March 27, 2019

Sports Injury, Recovery, and Therapy

How to Prevent Fatigue and Burnout

Athletes understand that competing comes with a price of potential injury that could change their sports careers, especially if they don't properly address their health conditions.

Since athletes are mostly Type A personalities, excellence and relentless training come with an overwhelming toll.

Fatigue and recovery from the competition and ongoing workout can be a hard journey to sustain. And it takes professional therapists and doctors to assist in sports injury, recovery, and therapy.

What do athletes need to know about their fitness regimen

As an athlete or a person with an active lifestyle suffers from a repeated or one-time injury, there will come a time when it’s necessary to prepare your body to return to your sport with endurance, power, and agility.

This type of sports therapy, known as “return to play therapy,” is specific to the sport you play.

With a "return to play" approach, you're guided through the proper steps and exercises to help you recover quickly. You learn how to condition your body and the injured site to return to rigorous play.  

keep joints healthy


Movement patterns and imbalances are assessed and corrected to prevent fewer injuries including repetitive motion injuries, rotator cuff injuries, and overuse injuries.

At PreciseCare, we offer a comprehensive treatment and rehab program to ensure the highest level of recovery and sports therapy to allow athletes to return to their play and respective competitive sports.

With this integrated sports injury, recovery, and prevention program, we can help personalize individual’s goals, sports lifestyle, and training to deliver the most optimized outcome while treating and healing the root of the injury.

Another major element is muscle fatigue.

Muscle fatigue is an exercise-induced reduction in maximal voluntary muscle force, which may be caused by peripheral changes at the level of the muscle (peripheral fatigue).

It may also occur because the central nervous system fails to drive the moto-neurons adequately (central fatigue).

Fatigue is inherently a part of exercising but in our training plan and preparation, we can identify imbalanced patterns at the core of injury causality and correct them through targeted training.

Depending on the nature and extent of the injury, therapeutic exercises, home exercise programs, and manual techniques are included as well in the program.

Our rehab program and regenerative cell treatments are carefully designed to help with preventative injuries for future play while healing any injured areas as holistically as possible.

To learn more about our sports therapy program and regenerative treatments for your knee, shoulder, ankle, hip or spine, request additional information or to learn more give us a call or schedule an initial 1:1 evaluation.

Based in Newport Beach, CA, Precise Care is an innovative sports medicine clinic lead by Dr. Gaurav Goswami who treats sports-related injuries, joint pain, arthritis, declining performance and more.

Known for his non-conventional methods, Dr. Goswami specializes in Regenerative Sports Medicine providing advanced minimally invasive, non-surgical treatments to athletes of all ages and levels with the goal of returning them to optimal performance.

February 4, 2019

Injury Recovery: What You Need to Know to Heal Quicker

Let’s not sugarcoat this: you got hurt. Maybe it was your fault. Perhaps you let your pride get the better of you, and you agreed to play tackle football with the teenagers in the neighborhood after one of them called you “old.”

Maybe it was an honest accident and wasn’t your fault at all. What matters today isn’t how you got hurt, but what you do to recover from that injury.

Before you say “eh, it’s nothing. I’m fine” and try to go about your day like usual . . . stop!

Pushing through the pain is only admirable when women are giving birth or when an actor pretends to be a superhero in a movie. In real life, pushing through—aka ignoring—the pain could exacerbate your injury and make things worse. You might even cause permanent damage!

What You Need to Know for a Healthy Recovery

The most important thing you need to know for a healthy recovery is that every injury is unique because every person is unique. So even if your sister-in-law had this exact same injury last year, what worked for her might not work for you.

This is why it is important to see a doctor and get your injury checked out. Your doctor can help you put together a plan that will work for you.

What Are Your Treatment Options?

When it comes to joint and muscle-based injuries, there are three basic options:

1.  Ignore it and do nothing

We’ve already talked about this a little bit. Pretending that you didn’t get hurt is only temporarily good for your ego. That said, there are some injuries in which time and taking it easy is the only thing you can do.

Sprains are a good example of this.

Even if you’re pretty sure this is going to be the way to go, you should confirm with your doctor.

