Non-Surgical Treatment For Spinal Stenosis In Carlsbad, CA

Each spinal vertebra (spinal bone) has a hole in the middle — the spinal canal — through which the nerves and spinal cord run. When structures inside or outside the spinal canal put pressure on these nerves, it’s called spinal stenosis.

Because the nerves that run through the spine are pain-sensitive and connect to your legs, you can get lower back pain as well as weakness or numbness in your legs or feet. People with spinal stenosis tend to suffer from standing intolerance, and standing for any length of time can cause back pain or leg symptoms that immediately improve once they sit down.

medical illustration showing a healthy spinal disc and a

How Is Spinal Stenosis Commonly Treated?

Common more conservative treatments include physical therapy, anti-inflammatory medications, and high-dose epidural steroid injections to help reduce swelling around the nerves. However, although steroid injections temporarily help the pain, they can have severe side effects and reduce your body’s ability to heal. 

If all of the above fails, spinal stenosis is treated with surgery to decompress the area, which often means removing bone, disc, and ligaments around the tight spot in the spinal canal. Other times, spinal fusion surgery is performed (hardware is inserted to bolt the spinal bones together), but this can lead to adjacent segment disease (ASD), where areas above and below the fusion can get damaged over time. 

Additionally, spinal surgery comes with significant downtime.

That’s why we’ve developed a different approach.

5806 Van Allen Way
Suite 101
Carlsbad, CA 92008

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Doctors

Dr. Derrington has been providing care to patients throughout California and beyond as a physician licensed to provide Regenexx injectates since 2016. As a doctor of osteopathic medicine, he understands the connection between structure and function and devises holistic treatment plans to help the body heal itself without surgical intervention.

He completed residency training at Thomas Jefferson University and fellowship with Marko Bodor, MD. Dr. Derrington continued his regenerative medicine training with the Interventional Orthobiologic Foundation and continues to help educate fellow physicians as an instructor for IOF.

He has published papers and textbook chapters on Interventional Orthobiologic treatments, spine procedures, tendon disorders, and ultrasound-guided injection techniques.

And he stays active via CrossFit and enjoys eating good food, listening to good music, and exploring the world with his family.

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Areas treated: Cervical Spine (Not Upper Cervical or CCI)*, Elbow, Foot & Ankle, Hand & Wrist, Hip, Knee, Lumbar Spine, Shoulder, Thoracic Spine

Dr. Melanie Worley completed her fellowship at the Centeno-Schultz Clinic, the nation’s leading interventional orthobiologics fellowship, where she trained in advanced image-guided procedures, platelet-rich plasma (PRP), and bone marrow concentrate treatments for orthopedic and spine conditions. She is dual fellowship–trained, also completing a sports medicine fellowship at West Virginia University, and is board certified in both Emergency Medicine and Sports Medicine.

Dr. Worley has presented nationally at The Orthobiologic Institute (TOBI) and the Regenexx Conference, and earned the Top Research Award from the Interventional Orthobiologics Foundation (IOF) for her work on biologic treatments in sports medicine. Her practice emphasizes a personalized and holistic approach, with a focus on helping patients heal without surgery and get back to the activities they love.

As a lifelong athlete, Dr. Worley has run the Boston Marathon three times and has a PR below 3 hours in the marathon. She has won multiple triathlons and competed in the Ironman 70.3 World Championship. She is currently training for a HYROX competition and also enjoys snowboarding, exploring new trails, Nordic skiing, plant-based cooking, playing guitar, and is a coffee connoisseur.

Originally from Ohio, Dr. Worley is excited to make California her new home and to bring her expertise in regenerative and sports medicine to Derrington Orthopedics.

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Areas treated: Cervical Spine (Not Upper Cervical or CCI)*, Elbow, Foot & Ankle, Hand & Wrist, Hip, Knee, Lumbar Spine, Shoulder

Areas Treated

Cervical Spine (Not Upper Cervical or CCI)*, Elbow, Foot & Ankle, Hand & Wrist, Hip, Knee, Lumbar Spine, Shoulder, Thoracic Spine

*This provider is NOT authorized by Regenexx to treat the C0-C1 or C1-C2 levels of the neck or CCI (craniocervical instability).

During Regenexx’s outpatient procedures, custom concentrations of your body’s natural healing agents are injected into the exact areas of damage in the spine. Treatments use only your own blood to make super-concentrated platelet-rich plasma (PRP) or your own bone marrow concentrate (BMC), which contains stem cells.

Spinal stenosis treatment may include Regenexx-DDD protocol, which is the world’s first alternative to stenosis surgery that allows you to maintain your normal anatomy. Best of all, your downtime will be a fraction of what it is with surgery and generally requires little or no opioid pain medications or time off of work.

Am I a candidate?
Mature 60s woman in earphones look at laptop screen watch webinar online at home.

Join Chris Centeno, MD, founder of Regenexx, to learn how Regenexx procedures can help treat your back pain without surgery and lead to a faster recovery.

During this free webinar you’ll learn:

  • How procedures using bone marrow concentrate (BMC) and platelet-rich plasma (PRP) compare to surgery and other spine pain treatment options
  • Procedure expectations
  • Answers to the most common questions about regenerative medicine treatments
Watch Webinar

At Regenexx, we want the best outcomes for everyone. So we’ve developed a process to determine if our treatments may be right for you.

During your initial appointment, your Regenexx doctor will use our four-part SANS (stability, articulation, neuromuscular, and symmetry) evaluation to identify the underlying causes of your pain. Your doctor will examine your injury through a full range of motion and may use ultrasound to observe the inner workings in real time.

This is important, as research shows that an MRI indicating stenosis isn’t enough to appropriately diagnose stenosis as the cause of back pain.

Am I a candidate?

Watch a real Regenexx spinal procedure performed by a certified Regenexx physician:

Our goal is to use the least invasive, least expensive procedure to get the desired results. Your Regenexx physician will work with you to determine whether that would be a platelet procedure or a BMC procedure.

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