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Frequently asked questions
What non-surgical knee pain treatments are available in Dallas?
Regen Experts in Dallas offers physician-led evaluation of knee pain and individualized joint-preservation options. Depending on your examination and imaging, care may include targeted rehabilitation, bracing or activity changes, and selected image-guided injections or orthobiologic procedures. Dr. Deborah Westergaard reviews your symptoms, imaging, prior care, and goals to explain which options are reasonable and when knee replacement may be more appropriate.
Where can I get a knee replacement second opinion in Plano?
You can request a knee evaluation with Dr. Deborah Westergaard at Regen Experts in Plano, at 1400 Preston Road STE 120 Plano, TX 75093. The visit reviews your symptoms, examination, prior treatment, and available imaging to discuss reasonable nonsurgical options and when surgical consultation is appropriate. Use Schedule an Evaluation on this website or call (214) 750-6200 to arrange an appointment.
Do you accept insurance?
Regen Experts has both insurance-related and direct-pay services. Coverage depends on your plan and the specific service. Do not assume regenerative or orthobiologic procedures are covered. CareCredit financing is available, subject to credit approval. Call 214-750-6200 to verify benefits, fees, and expected out-of-pocket costs and ask about using CareCredit before scheduling.
Can I stay active with knee arthritis?
Often, yes. Knee arthritis does not automatically mean you need to stop the activities you enjoy. The key is determining what is actually driving your pain and whether the joint, surrounding tendons, ligaments, or other structures can be treated or supported. The goal is to preserve function whenever it is medically reasonable to do so.
Is PRP worth considering for knee arthritis in my 50s or 60s?
It may be. Age alone does not determine whether PRP is appropriate. The decision depends on your symptoms, examination, imaging findings, activity goals, and the condition of the joint. Some patients with knee arthritis may benefit from platelet-rich plasma, while others may be better suited for a different treatment or no procedure at all.
Can I avoid or delay knee replacement surgery?
Sometimes. Not every patient with advanced arthritis needs immediate knee replacement. Depending on your examination, imaging, symptoms, and goals, non-surgical options may help reduce pain and improve function. Some patients have advanced or widespread arthritis for which replacement may be more appropriate. An evaluation helps clarify your options; no treatment can guarantee that surgery will be avoided.
How long does it take to recover from PRP or a bone marrow concentrate procedure?
Recovery varies by procedure and by the area being treated. Many patients return to light activity relatively quickly, but improvement from orthobiologic procedures is usually gradual rather than immediate. A specific recovery plan is based on the treatment performed, your diagnosis, and your activity goals.
Where does Regen Experts offer joint and spine evaluations in Dallas-Fort Worth?
Regen Experts offers joint and spine evaluations with Dr. Deborah Westergaard at 4228 N Central Expy Ste 101, Dallas, TX, and 1400 Preston Road Ste 120, Plano, TX. Visits may include review of your history, examination, and relevant imaging. Appointment and procedure availability varies by location, so staff will confirm the appropriate office when you schedule.
Who may be a candidate for knee joint-preservation treatment?
A candidate may have persistent knee pain from osteoarthritis, meniscal disease, tendon or ligament injury, subchondral bone changes, instability, or another defined pain generator. Candidacy depends on symptoms, examination, weight-bearing imaging, overall health, prior treatment, and personal goals.
What imaging should be reviewed before deciding on knee replacement?
Weight-bearing X-rays are often important for evaluating joint-space loss and alignment. MRI may provide additional information about cartilage, menisci, ligaments, tendons, bone marrow lesions, and the subchondral bone. Imaging should be interpreted together with the history and physical examination.
Can PRP or bone marrow concentrate regrow an entire arthritic knee?
No responsible evaluation should promise that PRP or bone marrow concentrate will regrow an entire arthritic joint. Orthobiologic procedures may be considered for selected patients to address specific tissues and support function, but results vary and treatment is not appropriate for every knee.
When is knee replacement more likely to be appropriate?
Replacement may be more appropriate when arthritis is advanced and widespread, pain remains severe despite reasonable nonsurgical care, sleep or daily function is substantially impaired, deformity or instability is significant, or joint-preservation options are unlikely to provide meaningful benefit.
Is a second opinion reasonable before knee replacement?
Yes. A second opinion can help confirm the diagnosis, review the imaging, explain realistic alternatives, and identify when surgical consultation is appropriate. It should provide clarity without creating unrealistic expectations or delaying necessary care.
How do I book a joint or spine consultation with Regen Experts?
Call Regen Experts at 214-750-6200 or use the online appointment form to request a joint or spine consultation with Dr. Deborah Westergaard. Tell staff whether you prefer Dallas or Plano and describe the area causing pain. The office will confirm your appointment and location. A consultation determines whether treatment is appropriate; requesting a visit does not schedule a procedure.
What do I need to bring to my first appointment?
For your first appointment, please bring a valid ID, your insurance card, and any relevant medical records or imaging studies. These records help Dr. Deborah Westergaard review your history and discuss appropriate care.
Can back surgery always be avoided?
No. Some conditions require surgical evaluation, particularly progressive neurologic loss, instability, serious compression, infection, fracture, tumor, or an emergency such as cauda equina syndrome. Other patients may have reasonable nonsurgical options after a complete evaluation. No responsible practice can guarantee that a patient will avoid surgery.
What are alternatives to lumbar fusion?