2. Surgery

For tears and certain types of joint injuries, repairing the injured tissues and cartilage with surgery is often the go-to. Most of these surgeries add a few weeks or even months onto your recovery time frame.

While it’s normal to feel freaked out when your doctor tells you that you are likely going to need surgery, know that this isn’t always the only option available to you.

3. Regenerative medicine

Regenerative medicine is a newer technique in which a doctor uses stem cell therapy, sometimes in conjunction with a process called PRP. These processes use your body’s own stem cells and platelets to help “jump start” your body’s ability to repair itself.

There are pros and cons for each of these treatment options. Let’s break them down.

Doing Nothing: Well, it's certainly cheaper—at least in the beginning. And it can make you look super tough, which might help you earn some street cred.

On the downside, though, you will probably just exacerbate the injury, which means it will be harder to fix and the recovery process will be longer and more complicated (and likely more painful).

Surgery: This type of treatment is painful and has a long recovery time. It's also the riskiest as even surgeries deemed routine carry some risk of complications. Even during recovery, surgery carries with it a risk of infection and other post-op complications (like blood clots). Still, for certain injuries, it's the medically sound choice.

Regenerative Medicine: This treatment offers the shortest and simplest recovery process. Patients are often able to walk out of the clinic the same day as their treatments and report a notable improvement in just a few weeks. And because the procedure consists of injections, there aren’t any surgical complications to worry about.

Will You Need Rehab?

Probably. Rehabilitation and physical therapy are a good idea for joint and muscle injuries, especially for those that require medical intervention. This is something that many people forget to consider when evaluating their treatment options.

Working with professionals to rehabilitate your body after these injuries is of critical importance. In addition to helping ensure that your injury heals properly, your rehab will help build up your body’s strength and endurance, which can help prevent the injury from recurring.

Diet & Exercise

What you eat while in recovery will play a direct role in the recovery itself. It’s true! In fact, you likely already know this. It’s why you drink Gatorade and chow down on a protein bar after you finish a workout—you want to replace your electrolytes and give your muscles a shot of protein to kick-start the healing process.

When you are recovering from an injury, it is important to eat foods that will help speed up that process. And no, Doritos do not count.

Aim for foods that are rich in Omega-3s, antioxidants, Vitamins A and C and protein. Reduce your intake of carbs and fatty foods.

And remember: just because someone told that you need to rest and take it easy, doesn’t mean that you need to be completely still (unless your doctor says so).

Low impact exercise like yoga and Pilates are good ways to keep your body fit while you recover. Even if you’re laid up on the couch, there are stretches and movements you can do, that don’t require standing and can be done while keeping your injured area immobile.


keep joints healthy


Despite what you might have read on social media, there is more to self-care than simply pampering yourself and giving yourself excuses to indulge. Self-care is also about doing what you need to do to make sure that you stay healthy, physically, emotionally and mentally.

Good examples of self-care include:

  • Making sure to get enough sleep at night
  • Taking your vitamins
  • Maintaining personal hygiene: daily bathing, teeth brushing, skincare, etc.
  • Spending time with people you care about and enjoy
  • Taking time to yourself when you need it

Remember: every injury is unique. Get your injury checked out by a doctor and create a treatment and recovery plan together.

Ask your doctor to recommend some diet and exercise tips so you can stay active even while you’re taking it easy. And make sure you talk to your doctor about how you are doing mentally and emotionally as well as physically—especially if your injury is severe. They can help you with these things.

Don’t self-diagnose. And remember: Google is not a doctor and shouldn’t be consulted instead of an actual human.

May 22, 2018

Spectrum of Regenerative Treatments

Sports Medicine or Regenerative Medicine is a specialized branch of medicine that deals with physical fitness and offers an array of treatments and prevention of injuries related to exercise and sports. There is a wide spectrum of regenerative treatments that help people recover and return to their active lifestyles after an injury. Unfortunately, none of these treatments are FDA approved yet.

The goal of regenerative medicine is to help you heal and give you a higher quality of life. It is best to assess the various types of regenerative treatments to determine which type is most suitable for your condition. Not all regenerative treatments are equal in value and effectiveness. Each regenerative treatment has its pros and cons based on scientific evidence.

