Your own blood, in office
Platelet-rich plasma
Platelets are concentrated from a small sample of your blood and placed precisely, under image guidance, to support healing in tendons, ligaments, joints and the spine.
Dr. Nick Ghazarian, DO · Los Angeles
Regenerative spine care, with precision.
Board-certified orthopedic surgeon and fellowship-trained spine surgeon. Nonsurgical first, minimally invasive when it matters.
Our approach
Most spine and joint conditions improve without surgery. We begin with the least invasive path, and recommend an operation only when it will clearly serve you.
Coordinated conservative care
Physical therapists, nutritionists, chiropractors and acupuncturists, working from one plan.
Regenerative medicine
PRP, A2M and bone marrow concentrate, prepared from your own blood or marrow.
Minimally invasive surgery
State-of-the-art procedures for when an operation is the right answer.
Regenerative medicine
Repair, guided by your own biology.
For many patients, regenerative treatments relieve pain and restore function while avoiding or delaying surgery.
Your own blood, protein-based
Alpha-2-Macroglobulin (A2M)
A naturally occurring protein concentrated from your blood. A2M binds and inhibits enzymes that break down cartilage, and is often considered for joint and disc-related pain.
Your own bone marrow
Bone marrow concentrate (BMC)
A small bone marrow sample, typically drawn from the back of the pelvis, is concentrated to deliver cellular and growth-factor components to degenerative joints and spine structures.
Conditions we evaluate
When regenerative therapies may be considered.
Regenerative injections are most often considered for chronic musculoskeletal conditions that haven't fully responded to conservative care. Whether any therapy is appropriate is determined on a case-by-case basis after a clinical evaluation.
Degenerative disc disease
Targeted injections to support disc and facet joint healing.
Knee & hip osteoarthritis
Reduce inflammation and slow cartilage degeneration.
Tendon injuries
Tennis elbow, rotator cuff, Achilles tendinopathy, plantar fasciitis.
Chronic low back pain
Sacroiliac and lumbar facet joint pain that hasn't responded to therapy.
Sports & overuse injuries
Accelerate return-to-play after muscle, ligament, or joint strain.
Post-surgical recovery
Adjunctive therapy to enhance healing after orthopedic procedures
Regenerative treatment
What to expect, step by step.
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Consultation & diagnosis
Dr. Ghazarian reviews your history, imaging, and exam findings to discuss whether a regenerative option may be appropriate — or whether a different approach is a better fit.
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Sample collection
A small blood sample (PRP / A2M) or bone marrow sample (BMC) is collected. Most visits take roughly 30–60 minutes depending on the therapy.
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Concentration
The sample is processed in a medical-grade system to concentrate the platelets, proteins, or cellular components used for the injection.
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Image-guided injection
Using ultrasound or fluoroscopic guidance when indicated, the concentrate is delivered to the targeted spine or joint structure.
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Recovery & follow-up
Most patients resume normal activity within 24–48 hours. Any biologic response develops gradually over the following weeks; results vary by individual.
Surgery
When surgery is the answer.
If surgical intervention is inevitable, we offer state-of-the-art, minimally invasive procedures to treat a multitude of spinal disorders.
Minimally invasive spine surgery
Smaller incisions and less disruption to surrounding muscle, for decompression and stabilization of the spine.
Cervical disc replacement
A motion-preserving option for selected neck conditions, replacing a damaged disc rather than fusing the level.
Conditions we treat
Our team
A small team. Undivided attention.
One goal: identify the source of pain, explain the options clearly, and build a plan that fits your condition, goals and lifestyle.
Founder · Orthopedic & spine surgeon
Nick Ghazarian, DO
Board-certified orthopedic surgeon and fellowship-trained spine surgeon, and Director of Minimally Invasive Spine Surgery at Dignity Health Glendale Memorial Hospital. He lectures nationally and internationally on minimally invasive techniques and strategies to avoid unnecessary surgery.
Board-certified physician assistant
Emin Keshishyan, PA-C
Many years in orthopedic and spine care, working closely with Dr. Ghazarian. Emin is involved throughout your care: evaluations and follow-up visits, injections, casting and splinting, perioperative education, postoperative management and rehabilitation planning.
Concierge
Concierge care, on request.
For patients who value their time and privacy: a single point of contact and priority access to Dr. Ghazarian's schedule.
Dedicated patient coordinator
One person manages your scheduling, imaging, insurance and follow-up, from the first call through full recovery.
Same- and next-day appointments
Priority scheduling for when pain can't wait, with time set aside to answer every question.
In the media
Dr. Ghazarian in the news.
Community & humanitarian work
Beyond the operating room.
Dr. Ghazarian is Co-Founder and Medical Director of the Armenian Mesopotamian Christian Care Initiative (AMCCI), a nonprofit supporting medical outreach, humanitarian assistance and medical education, including volunteer work in Armenia.
Our humanitarian workBook a consultation