SERVICES AT REGEN EXPERTS
Precision care for spine and joint pain—without starting with surgery
Deborah Westergaard, MD reviews your imaging, evaluates you and performs image-guided procedures, including PRP and bone marrow concentrate. In Dallas and Plano, care starts with your diagnosis and treatment options.
Double board-certified physician, fellowship-trained in interventional spine and joint procedures under Gabor Racz, MD, a pioneer of the field.
Ultrasound & fluoroscopic guidance
In practice since 1989
HOW THE DECISION GETS MADE
The right treatment begins with identifying the likely pain source
Most people arrive with an x-ray or MRI scan and a recommendation. The scan is one input, not the answer.
Deborah Westergaard, MD reviews your imaging with you, examines you, and uses ultrasound in the room when it clarifies the picture. What she recommends depends on what the examination shows, not on what the report is called.
That may be an orthobiologic procedure, a conventional interventional procedure, shockwave therapy, rehabilitation, a referral to another specialist—or no procedure at all. She performs the procedures herself.
Diagnosis first
Recommendations follow an appropriate medical evaluation.
Precise guidance
Applicable procedures use ultrasound or fluoroscopy.
Candid options
Benefits, limitations, alternatives, and next steps are discussed.
TREATMENT OPTIONS
Services selected around your condition—not a predetermined procedure.
Not every treatment is appropriate for every patient. Suitability depends on diagnosis, health, examination, imaging, treatment history, and goals.
Orthobiologic procedures
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Platelet-rich plasma (PRP) or bone marrow concentrate may be considered for selected joint, tendon, ligament, or spine-related conditions. These procedures use material obtained from the patient and are performed with image guidance when appropriate.
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​Knee, hip, shoulder, and other joint conditions
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Selected tendon and ligament injuries
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Selected spine-related structures​
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Orthobiologic procedures do not guarantee tissue restoration or avoidance of surgery. Outcomes vary, and evidence differs by condition and procedure.
Precision spine and joint injections
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Established interventional procedures may help clarify a suspected pain source, reduce symptoms, or support participation in rehabilitation. The specific approach depends on the structures believed to be involved.
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Epidural injections
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Facet and sacroiliac joint procedures
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Selected nerve blocks and hydrodissection
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Other image-guided joint procedures
An injection may provide diagnostic information or symptom relief, but duration and degree of benefit vary.
OrthoShockwave therapy
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Shockwave therapy uses focused acoustic energy and may be considered for selected chronic tendon, ligament, muscle, or joint-related conditions.
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Selected elbow and shoulder tendon conditions
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Plantar fasciitis and other foot concerns
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Selected hip, knee, and soft-tissue conditions
The number of sessions, expected response, discomfort, and alternatives should be discussed after evaluation. Results vary.
SERVICES AT REGEN EXPERTS
The procedures performed at Regen Experts
Platelet-rich plasma (PRP)
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Image-guided orthobiologic procedures using a preparation made from the patient’s own blood.
Bone marrow concentrate
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Image-guided orthobiologic procedures using bone marrow concentrate obtained from the patient.
Regenexx® procedures
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Standardized orthobiologic procedures provided through the licensed Regenexx physician network.
Fluoroscopic epidural injections
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Image-guided epidural procedures considered for selected spine-related symptoms and diagnoses.
Facet joint injections
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Diagnostic or therapeutic procedures targeting selected facet joints under image guidance.
Sacroiliac joint injections
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Image-guided procedures used when the sacroiliac joint is a suspected contributor to pain.
Selective nerve blocks
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Targeted procedures that may help evaluate or manage symptoms associated with a selected nerve.
Ultrasound-guided joint injections
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Procedures performed with real-time ultrasound visualization for selected joints
Ultrasound-guided soft-tissue injections
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Targeted procedures for selected tendon, ligament, bursa, muscle, or other soft-tissue conditions.
Hydrodissection
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An ultrasound-guided procedure that may be considered when a nerve is restricted by surrounding tissue.
OrthoShockwave therapy
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Non-invasive focused acoustic-energy treatment for selected tendon, ligament, muscle, and joint conditions.
Different tools serve different purposes
Support repair
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Selected orthobiologic or shockwave approaches may be considered when the diagnosis and evidence support their use.
HOW OPTIONS DIFFER
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Clarify the diagnosis
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Some procedures are used partly to test whether a particular structure is contributing to pain.
Manage symptoms
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Some treatments aim to reduce symptoms and help patients participate more fully in rehabilitation.
HOW OPTIONS DIFFER
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A procedure should fit the person as well as the diagnosis
An evaluation may be reasonable if…
A procedure may not be the next step if…
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Symptoms suggest an urgent or progressive neurological problem
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Infection, fracture, cancer, or another serious condition is suspected
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The proposed treatment does not match the diagnosis
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Surgical consultation or another specialist is more appropriate
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Pain continues despite appropriate conservative care
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You want to understand non-surgical options
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Your diagnosis or pain source remains unclear
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You want a physician to review prior imaging and treatment
This information is general and is not a diagnosis or a substitute for individual medical advice. Urgent symptoms require prompt medical attention.
Explore research and its limitations in the Orthobiologic Digest.
WHAT TO EXPECT
A clear path from evaluation to decision
01
Share your history
Discuss symptoms, previous care, activity limitations, and goals.
02
Receive an evaluation
Review examination findings, movement, and available imaging.
03
Compare options
Understand potential benefits, risks, limitations, costs, and alternatives.
04
Choose the next step
Review costs before scheduling. CareCredit financing is available, subject to credit approval.
Common questions
Answers before you schedule
Care in Dallas and Plano.
Dallas
4228 N. Central Expressway
Suite 101
Dallas, TX 75206
Plano
1400 Preston Road
Suite 120
Plano, TX 75093
Office hours: Monday-Friday, 9:00 a.m.-5:00 p.m. (214) 750-6200
Take the next step
Get greater clarity about your pain and your options.
If spine or joint pain is limiting your life, a detailed evaluation can help you better understand your condition and the choices available.
Treatment recommendations require an appropriate medical evaluation. Results vary, and no outcome can be guaranteed.
COSTS & COVERAGE
What will treatment cost?
Your evaluation is billed separately. Procedure costs depend on the treatment plan, so we provide an individualized estimate before scheduling.
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​Orthobiologic procedures are generally not covered by traditional insurance. Regenexx employer benefits may cover eligible treatment, depending on your plan. CareCredit is available, subject to credit approval.