Shoulder Pain
Rotator Cuff
Elbow Pain
Knee Pain
Inner Knee Pain
Plantar Fasciitis
Advanced Regenerative Medicine
Advanced Regenerative Medicine
Dr. Gaurav Goswami, MD, MS, DABRM, is triple board-certified in Surgery, Interventional Radiology, and Regenerative Medicine, with more than two decades focused on image-guided, non-surgical approaches to pain and injury. That combination of training matters in practice: interventional radiology is built around precise, imaging-guided placement, which is part of why treatment at The Goswami Clinic is described as image-guided rather than a blind injection into the general area of a joint or disc.
Every treatment plan begins with an individual evaluation — not a standard protocol applied to a diagnosis. That evaluation typically includes a review of prior imaging and treatment history, a physical exam, and a candid conversation about which options, if any, are reasonable to consider. You can read more about Dr. Goswami’s background and training on the About Us page.
The sections below outline the categories of conditions patients most often bring to Dr. Goswami’s Newport Beach practice.
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Joint Pain & Arthritis
Joint pain rarely has a single cause, and it doesn’t always respond to rest, medication, or physical therapy alone. Osteoarthritis, tendon irritation, and old injuries can all produce similar-feeling symptoms while requiring very different treatment approaches, which is why an accurate diagnosis matters more than the specific joint involved. Dr. Goswami evaluates joint-related conditions — including generalized arthritis and degenerative joint changes — to help determine whether an image-guided regenerative injection could be part of a non-surgical plan, and whether a different option is a better fit first.
This includes dedicated evaluation for hip pain, elbow pain, and for patients exploring an alternative to knee replacement before committing to surgery. In each case, imaging is used to confirm exactly where an injection should be placed, rather than treating “the knee” or “the hip” as a single, undifferentiated target.
Research into orthobiologic injections for joint conditions has expanded significantly in recent years. A systematic review and meta-analysis published in Frontiers in Medicine found that platelet-rich plasma injections were associated with meaningful improvements in pain and function across multiple randomized controlled trials, though the authors also noted that protocols — including how the PRP is prepared and how many injections are given — still vary widely between studies. That variability is one more reason candidacy, and the specific protocol used, is always assessed individually rather than applied as a template.
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Spine & Back Conditions
Chronic back and neck pain often stems from disc-related issues, nerve compression, or degenerative changes in the spine — and the treatment that helps one of those causes can do very little for another. Dr. Goswami’s spine-focused treatment program looks at each of these separately, starting with imaging to identify which structure is actually generating the pain, rather than assuming a single “back pain” diagnosis covers every patient.
This includes evaluation for general low back pain, more specific presentations like SI joint pain, spinal stenosis, and a pinched nerve, as well as disc-related neck pain, which is evaluated separately since cervical and lumbar issues typically call for different imaging and different injection targets. Patients are often surprised by how much a precise diagnosis changes the recommended approach — two people describing the same “lower back pain” may end up with entirely different treatment plans once imaging identifies the actual source.
Sports Injuries & Soft-Tissue Conditions
Active patients and athletes are often looking for a way to keep training or competing without surgery, and soft-tissue injuries — tendons, ligaments, and cartilage — tend to heal slowly and unpredictably on their own. Dr. Goswami’s sports medicine evaluation covers shoulder pain and rotator cuff injuries, as well as plantar fasciitis, with treatment plans built around the specific tissue involved, the severity of the injury, and the patient’s activity goals and timeline.
Harvard Health Publishing has reviewed platelet-rich plasma therapy for joint pain and noted that while it’s widely used for joint and soft-tissue pain, research into exactly which conditions respond best — and which don’t — is still developing. That’s consistent with what Dr. Goswami tells patients directly: some soft-tissue injuries respond well to regenerative injections, and others are better served by physical therapy, rest, or in some cases a surgical referral. Candidacy is always evaluated individually rather than assumed from a diagnosis alone.
