Conditions We Treat

Tendinopathy & Tendon Tears

Chronic degeneration or partial tearing of tendons (rotator cuff, patellar, Achilles) that have failed to heal with standard treatments.

Osteoarthritis

Degenerative cartilage loss in joints of the knee, hip, shoulder, and ankle that may benefit from biologic augmentation.

Muscle Strains

Partial muscle tears and chronic strains in athletes that can benefit from growth factor-enhanced healing.

Ligament Sprains

Chronic or incompletely healed ligament injuries in the knee, ankle, and other joints.

Cartilage Defects

Focal articular cartilage defects that may be candidates for biologic cartilage regeneration strategies.

Fracture Non-Union

Fractures that have failed to heal adequately, where biologic augmentation can stimulate bone repair.

Spine Disc Degeneration

Degenerative disc conditions where biologic injection may help reduce inflammation and support disc health.

Post-Surgical Augmentation

Enhancement of surgical repairs (rotator cuff, meniscus) with biologics to improve healing rates.

Procedures We Offer

Platelet-Rich Plasma (PRP) Injections

Concentrated platelets from the patient's own blood injected into injured tissue to accelerate healing with growth factors.

Bone Marrow Aspirate Concentrate (BMAC)

Concentrated stem cells and growth factors from the patient's bone marrow injected into damaged joints or tendons.

Hyaluronic Acid (HA) Injections

Viscosupplementation injections to restore joint lubrication and cushioning in mild-to-moderate knee arthritis.

Platelet-Poor Plasma (PPP)

Growth factor-rich plasma preparation used as a complement to surgical procedures to enhance tissue healing.

Biologic-Augmented Surgery

Surgical repairs enhanced with PRP or BMAC to improve healing of rotator cuff, ACL, or meniscus repairs.

Microfracture & Cartilage Stimulation

Minimally invasive procedures to stimulate fibrocartilage formation in small cartilage defects.

Prolotherapy

Injection of irritant solution to stimulate local healing response in chronically lax ligaments or tendons.

Amniotic & Placental Tissue Allografts

Allograft tissue products rich in growth factors used to modulate inflammation and promote healing.

Our Providers

Jose Ramirez-Del Toro, M.D.

Jose Ramirez-Del Toro, M.D.

Physiatrist

Sports Medicine

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Justin J. Petrolla, M.D.

Justin J. Petrolla, M.D.

Physiatrist

Sports Medicine & Pain Management

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Laura C. Wiegand, M.D.

Laura C. Wiegand, M.D.

Orthopaedic Surgeon

Sports Medicine

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Brett C. Perricelli, M.D.

Brett C. Perricelli, M.D.

Orthopaedic Surgeon

Hip & Knee Replacement

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Nathaniel T. Ondeck, M.D.

Nathaniel T. Ondeck, M.D.

Orthopaedic Surgeon

Hip & Knee Replacement

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Frequently Asked Questions

What is PRP and how does it work?

Platelet-rich plasma (PRP) is a concentration of platelets made from your own blood. A blood sample is drawn, then spun in a centrifuge to separate and concentrate the platelets—which contain powerful growth factors that signal the body to heal. When injected into injured tissue, PRP delivers a high concentration of these healing signals directly to the area of damage, promoting tissue repair and reducing inflammation. The entire preparation takes about 30 minutes and is performed in our office.

Is PRP covered by insurance?

Most insurance plans, including Medicare, currently do not cover PRP injections as they are considered investigational for most orthopaedic indications. We will provide transparent pricing before any treatment. Some health savings accounts (HSA) and flexible spending accounts (FSA) may be used to cover the cost. We are happy to discuss payment options.

How many PRP treatments will I need?

The number of PRP treatments depends on the diagnosis and severity. For mild-to-moderate tendinopathy or arthritis, a single injection may provide significant benefit, with a second injection at 4–6 weeks if needed. Some patients with more advanced conditions benefit from a series of 2–3 injections. Your physician will discuss the appropriate protocol based on your specific condition and imaging findings.

Are orthobiologics safe?

When using autologous biologics (PRP, BMAC) derived from your own blood or bone marrow, the risk of allergic reaction or disease transmission is essentially eliminated. The most common side effects are temporary soreness at the injection site and a short-term inflammatory response (2–5 days) as healing is initiated. More serious complications are rare but include infection and nerve injury. Your physician will review all risks and benefits before proceeding with treatment.

Ready to Get Relief?

Our board-certified orthopaedic specialists are here to help. Schedule your appointment today.

Or call us: (412) 283-0260

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