ghattas uses image-guided evaluation to confirm the joint as the pain source before recommending treatment.

Sciatica is pain that radiates along the sciatic nerve, from the lower back through the hip and down the leg, usually caused by nerve compression or irritation. Dr. Ghattas identifies the underlying source of the compression to guide appropriate treatment.

Slipping rib syndrome occurs when the cartilage connecting a lower rib becomes loose or displaced, causing pain in the chest or upper abdomen that often worsens with movement. Dr. Ghattas evaluates the affected rib to determine whether targeted treatment may help.

Spinal stenosis is a narrowing of the spinal canal that can compress nerves and cause back pain, leg pain, or numbness, especially with walking or standing. Dr. Ghattas evaluates the severity of narrowing to determine whether non-surgical treatment may be appropriate.

Spondylolisthesis occurs when one vertebra slips forward over the one below it, which can cause back pain and, in some cases, nerve-related symptoms. Dr. Ghattas assesses the degree of slippage and stability to guide your treatment options.

Superior cluneal neuralgia involves irritation of the nerves crossing the top of the pelvis, often causing lower back and buttock pain that can mimic other spine conditions. Dr. Ghattas uses targeted evaluation to confirm this often-overlooked diagnosis.

A herniated disc occurs when the inner material of a spinal disc pushes through its outer layer, which can irritate nearby nerves and cause back or leg pain. Dr. Ghattas reviews your imaging to determine whether your herniation may respond to non-surgical treatment.

Pudendal neuralgia involves irritation or compression of the pudendal nerve, which can cause chronic pelvic, genital, or perineal pain. Dr. Ghattas uses specialized evaluation to identify the source of nerve irritation and determine appropriate treatment.

●Approach

Spinal Unit Approach

Most back pain is not caused by a single structure — and treating it as one is why many patients cycle through injections, therapy, and even surgery without lasting relief.

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●Approach

Treating the Source, Not Just the Symptoms

At Palm Beach Regenerative, every patient is evaluated through the lens of the Functional Spinal Unit (FSU), the complete biomechanical system responsible for spinal stability, movement, and pain. Using real-time image guidance, we identify all contributing structures and treat precisely what needs attention.

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●Approach

A More Targeted Path to Back Pain Relief

The Functional Spinal Unit includes two adjacent vertebrae along with the disc, facet joints, ligaments, nerve roots, and stabilizing muscles that connect them. These components work together, and dysfunction in one often leads to compensation and pain in others. Rather than focusing on a single finding, the FSU approach evaluates the entire system — providing a more complete and targeted path to addressing chronic back pain.

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Precise Image-Guided Treatments

EVIDENCE-BASED PROTOCOLS
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One-on-One MRI Reviews

MINIMAL RECOVERY TIMES
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Physician-Led Concierge Care

MEANINGFUL RESULTS THAT LAST
●PATIENT OUTCOMES

Patient Experiences

"Over a year ago, both my daughter and I underwent PRP treatment with Dr. Ghattas—PRP for my left knee and PRP for my daughter’s L4-L5 and sacral region. We wanted to wait long enough to truly evaluate the results before sharing our experience. I am pleased to say that the outcomes have been outstanding. My daughter’s improvement has been remarkable, and the treatment has made a significant difference in her quality of life. I have also experienced excellent results with my knee. Dr. Ghattas is an exceptional physician who combines expertise, professionalism, and genuine care for his patients. We are incredibly grateful for the treatment we received and the positive impact it has had on our lives. Thank you, Dr. Ghattas. We are truly grateful for everything you have done. You are simply the best."

Dr Jorge A

"Dr. Ghattas offered me PRP treatments for my lower spine and Si joints. He was very measured in his approach and thorough in delivery. I can honestly say, it was the best decision I could have ever made. I’m now able to work out again and more importantly- live - without pain! Thank you, Dr. Ghattas!"

Jim C

"I had PRP in my neck and lower back, both spots had herniated disc’s, I’ve had really good results with both procedures. Palm Beach Regenerative sport and Spine gave me top quality care and were very informative, I’m glad I went this route instead of surgery. Paul Jones"

Paul J

"This is a genuine, heartfelt account of my experience—a rarity for me, but one I feel compelled to share when something truly stands out. I’ve dealt with chronic back issues for years. Three damaged discs, episodes of flare-ups every few months, followed by days of stiffness and discomfort before life resumes its usual rhythm...."

Seth R

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.

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