Osteoarthritis (Arthritis) Care for Knees, Hips, Spine & Shoulders in Dallas–Fort Worth
(Frisco • Allen • North Dallas)
Serving patients from Frisco, Allen, North Dallas, Mesquite & Arlington—minutes from Plano, Prosper and Richardson.
Overview
Osteoarthritis (OA) affects 32 million U.S. adults and is the leading cause of disability after age 50. Cartilage thins, bone stiffens, and pro-inflammatory cytokines accelerate joint breakdown. Our combination of PRP, stem-cell matrix and targeted rehab slows the process, reduces pain by up to 50 % for two years, and frequently postpones or eliminates the need for joint replacement.
Common Symptoms
Structural
Joint-space narrowing, bone spurs
Grinding or crepitus
Pain with stairs, squats or prolonged standing
Inflammatory
Warmth, swelling after activity
Morning stiffness <30 min
Night ache after busy days
Why Osteoarthritis Develops
- Age, past injuries and genetics all play a role.
- Tiny cartilage cracks let inflammation creep in; bone stiffens underneath, and muscles weaken, adding even more load.
- The cycle repeats until climbing stairs or even sleeping hurts.
How We Diagnose
Focused Ortho Exam
We test range, swelling and ligament stability.
Digital X-ray or ultrasound
shows joint-space loss, bone spurs or hidden effusion.
Image-guided test shot
a few drops of anaesthetic inside the joint predict how well PRP or stem cells will help—no guesswork, no exploratory surgery.
Biologic PRP / MSC vs Steroid Shot
vs Joint Replacement
PRP / Stem-Cell
Goal
Heal & calm joint
Relief
Builds 4-6 wks; lasts 12-24 mos
Downtime
Walk same day
Risks
Very low—own cells
Best for
Early-mid OA
Cortisone / HA Shot
Goal
Mask inflammation
Relief
Fast (days) but fades in 3-6 mos
Downtime
Risks
Best for
Total Joint Replacement
Goal
Remove damaged joint
Relief
Immediate but months of rehab
Downtime
Walker/cane 4-6 wks
Risks
Best for
Severe bone-on-bone damage
Core Biologic Strategy
PRP Primer
Leukocyte-poor PRP modulates synovial macrophages from destructive M1 to healing M2 phenotype, calming pain and swelling.
MSC Cartilage Build
Autologous stem cells add chondrogenic progenitors and secrete growth factors (TGF-β, IGF-1) that boost cartilage matrix synthesis.
PRP Booster
Keeps the joint bathed in anti-inflammatory cytokines and growth factors for long-lasting relief.
- Three biologic sessions
- Class IV laser
- Progressive-load physiotherapy tailored to each joint
- Anti-inflammatory nutrition roadmap
- Quarterly imaging and gait / strength re-tests
- 10 000 steps/day goal (low-impact surfaces)
- Strength twice weekly: light squats, step-ups, resistance-band shoulder work
- Weight management: every 1 lb lost reduces knee force by 4 lb
- Supplement stack: glucosamine-chondroitin, omega-3, vitamin D and collagen peptides
Meet Our Care Team
Scott Farley, DO
Board-Certified Orthopedic Spine Surgeon
- Specializes in cervical, thoracic, and lumbar spine surgery
- Fellowship-trained in spinal reconstruction surgery
- Board Certified by the American Osteopathic Board of Orthopedic Surgeons
- Published researcher in Spine and national conference presenter (NASS, SRS)
Arash Bidgoli, DO
Board-Certified Pain Management & Rehabilitation Specialist
- Fellowship-trained in interventional spine & pain management
- Board Certified in Physical Medicine and Rehabilitation
- Expertise in musculoskeletal pain, neuromuscular disorders, and electrodiagnostics
- Member of AAPMR, AAP, and American Osteopathic Association
George Farley, MD
Board-Certified Radiologist & Neuroradiologist
- Board Certified in Radiology with CAQs in Interventional Radiology and Neuroradiology
- Fellowship-trained in both interventional radiology and neuroradiology
- Former Chief Resident at University of Nebraska Medical Center
- Member of ACR, RSNA, SIR, and International Spine Intervention Society
What Our Patients Are Saying
John M.
“I’ve been struggling with knee osteoarthritis for years. After PRP therapy at NTX Regen Center, I’m finally walking without pain and even jogging again! The results have been amazing, and I avoided surgery.”
Sarah T.
“My hip arthritis was causing constant pain, and I was about to give in to hip replacement surgery. But after stem-cell therapy, the pain is almost gone, and I’m back to walking, biking, and enjoying life again.”
David L.
“I tried everything for my osteoarthritis pain—nothing worked until I came to NTX Regen Center. PRP therapy helped me avoid surgery and get back to playing golf without pain.”
Our Dallas–Fort Worth Locations
Frequently Asked Questions
Knees, hips, shoulders, elbows, ankles and even small spine facet joints can receive ultrasound- or fluoroscopy-guided PRP or stem-cell therapy to ease stiffness and improve daily function.
PRP delivers growth factors that calm synovial inflammation, boost cartilage-matrix metabolism and reduce grinding pain during movement.
Autologous bone-marrow or adipose stem-cell concentrate is reserved for moderate cartilage loss or when PRP alone no longer sustains relief.
Steroids blunt inflammation temporarily, whereas PRP or stem cells aim to preserve cartilage and joint integrity without the tissue-thinning risks of repeated cortisone.
Yes—because the procedure is outpatient, uses the patient’s own cells and avoids general anesthesia, many seniors tolerate it well as a lower-risk alternative to surgery.
Clinical studies show benefits often persist six to 24 months, especially when patients follow a strength, mobility and weight-management program.
