08/21/2026
When people see a procedure like this, it's easy to focus on the injection.
As physicians, however, our attention is focused somewhere else.
It begins with a question:
Have we identified the true source of the patient's symptoms?
Before any procedure is considered, I spend time understanding the patient's medical history, performing a thorough physical examination, reviewing diagnostic imaging when appropriate, and discussing their goals and expectations.
Only then can we determine whether a particular treatment approach is appropriate.
This image shows an image-guided bone marrow concentrate (BMAC) procedure involving the shoulder. Image guidance is an important tool that helps physicians visualize anatomical structures and accurately target the treatment area during certain procedures.
While technology continues to advance, one principle remains unchanged:
The success of any treatment begins with an accurate diagnosis and thoughtful clinical decision-making.
Medicine is rarely about finding a single solution that works for everyone. Every patient brings a different story, different goals, and different factors that influence their care.
Innovation has expanded the options available to physicians, but innovation should never replace careful evaluation, evidence-informed medicine, and meaningful conversations between patients and their healthcare team.
The procedure is only one part of the process.
Good medicine begins with listening.
— Dr. John East, DO
Founder, Addison Pain & Regenerative Medicine