Osteoarthritis, in which the cartilage and other connective tissue at joints wears down over time, can lead to progressive pain and limit range of motion. Don’t let this issue keep you from doing the activities you love. Visit Dr. Alberto J. Panero of SAC Regenerative Orthopaedics in Sacramento, California, for state-of-the-art treatments that capitalize on your body’s natural healing capabilities.


How do I know if I have arthritis?

A consultation and exam will help you know for sure, but you may suspect arthritis if you experience:

  • Sore or stiff joints
  • Limits to your range of motion
  • Clicking or cracking sounds at affected joints
  • Mild swelling
  • Pain that worsens following activity

Joints that are typically affected include your knees, hips, shoulders and elbows. Arthritis pain usually increases over time.

What treatments are available at SAC Regenerative Orthopaedics?

Multiple treatments are available. Which is best for you can only be determined after consultation with the doctor.

  • Viscosupplementation injections: Gel-like injections of synthetic joint fluid that attempt to lubricate the joint, decrease inflammation, and coat exposed nerve endings. Therapy includes a series of one injection per week, for a total of 5 injections. It may be covered by insurance, with pre-authorization. Self-pay costs $500 total for medication only.
  • Platelet-rich plasma (PRP) injections: The doctor draws blood from your arm and spins it down to get the healthiest healing factors, platelets, and serum. The goal is to promote positive inflammation, reduce pain, and stimulate healing. PRP injections also offer the potential for joint preservation by slowing down the arthritic process. Although one injection may help, studies support a series of 3 injections, 1 time per week for 3 weeks or once per month for 3 months. PRP is not covered by insurance. Self-pay costs $500 per injection.
  • Mesenchymal stem cell injections: Dr. Panero aspirates bone marrow from the back of your hip and puts it in a centrifuge to concentrate stem cells, which are then injected into the joint. The goals are to make the improve the living microenvironment and to decrease inflammation and cartilage cell death. This treatment will promote healing but not re-grow cartilage. It also offers great potential for joint preservation by slowing down the arthritic process. IT’s not covered by insurance. Self-pay costs $3,490 per injection.
  • Amniotic fluid injections: Amniotic fluid collected from live, healthy births is processed and then undergoes extensive testing to ensure it’s safe and disease free. Anti-inflammatory, healing factors, and possibly mesenchymal stem cells are extracted and concentrated, then turned into a liquid injectable. After being mixed with saline, the compound is injected into the joint to promote healing. These injections aren’t covered by insurance. Costs are $1,800 per injection.

Insurance Providers

Blue Cross
Blue Shield of California
Hill Physicians Medical Group
United Healthcare

Words from our patients

  • facebook

    "Dr. Panero is a Class Act. Treated me like I was part of the family. He's a true expert in his field!!"

    Shawn F.
  • Google+

    "Very kind and caring physician. Staff always very considerate, insurance processed promptly, and appointments with minimal wait."

    Sharon L.
  • Google+

    "If you are looking for the right doctor to help you get back to your sport, then I'd recommend Dr. Panero as the best out there."

    Rodolfo Z.
SAC Regenerative Orthopedics
2801 K Street, Suite 330
Sacramento, CA 95816
Phone: 916-846-9990
Fax: 916-732-3022
Office Hours

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