Non-surgical options for disc pain, facet arthritis and SI joint instability, from a board-certified orthopedic surgeon in Santa Barbara. Same-week visits.
Chronic back pain often stems from complex mechanical and degenerative changes that traditional medicine treats with temporary fixes. Dr. Scheinberg applies over 40 years of orthopedic surgical judgment to identify the specific source of your spinal discomfort. By prioritizing long-term regenerative capacity over the anti-metabolic effects of corticosteroids, we provide advanced biologic therapies designed to stabilize the spine, reduce inflammation, and restore quality of life without the risks of invasive fusion or major spinal surgery.
We address discogenic back pain by utilizing Bone Marrow Aspirate Concentrate (BMAC) and PRP, targeting the source of the pain to support the structural health of the intervertebral discs.
For patients suffering from localized spinal arthritis, we offer targeted biologic injections to reduce chronic inflammation in the facet joints, providing a more durable solution than traditional nerve blocks or steroid shots.
We treat SI joint pain by delivering concentrated growth factors directly to the ligaments and joint space, aiming to restore stability and eliminate the radiating pain that often mimics lower back issues.
Unlike steroids, which can degrade tissue over time, our orthobiologic approach utilizes your body’s own cells to fight inflammation and promote a healthy healing environment within the spinal architecture.
Every spinal procedure is performed with surgical precision in our accredited center, utilizing advanced fluoroscopic imaging to ensure the regenerative cells are delivered exactly where they are needed for maximum efficacy.
The problems that bring people to this page. If one of them is yours, a consultation is the next step.
Degenerative disc diseaseFacet joint arthritisSacroiliac joint painHerniated discChronic low back pain
Orthobiologics come after conservative care has been tried, and before surgery. See the full patient journey
Most patients arrive with their imaging and have already tried physical therapy or steroid injections. Dr. Scheinberg reviews your history, your imaging and your goals. Patients outside the area can start with a telemedicine consultation.
Physical therapy and viscosupplementation come before orthobiologics. If they have not been tried yet, they are the starting point.
When the basic treatments have not worked, PRP or BMAC is considered before surgery. BMAC is performed at Pueblo Surgery Center, the AAAHC-accredited facility on the same campus as the office.
If preserving the joint is not a reasonable option, you are referred for surgical care.
Don J.
Michael W.
Answered by Dr. Scheinberg. The full list covers cost, insurance, risks and more.
See all questions →Have a question about your own situation?
Call (805) 682-1394PRP (Platelet-Rich Plasma) is derived from your blood and contains concentrated platelets loaded with growth factors. It is most effective for soft tissue injuries, early-to-moderate arthritis, and tendon or ligament damage. BMAC (Bone Marrow Aspirate Concentrate) is derived from your bone marrow and contains mesenchymal stem cells, cells with genuine regenerative potential, as well as a broader and more potent array of growth factors and anti-inflammatory agents. BMAC is used for more advanced joint degeneration, complex structural injuries, and cases where PRP alone is unlikely to provide sufficient support. In many cases, Dr. Scheinberg combines both treatments to maximize the biologic environment in the joint.
Most patients describe the experience as manageable. The blood draw for PRP is no different from a standard lab draw. The injection into a joint or around a tendon involves a brief feeling of pressure and mild discomfort. For BMAC procedures, the bone marrow harvest from the iliac crest is performed under local anesthetic, which minimizes the sensation at the harvest site. Post-procedure soreness for 24 to 48 hours is common and expected. It reflects the healing response being activated, not a complication.
Orthobiologics work through a biological healing process, which takes time. PRP patients typically begin noticing improvement four to eight weeks after treatment. The full benefit of BMAC often becomes apparent at two to three months and can continue improving for six months or more. This is a meaningful difference from cortisone injections, which may provide faster initial relief but fade quickly. The timeline is part of an honest conversation Dr. Scheinberg has with every patient before treatment begins.
Whether you are dealing with early-stage osteoarthritis or a severe sports injury, we provide surgical-level diagnostics and advanced biologic treatments to help you avoid invasive procedures and get back to the life you love.
Platelet-rich plasma concentrates your own platelets to support repair of tendon, ligament and early joint degeneration, delivered under image guidance.
Bone marrow aspirate concentrate uses your own marrow-derived cells for advanced joint preservation, performed as a surgical-grade outpatient procedure.
A combined PRP and BMAC protocol for severely degraded joints, pairing growth factors with marrow-derived cells under image-guided surgical precision.
Dr. Scheinberg evaluates the mechanical cause of your back pain and whether a biologic approach is a reasonable option for you.
