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DreamRegen

TREATMENT MODALITIES

Advanced Biologic & Regenerative Treatment Approaches

A closer look at the treatment modalities our team may discuss as part of your evaluation.

Advances in cellular science have led to biologic therapies designed to support tissue repair, regulate inflammation, and improve recovery in degenerative conditions. Not every modality is appropriate for every patient or condition your care team will help determine what, if anything, makes sense for you.

Compliance Notice:

These regenerative therapies have not been approved by the U.S. Food and Drug Administration for this specific use. They are offered as part of an individualized treatment plan following physician evaluation.

Platelet-Rich Plasma (PRP

Platelet-Rich Plasma (PRP) Therapy

PRP is an autologous biologic therapy meaning it is derived from your own blood. A small blood sample is drawn in-office and processed through centrifugation to concentrate platelets and plasma proteins, which are then introduced to the treatment area.

How It May Work

Platelets play a natural role in the body’s healing response. They release growth factors that may help recruit repair cells, support collagen production, and promote new blood vessel formation. During remodeling, collagen fibers reorganize and may strengthen over time.

The Process

A small in-office blood draw

Controlled centrifugation to separate blood components

Isolation of the platelet-rich layer

Targeted application or injection into the treatment area

Because PRP uses your own blood components, it's generally considered a biologically based approach. Outcomes vary based on condition and severity, and PRP is not appropriate for every condition a thorough evaluation determines candidacy.

EXTRACORPOREAL SHOCKWAVE THERAPY (ESWT)

Extracorporeal Shockwave Therapy (ESWT)

Shockwave therapy is a non-invasive approach that uses acoustic (sound) energy to help stimulate the body’s natural repair mechanisms. It is performed in-office using a handheld applicator, without anesthesia, and sessions are typically brief.

How It May Work

Acoustic waves create rapid, localized pressure changes within tissue. This is thought to stimulate fibroblasts, support collagen production, and promote new blood vessel formation. Shockwaves may also help disrupt fibrotic tissue and modify local pain signaling.

What It's Used For

Shockwave therapy may be considered for chronic musculoskeletal conditions that have not fully responded to conservative care, including plantar fasciitis, Achilles tendinitis, tennis and golfer’s elbow, shoulder tendinopathy, and certain hip and knee conditions.

Temporary soreness after treatment is possible, and improvement typically develops gradually over several weeks rather than immediately. Clinical selection depends on the specific condition and imaging findings — this is not a one-size-fits-all treatment.

EXOSOME THERAPY

Exosome Therapy

Exosomes are microscopic, cell-derived vesicles that carry proteins, growth factors, and genetic material involved in cell-to-cell communication. Unlike stem cell therapy, exosome therapy is acellular  it does not involve introducing living cells into the body.

How It May Work

Exosomes are studied for their potential role in tissue repair, collagen production, new blood vessel formation, and modulation of inflammatory pathways through molecular signaling rather than cell integration.

Candidate Conditions

Exosome therapy may be discussed for select orthopedic, pain-related, and wound healing evaluations where appropriate. Because exosomes are acellular, they remain a developing area of clinical research.

Exosome therapy is acellular, meaning it does not involve introducing living cells. It is studied for its role in cell-to-cell communication and molecular signaling related to tissue repair and inflammatory pathways.

STEM CELL THERAPY

Stem Cell Therapy

Stem cells are cells capable of self-replication and, depending on type, transformation into more specialized cell types. Regenerative medicine typically focuses on mesenchymal stem cells (MSCs), which in some clinical settings are sourced from donated umbilical cord tissue, including Wharton’s Jelly, that would otherwise be discarded after a healthy birth.

How It May Work

MSCs are studied for two general mechanisms: direct cellular differentiation, adapting to support surrounding tissue, and paracrine signaling the release of growth factors and other bioactive molecules that may help regulate inflammation and support the body’s own repair processes.

Candidate Conditions

Depending on evaluation, stem cell therapy may be discussed for select orthopedic and musculoskeletal conditions, certain chronic pain presentations, and select wound healing applications. It is not appropriate for every patient, and candidacy is determined through a full clinical evaluation.

As with any biologic therapy, your provider will discuss relevant safety considerations as part of your evaluation. Regenerative medicine in this space continues to be an active area of clinical research.

OUR APPROACH

A Note on How We Talk About These Treatments

You’ll notice cautious, qualified language throughout this page — words like “may,” “is studied for,” and “is generally considered.” That’s intentional.

These are evolving areas of medicine, and we believe patients deserve an honest picture of what’s known, what’s still being studied, and what a treatment can realistically be expected to do for their specific situation.

Definitive claims about outcomes are made only after a full clinical evaluation, if at all.

Ready to Find Out If You're a Candidate?

Interested in finding out whether one of these approaches may be appropriate for you? It starts with a conversation.