nousmedicine

healing starts here

Pain & performance

Our approach

Meet the doctor

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nousmedicine

healing starts here

nousmedicine

Precision regenerative medicine

Focused on pain relief, recovery, and long-term function

Schedule a consultation

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Integrated care for pain and performance

Chronic pain

Chronic pain of musculoskeletal origin often develops when joints, tendons, ligaments, or fascia fail to heal properly after injury, overuse, or repetitive strain, leading to persistent inflammation, altered movement patterns, and ongoing pain.

Rather than being caused by a single structure, this type of pain frequently involves interconnected tissues and dysfunctional biomechanics that perpetuate symptoms over time. Regenerative medicine focuses on addressing these underlying contributors by supporting the body's natural repair processes and restoring healthier tissue function.

Athletic performance

Athletic performance relies on healthy tissues that can handle stress and recover well. When joints, tendons, ligaments, or fascia become injured or irritated, pain and limited movement can interfere with training and competition.

Regenerative medicine focuses on treating the injured tissues themselves rather than just covering up symptoms. For athletes, these treatments may help reduce downtime, support recovery, and protect long-term musculoskeletal health.

Explore your treatment options

Our Approach

Our approach

Understanding Pain and Performance Through Fascia

Fascia-first medicine: A dual approach topain and performance

Fascia - the body's continuous web of connective tissue - plays a crucial role in movement, stability, and pain perception.

A fascia-focused approach in regenerative medicine recognizes that restrictions or irritation within the fascial system can contribute to both chronic pain and reduced performance.

By addressing fascial health alongside muscles, joints, and nerves, this dual approach aims to relieve pain while also improving movement efficiency. Whether the goal is recovery from injury or optimization of physical performance, fascia-focused regenerative strategies are designed to support the body's natural healing processes and restore more balanced, durable function.

We target the root cause of pain while optimizing recovery and performance through regenerative injection therapies.

Platelet-rich plasma (PRP)

Platelet-rich plasma (PRP) is a regenerative treatment that uses a concentrated portion of a patient’s own blood to support tissue healing. After a small blood draw, the sample is processed to isolate platelets, which contain growth factors involved in the body’s natural repair processes. PRP is commonly used for conditions affecting tendons, ligaments, joints, and other soft tissues. When injected into injured tissue under image guidance, PRP is intended to support healing and improve tissue function over time.

Stem cell–based therapies

Stem cell–based regenerative therapies use cells derived from the patient’s own bone marrow. These cells are known for their ability to support tissue repair through signaling, immune modulation, and coordination of the healing response. In musculoskeletal care, stem cell–based treatments are used for joint degeneration, tendon injuries, ligament damage, and other conditions where tissue quality and healing capacity are compromised. The goal is not to replace damaged tissue, but to create a more favorable environment for repair and regeneration. Treatments are performed using image guidance and are individualized based on the patient’s condition, health, and functional goals.

Fascial hydrodissection

Fascial hydrodissection is a specialized injection technique used to treat pain caused by restricted or irritated fascia and entrapped nerves. Fascia is the connective tissue that surrounds muscles, nerves, and joints, allowing smooth movement between structures. Injury, inflammation, or repetitive stress can cause fascia to become tight or stuck, contributing to pain and limited mobility. During hydrodissection, fluid is carefully injected under ultrasound guidance to separate tissue layers, reduce mechanical irritation, and restore normal tissue glide. This technique is commonly used for nerve-related pain, chronic soft tissue pain, and movement-related discomfort, and may be combined with regenerative solutions when appropriate.

Prolotherapy

Prolotherapy is a regenerative injection treatment used to support ligament and tendon strength by stimulating the body’s natural healing response. It involves injecting a dextrose-based solution into areas of ligament or tendon laxity or chronic irritation. These tissues play a key role in joint stability, and when they are weakened, pain and abnormal movement patterns can develop. Prolotherapy is used to encourage tissue repair, improve joint stability, and reduce pain over time.

A comprehensive, individualized approach

Fascia-first medicine: A dual approach topain and performance

These regenerative treatments are not one-size-fits-all solutions. They are often used as part of a broader care plan that includes accurate diagnosis, movement assessment, rehabilitation, and lifestyle considerations.

All procedures are performed with image guidance when appropriate, and treatment selection is based on the patient’s specific condition, goals, and overall health. Outcomes vary, and regenerative medicine focuses on supporting the body’s natural healing capacity rather than providing guaranteed results.

Meet the Doctor

Gonzalo BARRAZA, MD

Regenerative Medicine Physician - AAOM Fellow | IROM-C Certified

Dr. Gonzalo Barraza, is a physician dedicated to regenerative medicine with a clinical focus on musculoskeletal health, tissue recovery, and long-term function. His work emphasizes careful diagnosis and the ethical application of regenerative therapies tailored to each individual.

Dr. Barraza is IROM-C certified and a Fellow of the American Academy/Association of Orthopedic Medicine (FAAOM), reflecting advanced training in image-guided musculoskeletal procedures and continuing medical education in orthobiologics and regenerative therapies.

Clinical focus

Dr. Barraza’s clinical practice centers on the evaluation and treatment of musculoskeletal conditions using regenerative medicine approaches.

His work commonly involves conditions affecting joints, tendons, ligaments, fascia, and other soft tissues, with the goal of supporting healing, restoring function, and improving movement quality.

Each treatment plan begins with a thorough assessment and is designed to align with the patient’s condition, activity level, and long-term goals.

High-performance

Dr. Barraza has experience working with professional and high-level athletes, including mixed martial artists and competitors in other demanding sports.

These individuals place exceptional stress on their bodies and require a thoughtful medical approach that prioritizes durability, recovery capacity, and long-term musculoskeletal health.

Philosophy of care

Regenerative medicine should be precise, conservative, and patient-centered. Dr. Barraza believes that advanced therapies must be applied thoughtfully—guided by sound medical judgment, realistic expectations, and respect for the body’s natural healing processes.

His approach emphasizes accurate diagnosis before treatment

and avoidance of unnecessary or aggressive interventions when alternatives exist.

Next steps

If you would like to learn more about regenerative medicine or determine whether these approaches may be appropriate for your condition, we invite you to schedule a consultation.