Musculoskeletal pain and injury can significantly impact performance, mobility, and overall quality of life. Whether caused by acute injury, overuse, or degenerative changes over time, conditions affecting joints, tendons, ligaments, and muscles often limit a person’s ability to stay active and perform at their best. Many patients are told their only options are rest, medications, injections that mask pain, or surgery.

Dr. Peruch takes a comprehensive, function-focused approach that integrates physical medicine, targeted medical care, and regenerative therapies to address the underlying cause of pain and dysfunction. Evaluation includes a detailed clinical assessment and, when appropriate, diagnostic ultrasound for precise diagnosis. His focus is not simply to manage pain, but to restore function, improve performance, and support long-term musculoskeletal health, with the goal of helping patients avoid the need for ongoing medications or surgery whenever possible.

Treatment options may include:

• Physical medicine and chiropractic care to restore mobility, alignment, and function

• Rehabilitation strategies to improve strength, stability, and movement patterns

• Medical management when necessary, including short-term use of anti-inflammatory medications, muscle relaxants, or corticosteroid injections

* Pain medications are used only when necessary for short-term symptom relief. Patients requiring long-term medication management will be referred to a pain management specialist.

Regenerative Medicine options may include:

• Focused Low-Intensity Shockwave Therapy (F-LiSWT)

• Prolotherapy

• Platelet-Rich Plasma (PRP) therapy

• Regenerative biologics (e.g., exosomes, Wharton’s jelly)

• Ultrasound-guided injections for precise, targeted regenerative treatment