SAC Regenerative Orthopedics

Alberto J. Panero, D.O.

Regenerative Orthopedics Specialist & Sports Medicine Specialist located in Sacramento, CA

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 hyaluronic acid that attempt to lubricate the joint, decrease inflammation, and coat exposed nerve endings. Therapy varies per insurance coverage and can be a one time injection vs. a series of 3 injections once per week. No longer covered by many insurances since Jan 2018. May be covered by insurance, with pre-authorization. Self-pay costs $100 per injection.
  • Platelet-rich plasma (PRP) injections:Blood is taken from your arm and is spun down to get the healthiest healing factors - platelets and serum. The goal is to promote an anti-inflammatory effect, reduce pain, and stimulate healing. There is also the potential for joint preservation by slowing down arthritic process. Although one injection may help, studies support a series of 3 injections, 1 x Week/3weeks. Not covered by insurance. Self-pay costs $500 per injection.
  • Bone Marrow Concentrate "Stem Cell" Injections:Bone marrow is aspirated from the back of your pelvis and centrifuged in a special kit to concentrate stem cells, which are then re-injected into the joint. The goals are to change the living micro-environment of the joint to a positive one, and to decrease inflammation and cartilage cell death. Will promote healing of cartilage, will not re-grow cartilage, restore joint space, or remove bone spurs. There is also great potential for joint preservation by slowing down the arthritic process in early stages. Not covered by insurance. Selfpay costs $3500 per injection
  • Radiofrequency Ablation (RFA):The pain felt in arthritic joints is communicated to the brain by genicular sensory nerves. Using x-ray guidance, a needle and electrode is advanced to the location of these sensory nerves. After confirming correct placement, a high-frequency electrical current is passed through the electrode, heating up and lesioning the sensory nerve. Only the sensory nerves to the joint are ablated. You do not lose any feeling on the skin or motor strength in the joint. Recommended for end-stage arthritis. Relief lasts for 6-9 months. Typically covered by insurance with pre-authorization.