Chronic Pain
For patients whose pain doesn’t fit neatly into a single diagnosis — or who have already tried multiple treatments without lasting relief — Dr. Goswami also evaluates chronic, persistent pain more broadly. That evaluation looks at whether a regenerative or image-guided approach has a reasonable role alongside other care, such as physical therapy, medication management, or specialist referral, rather than positioning any single injection as a stand-alone solution.
What an Evaluation at The Goswami Clinic Involves
A typical evaluation starts with a free phone consultation to discuss your symptoms, history, and prior treatment, followed by an in-person visit where Dr. Goswami reviews any existing imaging and, where needed, orders additional imaging to confirm the diagnosis. From there, he discusses which options are reasonable to consider — including regenerative approaches such as stem cell therapy where appropriate — and which are not, along with cash-pay pricing for the specific plan being discussed, since The Goswami Clinic does not bill insurance or Medicare for these services.
When a Regenerative Approach Might Not Be Recommended
Not every condition is a good fit for an image-guided injection, and Dr. Goswami will say so directly when that’s the case. Severe structural damage, certain infections, active cancer, and some late-stage degenerative conditions are examples of situations where a regenerative approach is unlikely to help and a different referral is more appropriate. Being told a treatment isn’t right for your situation is a normal, expected outcome of an honest evaluation — not a sales process.
Frequently Asked Questions
Does every condition qualify for a regenerative treatment?
No. Regenerative options are only recommended when they fit the specific diagnosis, and Dr. Goswami will say so directly if a different approach is more appropriate.
Do I need a diagnosis before scheduling a consultation?
Not necessarily. Many patients come in with ongoing symptoms and no formal diagnosis yet — the initial phone consultation is designed to help sort out the right next step.
What if I've already tried physical therapy or steroid injections?
That’s common, and it’s useful information. Dr. Goswami will ask what you’ve tried and how you responded before discussing whether a regenerative option makes sense as a next step.
Does insurance cover these evaluations or treatments?
No. The Goswami Clinic operates on a cash-pay basis and does not bill insurance or Medicare, which allows treatment plans to be built around your specific condition rather than coverage rules.
Please note: some of the regenerative treatments referenced on this page, including certain stem cell therapies, are not yet approved by the FDA. This page is for general education and does not replace an individual medical evaluation.
If joint, spine, sports, or chronic pain is affecting your daily life, schedule a free phone consultation with The Goswami Clinic to find out which options may fit your specific situation.
Targeted Regenerative Care
Explore Areas We Treat
At The Goswami Clinic in Newport Beach, we use advanced regenerative and stem-cell-based therapies to help you heal, restore function and get back to the life you love.
Select an area to learn more.
Shoulder Pain
Rotator Cuff
Elbow Pain
Knee Pain
Inner Knee Pain
Plantar Fasciitis
Neck Pain
Cervical Disc Pain
Disc Injury
Low Back Pain
SI Joint Pain
Hip Pain
Arthritis
Sports Injuries
Natural Healing
Stimulate your body's own repair process
Improved Function
Get back to what you love
Non-Surgical Options
Real solutions beyond medication
Personalized Care
Expert, one-on-one treatment plans
Targeted Regenerative Care
Explore Areas We Treat
At The Goswami Clinic in Newport Beach, we use advanced regenerative and stem-cell-based therapies to help you heal, restore function and get back to the life you love.
Select an area to learn more.
Natural Healing
Stimulate your body's own repair process
Improved Function
Get back to what you love
Non-Surgical Options
Real solutions beyond medication
Personalized Care
Expert, one-on-one treatment plans
Targeted Regenerative Care
Explore Areas We Treat
At The Goswami Clinic in Newport Beach, we use advanced regenerative and stem-cell-based therapies to help you heal, restore function and get back to the life you love.
Tap an area to learn more.
Neck Pain
Cervical Disc Pain
Disc Injury
Low Back Pain
SI Joint Pain
Hip Pain
Arthritis
Sports Injuries
