PRP and Stem Cell Injections for Hip Tendonitis & Bursitis offered in Estero, Florida.

Do you feel sharp pain or aching on the outside of your hip, or tenderness that makes it uncomfortable to lie on your side, walk, or climb stairs?

Many people with these symptoms have been told by their orthopedic doctor that they have hip tendonitis or bursitis, but what’s often overlooked is that these conditions frequently develop because of small, undetected tears in the tendons around the hip. These microtears lead to chronic irritation, inflammation, and swelling of the nearby bursae (fluid-filled sacs that cushion the hip).

At Integrative Rehab Medicine, we specialize in identifying the root causes of your hip pain and treating them with advanced non-surgical and regenerative therapies designed to restore tissue health and function.

Resolve Hip Pain and Regain Your Function

Common Symptoms of Hip Tendonitis & Bursitis

  • Pain on the outside of the hip or thigh
  • Tenderness to touch, especially when lying on the affected side
  • Pain that worsens with walking, climbing stairs, or prolonged standing
  • Stiffness and reduced hip mobility

Causes of Hip Tendonitis & Bursitis

Hip tendonitis occurs when the tendons that attach muscles to the hip joint become irritated and inflamed. Hip bursitis develops when the bursae — fluid-filled sacs that reduce friction between tissues — swell due to overuse or injury.

While these conditions are often labeled as simple inflammation, the underlying issue is frequently small tendon tears that fail to fully heal. Over time, these tears create instability in the hip and lead to ongoing irritation of the bursae. Risk factors include repetitive stress from running or cycling, hip muscle weakness, prior injury, falls, poor biomechanics, and degenerative changes in the hip joint.

Accurate Diagnosis is Key

At Integrative Rehab Medicine, we use a comprehensive diagnostic approach to identify the extent of tendon injury, tendonitis, and biomechanical dysfunction. This includes:

  • Comprehensive physical examination assessing hip movement and strength
  • X-rays or MRI to identify tears to the gluteus medius, gluteus minimus and hamstring tendons as well as narrowing of the joint space
  • Musculoskeletal ultrasound for real-time visualization of tendons and bursae

This allows us to tailor a comprehensive regenerative treatment plan specific to your injury and functional goals.

There are treatment options for hip bursitis beyond repeated steroid injections.

Do You Want to Resolve Hip Pain and Restore Function?

Regenerative Treatment Options

We specialize in non-surgical regenerative orthopedic solutions designed to stimulate the body’s natural healing processes and restore joint health.

  • Platelet-Rich Plasma (PRP) Therapy – PRP contains growth factors that accelerate tissue repair. PRP injections can reduce inflammation, improve collagen remodeling, and promote long-term healing of the joint and bursa. PRP works best for smaller partial thickness tears.

For more information on PRP for hip bursitis click here.

  • Stem Cell Therapy – We utilize Bone Marrow Stem Cells to support tissue regeneration and repair, particularly for larger tendon tearing or when dealing with more severe hip arthritis. Through the release of growth factors, stem cells regulate the local immune response, decrease inflammation and stimulate tissue growth.
  • Prolotherapy –For patients who do not have tearing of the muscles and tendons and are dealing with tendinosis, tendonitis or bursitis Prolotherapy can be used to strengthen the ligaments and tendons surrounding the hip to provide improved stability and reduce pain.

Frequently Asked Questions

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Are You a Candidate for Regenerative Hip Treatment

Complementary Treatments

In addition to regenerative injections, we incorporate evidence-based complementary therapies to enhance recovery and long-term hip function:

  • 1-on-1 Physical Therapy – Work directly with a licensed physical therapist to strengthen and re-educate muscles of the hip. This neuromuscular reprogramming helps restore movement patterns and reduce reinjury risk.
  • Nutritional Therapy & Supplements – Proper nutrition supports the healing of connective tissue. We offer personalized supplement protocols and dietary guidance to optimize collagen synthesis, reduce inflammation, and improve overall recovery.
  • Giga Laser Therapy – Our Giga Laser, one of the most powerful therapeutic lasers in the world, delivers high-dose red and infrared light therapy over large areas. This boosts mitochondrial activity and promotes rapid tissue healing and collagen formation.

Why Choose Integrative Rehab Medicine?

  • Minimally invasive treatments backed by clinical science
  • Comprehensive evaluation determining the root cause of your pain
  • Personalized regenerative treatment plans specific to your injury and functional goals
  • Avoid surgery and reduce downtime – many patients are back to activity 3-4 weeks after treatment
  • Expert clinicians with extensive experience in regenerative and rehabilitative medicine

Take the Next Step Toward Healing

Hip tendonitis and bursitis don’t have to keep you from staying active and pain-free. By addressing not only the inflammation but also the underlying tendon injuries regenerative medicine can help restore lasting strength and function.

Schedule your consultation today with Integrative Rehab Medicine and discover the most effective non-surgical treatments for hip pain from tendonitis and bursitis.

