Lower Back and Sacroiliac Regenerative Treatments

Nearly 80% of Americans suffer from low back and sacroiliac joint pain at some point in their lives. The condition can be caused by an athletic injury, trauma, and overuse-related activities that are related to sedentary work conditions and poor posture. Some of the common conditions that cause low back and sacroiliac pain include segmental dysfunction of the lumbar spine and sacrum, mechanical low back pain, joint osteoarthritis and ligament instability, lumbar disc herniations, and spinal stenosis. The pain can be centered along the spine or radiate to the buttocks and legs.


Diagnostic Tools

A thorough examination is conducted on every patient. Dr. Kaplan’s osteopathic training allows him to diagnose subluxation of the spine joints that can be a source of a previously undiagnosed pain. Gentle manipulation of these joints is frequently performed during examination for diagnostic and therapeutic purposes. Structural deficits, restrictions, as well as muscle weakness and imbalances are identified. X-rays and state of the art ultrasound technology are used for diagnosis of structural lumbosacral problems. High-resolution ultrasound imaging is advanced enough to see piriformis restriction related sciatic nerve injury, tendonitis, and joint swelling that can be a cause of acute and chronic pain. Advanced imaging techniques such as MRI are frequently used  for further assessment of disc and spinal nerve root injury.


Lower back and sacroiliac problems are a common source of chronic pain.

A combination of ligamentous instability and joint inflammation are typically the underlying cause.

OWM Integrative Wellness offers cutting effective treatments to include dextrose prolotherapy, PRP, stem cell and peptide therapy to help the lower back and sacroiliac region heal naturally.


Ultrasound guided Prolozone injections of the lumbar and sacroiliac joints are used to relieve pain and inflammation of arthritic joints. Frequently the injured area of the lumbo-sacral spine is a victim of underlying instability. Dr. Kaplan’s  uses a Hackett and Hemwall Method to treat the entire spine ligament and deep spine muscle complex to promote joint stabilization. Treatment of underlying sacroiliac instability frequently helps with buttock, leg, groin, and pelvic pain. Unlike a more commonly used target specific approach where just a joint that hurts is injected, his technique restores stability to the areas around the injury. This not only allows for better healing of painful joint but prevents recurrence of breakdown of the area in the future.

Concentrated dextrose solution is considered to be the first line of  regenerative treatments. When injected around the ligaments and deep muscles of the spine, it promotes ligament regeneration and mild cartilage repair. 

PRP (platelet rich plasma) is a stronger biocellular treatment. It promotes joint cartilage regeneration and repair of worn ligament and muscle. PRP Prolotherapy technique is used in more advanced arthritic and degenerative cases. It directly delivers growth factors in the damaged tissue and activates a signaling mechanism that stimulates body’s stem cell production and recruitment to the site of injury. Repair and new tissue growth occurs quickly and naturally.

Stem Cell therapy is the most advanced regenerative technique available. Stem cells are extracted from either the bone marrow or fat and are immediately reinjected into the injured areas of the spine. Direct delivery of mesenchymal stem cells into the affected area allows for repair by growth of new healthy tissue.


Dr. Kaplan’s in-depth knowledge of peptide therapy allows him to stimulate repair and regeneration with specifically selected peptides. Tissue repairing peptides BPC and Thymosin beta 4 are used in the injection solutions and CJC/ Ipamorellin is often used to stimulate stem cell activity prior to the procedure. 

These peptides  stimulate and enhance, Dextrose prolotherapy, PRP and Stem cell’s regenerative potential.


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