SCL 2023 Regenerative Treatment Options

April 26, 2023

Planners: Ashika Atienza PA-C, and Todd Hayano, MD

Target Audience

Orthopedic PAs, Orthopedic Joint Surgeons, and Sports Medicine MDs

Learning Objectives

  • Discuss examples of Mid-portion Achilles Tendinopathy, which has failed NSAIDs and ~3 months of PT and/or immobilization. Consider:
    • Needle fenestration +/- prolotherapy or whole blood injection
    • Tendon scraping procedure (requires prior Dx MSK US evaluation, also at Kaiser)
    • Non-invasive Shockwave Therapy (PAMF), PRP injection +/- fenestration (Outside of Kaiser, potentially offered within Kaiser soon)
    • Tenex (Outpatient surgery center outside of Kaiser).
  • Discuss procedures with patient with the most up-to-date evidence based on each procedure.
  • Assess whether a US scan is necessary to plan out procedure (usually on the same visit).
    • Arrange an appointment when patient is ready and has time available in their schedule.
  • Discuss upcoming new treatment options as patients frequently inquire about them and most providers are unsure of how to respond.
    • Discuss how to approach the conversation and what evidence-based recommendation to make.
  • Develop an understanding of the list of conditions on:
  1. Mid-portion Achilles tendinopathy (Research Study)
  2. Insertional Achilles tendinopathy (Research Study)
  3. Calcific Barbotage (Usually RTC, but can be gluteal or other tendon regions)
  4. Distal Quad/Patellar tendinopathy
  5. Gluteal Tendinopathy (not usually “Trochanteric Bursitis”)
  6. Medial and Lateral Epicondylosis
Course summary
Available credit: 
  • 1.50 AMA PRA Category 1 Credit(s)™
  • 1.50 Radiologic Technology
    x-ray use or diagnosis
Course opens: 
04/26/2023
Course expires: 
05/10/2023
Event starts: 
04/26/2023 - 12:30pm PDT
Event ends: 
04/26/2023 - 2:00pm PDT
Add to calendar: 
Rating: 
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Available Credit

  • 1.50 AMA PRA Category 1 Credit(s)™
  • 1.50 Radiologic Technology
    x-ray use or diagnosis
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