The concept of regenerative medicine is regenerating damaged areas and repairing the cells. It’s a revolutionary approach that will change the way medicine is practiced, in lots of ways similar to the discovery of penicillin in the last century.

Our bodies are full of regenerative cells.  It’s a matter of knowing how to apply this concept in a non-invasive, natural treatment and in the safest and most effective way. With anything new, lack of standardization can make it confusing to the patients as to what treatment are they exactly getting.

It is becoming more and more common now for mushrooming stem cell clinics to use so-called external sources such as amniotic fluid, placenta tissues, and umbilical cords cells. Some even mis-label or call them baby cells; this gives a false impression that these cells may be more potent than one’s own cells.

Currently, a whole host of companies are providing an array of stem cells that are being grown in laboratories that sterilize, harvest and package the cells with added stimulants which are chemicals that can biologically alter the cells. How much efficacy is present in these cells after package and production is an important question to ask. Sterilization does not guarantee a foreign disease from entering your body because it is introducing cells from someone else’s body. This can be risky.

Regenerative cells from your own body can be extremely safe provided they are harvested and isolated in a proper manner. Otherwise, they can be equally ineffective and even harmful. It’s about high time FDA regulates this industry before people lose faith in this wonderful discovery all due to the greed of few snake oil salesman practices.

Stem cell therapies have great potential. Let’s not over-sell their promise without proper research and evaluation. Let’s establish standardized protocols and safety standards that can assure some uniformity for your treatments.

The general intent of regenerative treatments is to regenerate and repair and not just treat symptomatic relief. Manipulation of cells such as adding chemicals or storing cells is neither safe nor effective. There is a risk of introducing foreign sources into your body.

A metaphor to illustrate a current array of regenerative treatments is to compare it to that of consuming a fruit juice.

“You can get fresh pressed juice from fruit itself, or you can get juice reconstituted from a concentrate or you can drink something that is fruit flavored only mixed with other chemicals”. Similarly in regenerative treatments, depending on the source of cells and concentration of application, it will determine great results or no results from that particular regenerative treatment. Make an Informed decision by understanding the spectrum of regenerative treatments.

Based in Newport Beach, CA, PreciseCare is an innovative practice lead by Dr. Gaurav Goswami who treats sports injury, joint pain, back pain, arthritis, declining performance and more. Known for his non-conventional methods, Dr. Goswami specializes in Regenerative Sports Medicine providing advanced minimally invasive, non-surgical treatments to athletes of all ages and levels with the goal of returning them to optimal performance.

Call 949-734-9696 to request additional information.

October 17, 2017

The Inside Look of a Pro MMA Fighter’s Journey

Pro athletes know that taking care of their health and well-being is of utmost priority. When a serious injury occurs, their career is on the line. It can be a threatening and unpredictable situation that every athlete dreads. Every pro athlete wants to know they can go to a trustworthy, reliable, highly-experienced sports medicine doctor that can guide them in the right direction and offer them the proper medical treatments for their injury in an era where “snake-oil doctors” are running rampant.

Evan Gubera is a pro MMA fighter based out of San Jose, CA and is currently under regenerative cell treatment with the respected medical practice, PreciseCare in Newport Beach, CA.

Before he turned pro in 2016, he was ranked in the Top 10 of California Amateur MMA fighters. He has been in martial arts now for 20 years. Besides competing, Evan runs a competitive amateur boxing program where his kids and adult students compete all over California. He is on the American Kickboxing Academy's professional team and has been training alongside UFC Veterans Daniel Cormier, Luke Rockwood, Josh Thompson, and Cain Velasquez in the past 3 years.

Evan had the great honor of being trained and coached by famous Coach Walter "POPS" Carvalho where he was the main pupil and prodigy in his last couple years of coaching. The boxing program he is currently running was handed down to Evan by Coach “POPS” which was an even greater honor for him today.

Right before Evan’s awaited professional debut fight, he blew out his knee 10 days prior and Evan Gubera is sharing his story in this video:

It doesn’t matter if you are a pro, or everyday active athlete, joint health and overall fitness require special attention. It’s never too late or too old to consider ways to optimize your health and care for your life-long body that you will be residing in.

