DocRegen

DocRegen Dr. Ghattas treats musculoskeletal conditions using minimally invasive alternatives to surgery.

Palm Beach Regenerative Sport and Spine provides advanced orthopedic care and pain management focused on restoring function without surgery, steroids, or long recovery times. As a trusted Regenexx provider in South Florida, the clinic specializes in orthopedic surgery alternatives and evidence-based pain management treatments for joint, spine, and sports injuries. Our personalized approach targets

the root cause of pain, offering effective knee pain treatments and solutions for a wide range of musculoskeletal conditions, helping patients return to daily life and the activities they enjoy with minimal disruption.

07/23/2026

How do doctors numb just the outside of the foot?

Watch the ultrasound monitor — those two flashing circles are a nerve sitting next to an artery and vein. That nerve is the sural nerve, which controls feeling on the outer ankle and foot. He injects anesthetic right around it to numb that area before moving forward with the PRP injection.

Seeing these structures in real time helps make sure the anesthetic goes exactly where it needs to.

Did you know a single nerve could control feeling in such a specific area?

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07/23/2026

What does an Ultrasound show?

On the ultrasound, three small circles show up — a nerve, an artery, and a vein sitting right next to each other. The nerve is called the sural nerve, and it’s responsible for feeling along the outside of the ankle and foot. Anesthetic goes right around it so the area is fully numb before the PRP injection.

Ultrasound lets doctors see exactly where these structures are instead of guessing, which makes the whole process safer and more precise.

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07/23/2026

What does an Ultrasound do?

He’s watching for three little circles on the monitor — a nerve, an artery, and a vein. The nerve is the sural nerve, which controls feeling on the outside of the ankle and foot. From here, he’ll inject anesthetic right around it to numb that area before the PRP injection.

The sural nerve only carries feeling, not movement, which is exactly why numbing it lets the patient stay comfortable without affecting how her foot moves.

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07/23/2026

What’s the fix for pain that keeps coming back?

The plan of attack here is a bottom-up approach — PRP starting at the plantar plate, moving up through the joints, and finishing at the L5-S1 joints in the lower spine.

Weekend sports like tennis and pickleball are often what set off these flare-ups in the first place.

Have you ever had an old injury flare back up out of nowhere?

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07/23/2026

Can foot pain actually start in your back?

This chronic foot pain case gets treated from the ground up — PRP to the plantar plate first, then up through the joints, ending with treatment at the L5-S1 joints in the lumbar spine.

Sports like tennis and pickleball are common culprits behind flare-ups, thanks to all the sudden stops and turns they put on the body.

Did you know pain in one part of your body can come from somewhere else?

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07/23/2026

Why won’t this patient’s foot pain go away?

For chronic foot pain like this, the plan is to treat it from the bottom up — starting with PRP to the plantar plate, then working up through the joints, all the way to the L5-S1 joints in the lower spine.

Activities like tennis and pickleball, with all that quick stopping and pivoting, are common triggers for flare-ups in patients like this.

Have you ever had pain that seemed to come from nowhere?

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07/22/2026

Can doctors feel where an injury is?

Yes — tactile feedback is a key part of PRP injections. Back pressure confirms the needle is in the joint space, and how easily the tissue accepts the injectate can reveal whether it’s torn or intact.

Healthy tissue tends to resist the injection more, while torn tissue takes it in more readily.

Isn’t it amazing what the human body can tell us?

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07/22/2026

How does a doctor know where to give a shot?

Getting a needle into the joint space isn’t just about location — it’s about feedback. Back pressure signals the physician they’ve hit the joint, while the tissue itself gives clues about what’s healthy and what’s not.

Damaged tissue often takes up the PRP injection more easily than healthy tissue does, which can help confirm exactly where the injury is.

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07/22/2026

How do doctors find the right spot to give a shot?

It comes down to tactile feedback — as the needle enters the joint space, back pressure builds and tells the physician exactly where the needle tip is sitting, no guesswork required.

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07/21/2026

What is a Bone Island?

A bone island (enostosis) is a small, dense patch of compact bone trapped inside the softer, spongy bone underneath — a developmental quirk that forms before adulthood, not something that grows from calcium buildup or injury.

Fun Fact: Bone islands are usually found completely by accident, often while scanning for something totally unrelated, and almost never require any treatment.

Have you had a Bone Island before?

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Address

580 Village Boulevard, Suite 270
West Palm Beach, FL
33409

Opening Hours

Monday 10am - 2pm
Tuesday 10am - 2pm
Wednesday 10am - 2pm
Thursday 10am - 2pm
Friday 10am - 2pm

Telephone

+15615013900

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