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Condition overview · Orthopedics

Tendon & ligament injuries

Tendinopathies are notoriously stubborn. PRP, EPAT, and prolotherapy each work on a different part of the problem, and combining them is often more effective than escalating any one of them.

Tennis & golfer's elbowAchilles tendinopathyPlantar fasciitisHamstring strainPatellar tendinopathy

Therapies for this condition

Three mechanisms, often combined.

We layer PRP, EPAT, and prolotherapy more often than we use them in isolation, each addresses a different lever (signaling, mechanical stimulation, ligament repair) and the combination compounds.

01 · Platelet-rich plasma

Platelet-rich plasma (PRP)

Blood-derived · in-office · 60–90 min

Concentrated platelets and growth factors from your own blood, prepared in our lab and delivered into the target tissue under ultrasound guidance. The most-studied autologous biologic across orthopedic indications.

  • Best fit when
  • Chronic tendinopathy that hasn't responded to PT
  • Partial-thickness intra-tendon defects
  • Anchor therapy when combining with EPAT or prolo
Read the full Platelet-rich plasma page →

02 · Non-invasive pulse therapy

EPAT (Pulse Activation)

No needles · series of 3–6 sessions

Extracorporeal Pulse Activation Technology, non-invasive acoustic pulses delivered to tendons and entheses to stimulate microcirculation and repair signaling. Used alone or layered with PRP.

  • Best fit when
  • Plantar fasciitis, Achilles, lateral epicondyle
  • Patients who prefer a non-needle option to start
  • Adjunct before/after a PRP injection to amplify response
Read the full EPAT page →

03 · Ligament & joint stabilization

Prolotherapy

Dextrose-based · stimulates ligament repair

A series of small injections of a dextrose solution into ligaments and entheses, intended to stimulate a local repair response and improve passive joint stability. Useful where laxity, not cartilage, is the dominant issue.

  • Best fit when
  • Chronic ligament laxity around a joint
  • Recurrent strains in the same tendon-bone junction
  • Patients with concurrent joint instability
Read the full Prolotherapy page →

Is this you?

Find out if biologic therapy is the right next step for you.

A clear, condition-specific candidacy brief, so you can come to consultation already knowing where you stand and what to ask. If another path will serve you better, we'll point you to it.

Likely a good fit

  • Tendinopathy that has outlasted 8–12 weeks of dedicated rehab
  • Localizable, mechanical pain on exam
  • You can pause provocative loading for 1–2 weeks post-injection
  • You're willing to commit to a 12-week, rehab-plus-biologic protocol