Specialty Services
Regenerative medicine uses advanced biologic materials — growth factors, stem cells, placental tissue, umbilical cord-derived products, and Wharton's Jelly — to stimulate the body's own repair mechanisms. At the Bregman Foot-Ankle & Nerve Center, regenerative options are integrated into a comprehensive treatment plan where clinically appropriate. They are not offered as a substitute for sound diagnosis and surgical judgment.
Overview
Regenerative medicine refers to a category of treatments that use biologic materials — including growth factors, stem cells, placental tissue, umbilical cord-derived products, Wharton's Jelly, and extracellular matrix components — to support and accelerate the body's natural healing processes.
In foot and ankle care, regenerative therapies are used for conditions involving tendons, ligaments, nerves, cartilage, and soft tissue. They are particularly relevant when standard conservative treatments have not produced adequate results, or when the goal is to support healing after surgery.
Regenerative medicine is not appropriate for every patient or every condition. Proper patient selection — based on thorough diagnosis and clinical evaluation — is essential to achieving meaningful results. Dr. Bregman evaluates each patient individually to determine whether a regenerative approach is appropriate, and if so, which option is best suited to the specific condition and stage of care.
Available Therapies
Genesis RPA is an advanced regenerative therapy that uses growth factor-rich proteins to stimulate tissue repair. It is used for tendon, ligament, and nerve-related conditions where the body's natural healing response has stalled.
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These advanced biologic therapies use cells and tissue-derived products — including stem cells, placental tissue, umbilical cord-derived products, and Wharton's Jelly — to support tissue regeneration and reduce inflammation. They are used in select cases where enhanced healing is needed. Some of these therapies are considered experimental and are not yet covered by insurance. Dr. Bregman will discuss candidacy, realistic expectations, and any experimental status during your consultation.
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Peptides are short-chain amino acids that act as precise biological signals — directing the body to heal, repair nerves, reduce inflammation, and regenerate tissue. Dr. Bregman offers a range of targeted peptide protocols including BPC-157, TB-500, GHK-Cu, ARA-290 (for nerve repair and neuropathic pain), CJC/Ipamorelin, Retatrutide, DSIP, and KPV. Peptides can also be used intraoperatively to accelerate post-surgical healing.
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Glucopuncture is a specialized injection technique using dextrose (glucose) solution to stimulate a controlled healing response in damaged or hypersensitive nerve and soft tissue. It is a form of prolotherapy adapted for nerve-related pain.
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Regenerative medicine is a rapidly evolving field. The evidence base for different therapies varies — some have strong clinical support, others are supported by emerging research and clinical experience. Dr. Bregman will provide an honest assessment of what the evidence shows for your specific condition, what the realistic expectations are, and whether a regenerative approach is genuinely appropriate for you.
Regenerative therapies are not a cure-all. They work best as part of a comprehensive treatment plan that includes proper diagnosis, appropriate conservative care, and — when indicated — surgical intervention.
Surgical Enhancement
The use of regenerative medicine before, during, and after surgery greatly enhances the likelihood of a successful outcome and significantly diminishes post-operative pain. Dr. Bregman incorporates regenerative therapies at every stage of the surgical journey — optimizing your body for healing and recovery in ways that surgery alone cannot achieve.
These peri-operative regenerative treatments are a powerful complement to sound surgical technique. By optimizing the biological environment before, during, and after your procedure, Dr. Bregman gives your body every advantage for a faster, less painful recovery and a more durable surgical outcome. Ask about peri-operative regenerative care at your surgical consultation.
Schedule a consultation with Dr. Bregman to discuss your condition and whether a regenerative approach is appropriate for your specific situation.