Non-surgical joint and spine treatments

Spine Nevada has multiple internal injection suites. This means that patient may have the therapy they need in the convenience of our comfortable medical office. The interventional sports and spine management physicians at Spine Nevada are board-certified and fellowship-trained. Fellowship-training is the highest level of medical training in the United States.

Conservative treatments for osteoporosis
Peripheral Joint and Tendon injections
Hip joint injections (with ultrasound or fluoroscopic guidance)
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Deltoid bursa
Biceps insertion
AC joint
Knee Joint injections (with ultrasound guidance)
Steroid and Supartz injections
Ankle joint injections (with ultrasound guidance)
Elbow Joint injections (with ultrasound guidance)
Foot/Hand/Wrist injections (with ultrasound guidance)
Radial-carpal and midcarpal joints
DeQuervain’s tendonitis
Carpal tunnel
Trigger point injections
Subacromial bursa, Hip bursa / Greater trochanteric bursa, other bursa injections (all with ultrasound guidance)
Carpal tunnel (median nerve blocks) injections, Ulnar nerve block injections
Tarsal tunnel syndrome (tibial nerve block) injections
Plantar fasciitis, Achilles Tendinopathy injections
Platelet Rich Plasma
Tennis/golfer elbow (Medial and Lateral epicondylitis) injections
Olecranon bursa
Ulnar neuropathy at the elbow
Occipital Neuralgia injections (occipital nerve block)
Trigger fingers
CMC and MCP Joints
Joint aspirations

Spine Injections

Cervical, Thoracic, Lumbar Interlaminar Epidural Steroid Injections
Lumbar transforaminal Epidural Steroid Injections
Cervical, Thoracic, Lumbar Medial Branch blocks
Radiofrequency Ablation
Lumbar Facet Joint Injections
Sacroiliac Joint Injections

To request more information about joint and spine injection procedures or to schedule an appointment, please click here.

Orthobiologics treatments
platelet rich plasma, orthobiologics, Dr Andrew Hsu, Dr Hugh Mcdermott, physical medicine
What is PRP Therapy?

PLATELET RICH PLASMA (PRP) therapy utilizes platelets taken from the patient’s own blood to help repair damaged tendons or cartilage. Platelets normally circulate within the blood stream and are responsible for blood clotting and initiating a healing response in an acute injury. Many acute injuries do not heal adequately and can lead to chronic pain and loss of function of the injured area. Platelet rich plasma (PRP) therapy allows us to harvest the patient’s own platelets and re-inject those platelets into the site of the injury with the goal of improving function. This is typically done under image guidance such as ultrasound or fluoroscopy.


BONE MARROW ASPIRATE CONCENTRATE can repair tissues that are too damaged to heal on their own. BMAC, also known as bone marrow aspirate concentrate, is a fluid containing cells taken from bone marrow. The first step in producing BMAC is to collect bone marrow aspirate. At Spine Nevada this is completed through a minimally invasive image guided procedure using a needle to remove bone marrow from a large bone, such as the pelvic bone. The procedure is generally completed under local anesthesia. The aspirate is processed using a centrifuge. When combined with other bone marrow cells and platelets, stem and progenitor cells can be used to heal tissue when injected. BMC contains proteins, called cytokines and growth factors, that aid in healing tissue. A decrease in inflammation and new tissue formation can result from bone marrow concentrate. Spine Nevada uses well-accepted evidence based treatment options, including bone marrow aspirate (BMAC) therapy.

What is LIPOGEMS therapy?

Lipogems is a cutting edge technology that uses the natural and powerful reparative capability of your fat tissue typically taken from either your belly or flank (love handles). Fat has a high concentration of reparative cells and is used to help you heal. The fat is used to help support tissue repair. The Lipogems procedure can be performed in approximately one hour in an outpatient clinical setting. The Lipogems procedure requires only local anesthesia and there is minimal recovery time.

The non-surgical doctors at Spine Nevada treat the following conditions:

Achilles tendonitis

Achilles tears

Ankle and foot arthritis

Ankle sprains


Back pain

Carpal tunnel syndrome

Cartilage defects

Degenerative disc disease

Elbow tendonitis

Failed back surgery syndrome


Golfer’s elbow

Hand and wrist arthritis

Hip arthritis

Knee arthritis

Knee ligament injuries

Knee tendonitis

Neck pain

Pelvic pain

Phantom limb pain

Plantar fasciitis

Post-herpetic neuralgia

Post-laminectomy syndrome

Rheumatoid arthritis

Rotator cuff tendonitis

Rotator cuff tears

Sacroiliac joint pain


Shoulder and elbow arthritis

Spinal arthritis (facet syndrome)

Spinal stenosis


Tennis elbow

Tension headaches

Trigeminal neuralgia

Please click here to request an appointment.






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