Based in Newport Beach, CA, PreciseCare is an innovative sports medicine clinic lead by Dr. Gaurav Goswami who treats sports injury, joint pain, arthritis, declining performance and more. Known for his non-conventional methods, Dr. Goswami specializes in Regenerative Sports Medicine providing advanced minimally invasive, non-surgical treatments to athletes of all ages and levels with the goal of returning them to optimal performance.


If you've been injured and you want to investigate all your treatment and recovery options, schedule an initial 1:1 evaluation with Dr. Goswami. Or call 949-737-9696 to request additional information.

August 14, 2017

Optimal Athletic Performance Requires Elite Sports Medicine Care

As an athlete, we all know that optimal athletic performance not only requires strenuous, consistent training and stamina, but it also requires the ability to quickly deal with injuries and declining performance. Serious athletes are always on the search for top-notch sports medicine practice that performs non-invasive and alternative treatments with integrity.

One such alternative that has gained popularity in recent years has been regenerative cell therapy, popularly known as “stem cell treatments”. This treatment has the ability to regenerate and restore injured or worn out tissues, leading to quick recovery and continued sporting activity.

Continuous "wear and tear" is an inevitable issue for most pro, amateur and everyday athletes where the search for sustainable good health becomes the "holy grail".

At PreciseCare, Dr. Gaurav Goswami and his staff have over 25+ years in advanced non-invasive treatments, regenerative stem cell therapy, tissue regeneration and quick recovery time for their patients. Unlike most conventional doctors, Dr. Goswami's innovative and unique approach to sports injury, pain management, and any prior health conditions are holistic and great consideration is given to the individual's overall well-being.

Dr. Goswami evaluates the patient's pain problem such as knee pain, shoulder pain, elbow pain, hip pain or ankle pain not just as an isolated issue, but he performs a full, comprehensive diagnostic exam to see what caused the problem, and the contributing factors that surround your condition. With regenerative cell therapy, the belief is the body is designed to heal itself using our own cells without any unnecessary surgeries or harsh interventions.

Many of our patient athletes have shared benefits from our customized PreciseCare regenerative cell treatment, helping them not only return to play but return to performance.

Here is what our patient and avid mountain biker, Jim P. had to say :

"I love to mountain bike, sometimes going on multi-day rides in the Sierras. My ankle was starting to bark back after long rides due to arthritis incurred after multiple sprains in my 20's. And I was no longer able to run because the pounding severely irritated the ankle.

Dr. Goswami performed his miraculous stem cell injections 8 weeks ago, and I am already biking pain-free. Yesterday I went in for my follow-up, and imaging showed that the joint surface was already smoothing out. Dr. Goswami said cell proliferation would occur for 8 months, which means I may have 6 more months of improvement ahead!

I am super-excited about my mountain biking continuing, and am dreaming that I may sometime even be able to run a bit again.

Now a bit about the team. Sandra in front is super-helpful and friendly. Ruby in the back room couldn't be more supportive and kind, and Dr. Goswami is:

* Understated. He never sold the procedure and under-promised likely results.

* Patient. He took his time explaining the process, my condition, and how results are achieved. I never felt he was rushing anything.

* The best at the procedure. Much technique is involved in stem cell treatment, both in where the cells are pulled from an insertion of the cells.

Lastly, without violating patient privacy, know that another ankle patient I am close to was limping severely before the procedure with bone-on-bone and no hope of a surgical correction and after only 6 weeks post-treatment says his ankle has never felt better.

I am a believer in this new miracle treatment. Dr. Goswami is the best in SoCal at providing it."

Based in Newport Beach, CA, PreciseCare is an innovative sports medicine clinic lead by Dr. Gaurav Goswami who treats sports injury, joint pain, arthritis, declining performance and more. Known for his non-conventional methods, Dr. Goswami specializes in Regenerative Sports Medicine providing advanced minimally invasive, non-surgical treatments to athletes of all ages and levels with the goal of returning them to optimal performance.

Learn more at Or call 949-734-9696 to request additional information.

If you've been injured and you want to investigate all your treatment and recovery options, schedule an initial 1:1 evaluation with Dr. Goswami.


Our Location

4425 Jamboree Road, Suite 120 

Newport Beach, CA USA 92660



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