Answers to common questions

The first visit is an initial evaluation. Dr. Borys will review your history, examine the painful or limited area, and, when appropriate, use in-office diagnostic ultrasound to better understand what may be driving your symptoms.

This visit is not about rushing into a procedure. The goal is to understand what is most likely causing your pain or limitation, determine whether treatment here is the right fit, and create a clear plan forward. This may include treatment, rehab guidance, naturopathic support, additional imaging, referral, or another appropriate next step.

No referral is required. You can schedule an initial visit directly by booking online or calling the office at (360) 738-3230.

Dr. Borys focuses on chronic musculoskeletal pain — including knee, shoulder, hip, and back problems, osteoarthritis, tendon and ligament injuries, and certain nerve-related pain. If your condition is not a good fit for the treatments offered, he will tell you directly and help point you toward the right next step.

Dr. Borys offers regenerative and non-surgical treatments including PRP (platelet-rich plasma) therapy, prolotherapy, perineural injection therapy, nerve hydrodissection, shockwave therapy, and naturopathic medicine. Treatments are often performed under ultrasound guidance for precision.

Not at this time. This question deserves some clarification, because "stem cell therapy" is often used to describe a wide range of products and procedures with very different evidence profiles.

Autologous procedures, such as bone marrow aspirate concentrate (BMAC) and adipose-derived preparations, do have clinical literature behind them and remain a legitimate area of orthopedic research. Dr. Borys does not currently offer these procedures, primarily because of their cost relative to PRP for most common joint and tendon conditions.

He also does not offer, and has no plans to offer, donor-derived products marketed as amniotic fluid, umbilical cord tissue, Wharton's jelly, exosomes, or other "birth tissue" products. These are not FDA-approved for orthopedic use, the evidence is weak, and there is no reliable way to confirm that viable cells are present in the product being administered.

PRP, which is drawn from the patient's own blood at the time of the visit, remains the primary regenerative treatment offered here. For common joint and tendon conditions, it has the strongest and most consistent evidence base among the regenerative options Dr. Borys currently uses.

Regenerative treatments work gradually rather than instantly. Many patients begin noticing improvement around 6–12 weeks after treatment, with continued change over several months as the tissue heals. Dr. Borys will discuss realistic expectations for your specific condition.

No. Results vary by diagnosis, severity, overall health, and follow-through with rehabilitation. The initial visit is designed to determine whether treatment is likely to be a reasonable fit before proceeding — if it is not a good fit, Dr. Borys will tell you directly.

The initial visit is a standard medical evaluation — a history, exam, and, when appropriate, diagnostic ultrasound — and may be billed through insurance depending on your individual plan and coverage. We work with major insurers including Regence and Premera, though covered services and out-of-pocket costs vary significantly by plan, so we recommend confirming your specific benefits before your appointment.

The regenerative procedures themselves, such as PRP and prolotherapy, are generally not covered and are an out-of-pocket expense, since most insurance plans still classify them as investigational.

Pricing and expected costs for any out-of-pocket treatment are reviewed with you at your initial evaluation, before anything is scheduled. The office can also help you understand what to expect from your specific plan.

Most PRP treatments range from $800 to $1,200 per session, depending on the area treated.

Your exact cost is confirmed at your initial evaluation. Call (360) 738-3230 with questions about pricing or coverage.

Most prolotherapy treatments range from $275 to $550 per session, depending on the number of areas treated.

Your exact cost is confirmed at your initial evaluation. Call (360) 738-3230 with questions about pricing or coverage.

The office is located at 1313 E Maple St, Suite 102, Bellingham, WA 98225, serving Whatcom County and the greater Pacific Northwest.

The office is open Monday through Friday, 9:00 AM to 5:00 PM, and closed Saturday and Sunday.