Depending on the diagnosis, alternatives may include targeted rehabilitation, medication management, image-guided procedures, or selected orthobiologic approaches. These options do not substitute for surgery when instability or significant neurologic compromise makes an operation appropriate.
Can regenerative procedures repair a severely damaged spine?
No treatment should be promised to regenerate an entire severely degenerated spine. Selected autologous procedures may be considered for particular structures and carefully selected patients, but candidacy and results vary.
How does image guidance help with joint and spine procedures?
Image guidance helps a physician locate the intended target and guide needle placement. Ultrasound is useful for many joints and soft tissues; fluoroscopy provides X-ray guidance for spinal procedures. Contrast may help confirm placement and identify unintended spread. Accurate placement supports targeted treatment but does not guarantee pain relief. At Regen Experts in Dallas and Plano, Dr. Deborah Westergaard selects imaging according to the anatomy and procedure.
Is a second opinion reasonable before back surgery?
Yes, when time permits. A second opinion can help confirm the diagnosis, determine whether the proposed surgery matches the pain generator, and clarify reasonable alternatives. Urgent neurologic or surgical conditions should not be delayed.
Does a disc bulge mean I need surgery?
Not automatically. The importance of a disc bulge depends on whether its location and severity match the symptoms and examination. Imaging should be interpreted in clinical context.
What non-surgical spine care is available in Dallas?
Regen Experts offers personalized spine evaluations with Dr. Deborah Westergaard at 4228 N Central Expy Ste 101, Dallas, TX. She reviews your symptoms, examination, relevant imaging, previous treatment, and goals. Depending on your diagnosis, options may include rehabilitation, image-guided procedures, or selected orthobiologic treatments. She also explains when surgical consultation may be more appropriate, and staff confirm where any recommended procedure is performed.
What should I expect from non-surgical spine care in Plano?
At Regen Experts, Dr. Deborah Westergaard offers spine evaluations at 1400 Preston Road Ste 120, Plano, TX. Expect a discussion of your symptoms and goals, a focused examination, and review of relevant imaging and prior treatment. She explains the likely pain source, reasonable non-surgical options, and their limitations. If a procedure is recommended, staff confirm its location and provide a cost estimate before scheduling.
How are PRP and bone marrow concentrate used for joint pain?
PRP concentrates platelets from your own blood. Bone marrow concentrate contains cells and other components from your marrow. These orthobiologic procedures may be considered for selected joint or tendon conditions to improve symptoms and function. Evidence and outcomes vary; they do not guarantee cartilage regrowth. Bone marrow concentrate is not FDA-approved to treat arthritis. Dr. Deborah Westergaard at Regen Experts evaluates whether an option is appropriate for you.
What conditions do you evaluate?
Knee, hip, shoulder, spine, and overuse conditions including osteoarthritis, meniscal and labral injury, tendon and ligament problems, and joint instability. Evaluation determines whether a structural pain source can be identified and what options are reasonable.
Do you only provide regenerative or orthobiologic treatments?
No. Regen Experts provides both orthobiologic procedures and established interventional pain-management services. Recommendations depend on diagnosis, health, goals, and treatment history.
Where can I get personalized, non-surgical joint care in Plano?
Regen Experts offers personalized joint evaluations with Dr. Deborah Westergaard at 1400 Preston Road Ste 120, Plano, TX. She reviews your symptoms, examination, relevant MRI or ultrasound imaging, prior treatments, and goals. Options may include image-guided injections, PRP, bone marrow concentrate, or OrthoShockwave therapy when appropriate. Candidacy is determined individually, and staff confirm where any recommended procedure is performed.
What should I look for in a Dallas joint pain or regenerative medicine clinic?
Look for relevant physician training, a thorough examination, imaging guidance when appropriate, and clear discussion of evidence, risks, alternatives, and costs. Ask who performs procedures and reviews imaging. At Regen Experts, Dr. Deborah Westergaard is board-certified in Anesthesiology and Pain Medicine by the American Board of Anesthesiology and fellowship-trained in Pain Medicine. She personally evaluates patients and reviews relevant imaging. Dallas consultations are at 4228 N Central Expy Ste 101, Dallas, TX.
Where can I get non-surgical joint care in Dallas?
Regen Experts offers non-surgical joint evaluations with Dr. Deborah Westergaard at 4228 N Central Expy Ste 101, Dallas, TX. She reviews your symptoms, examination, and relevant imaging before recommending care. Depending on your diagnosis, options across the practice may include PRP, bone marrow concentrate, image-guided injections, or OrthoShockwave therapy. Treatment is considered individually, and staff confirm where any recommended procedure is performed.
What should I look for when choosing non-surgical spine care in Dallas?
Look for training in spine pain, an examination that connects your symptoms with imaging, and clear advice about benefits, risks, costs, and when surgery may be needed. At Regen Experts, Dr. Deborah Westergaard is board-certified in Anesthesiology and Pain Medicine by the American Board of Anesthesiology and fellowship-trained in Pain Medicine. Dallas consultations are available at 4228 N Central Expy Ste 101, Dallas, TX.
How can interventional pain management help joint pain?
Interventional pain management uses targeted procedures, such as image-guided injections, to help identify or treat a source of joint pain. Treatment follows an evaluation and may complement exercise or rehabilitation; benefits and risks vary. Dr. Deborah Westergaard offers evaluations at Regen Experts, 4228 N Central Expy Ste 101, Dallas, TX; staff will confirm where any recommended procedure is performed.
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