Schedule your Consult with an Estero Hip Pain Specialist

References

  1. Dallari D, Stagni C, Rani N, et al. Ultrasound-Guided Injection of Platelet-Rich Plasma and Hyaluronic Acid, Separately and in Combination, for Hip Osteoarthritis: A Randomized Controlled Study. The American Journal of Sports Medicine. 2016;44(3):664-671. doi: 10.1177/0363546515620383
  2. Fitzpatrick J, Bulsara MK, O’Donnell J, Zheng MH. Leucocyte-Rich Platelet-Rich Plasma Treatment of Gluteus Medius and Minimus Tendinopathy: A Double-Blind Randomized Controlled Trial With 2-Year Follow-up. Am J Sports Med. 2019 Apr;47(5):1130-1137. doi: 10.1177/0363546519826969. Epub 2019 Mar 6. PMID: 30840831.
  3. Fitzpatrick J, Bulsara MK, O’Donnell J, McCrory PR, Zheng MH. The Effectiveness of Platelet-Rich Plasma Injections in Gluteal Tendinopathy: A Randomized, Double-Blind Controlled Trial Comparing a Single Platelet-Rich Plasma Injection With a Single Corticosteroid Injection. Am J Sports Med. 2018 Mar;46(4):933-939. doi: 10.1177/0363546517745525. Epub 2018 Jan 2. PMID: 29293361.
  4. Giorgino, R., Alessandri Bonetti, M., Migliorini, F. et al. Management of hip osteoarthritis: harnessing the potential of mesenchymal stem cells—a systematic review. Eur J Orthop Surg Traumatol 34, 3847–3857 (2024). https://doi.org/10.1007/s00590-024-04089-0
Dr. Sebastian and Floyd helped me resolve my arthritic hip issue. I am able to run, sprint, lift weights and exercise intensely on the stair master. At our first meeting we developed a plan and then executed the plan. Everything fell into place from the first of two capsular distension shots. The third shot, a PRP injection just enhanced mobility and made stretching easier while providing a greater range of motion.

I can't thank the IRM Team enough. If you have any type of physical injury, they are the best. They embrace helping athletes!

Thanks again!
I had my Discseel and PRP procedure with Dr. Sebastian at Integrative Rehab Medicine in Estero, Florida, and I truly couldn’t be more grateful for the care I received. From the consultation to the procedure itself, everything was explained clearly and thoroughly. He is extremely knowledgeable and takes a thoughtful, patient-centered approach. He answered all of my questions and made me feel completely comfortable and confident in my decision.

Procedure day went very smoothly. I took a very nice nap thanks to the anesthesia and woke up feeling well cared for by the nurse and supported by the entire team.

I also appreciated how clearly Dr. Sebastian explained the recovery process and set realistic expectations. The office runs efficiently, and you can truly tell they care about their patients and outcomes.

I’m so thankful I found this practice and would highly recommend Dr. Sebastian to anyone considering regenerative treatment options. 🙌🏻
I want to share my experience not as a patient but as an executive assistant making arrangements for my boss's consultations, procedures and follow up appointments. I dealt with Amanda on a vast array of issues and quite frankly I don't know what I would have done without her. My boss traveled from out of state to Florida so there were a lot of balls in the air to coordinate everything successfully. Amanda always advised me what we needed to do, and she consistently followed up with me to ensure a wonderful experience. She is a true professional and a great asset to the practice.
In June of 2024 I was treated by Dr. Klisiewicz for lumbar degenerative disc disease. Initially, I had a phone consult with the PA and everything went great. We scheduled a date for an epidural PRP and I flew to Florida. Once I arrived is when the problems began. Dr. Klisiewicz said the epidural PRP wouldn't be sufficient and I needed intra-discal -and- epidural PRP, which doubled the cost. Then, he suggested the "gold standard" stem cells, which would then double the price again. It all felt like an upsell. I went with intra-discal and epidural PRP. The only sedation I had was Nitrous and a low dose valium. The procedure was torture. This isn't just me saying it. The web is full of people saying the same thing, including injured combat vets. When I tell other doctors about it, they're astounded. This really should be done under IV sedation. Dr. Klisiewicz also suggested that for the best possible outcome I should do 4 days of the Giga-laser, which I agreed to, mostly to prove a point. I reviewed the PubMed literature. It's a big stretch to claim this laser any effect on low back pain. This is an 18 watt laser, and at the wavelengths used, it will only effect a few millimeters of tissue. This is far far less than necessary to effect tissues as deep as the lumbar spine. PubMed data on the Giga-laser is mixed, at best. When I asked Dr. Klisiewicz about this, he had a deer in the headlight look and deflected the conversation. That was the second big red flag. My Giga-laser appointments were every morning at 8am EDT, because I had work commitments at 8am CDT and only had one hour. On one of the days, Dr. Klisiewicz suggested I do PT with them every morning. Again, it felt like another upsell that wasn't discussed prior to me flying to Florida. When I said I couldn't, he commented "well if those are your priorities". Excuse me!! This comment was extremely insulting. There's a difference between 'commitments' and 'priorities'. I'm sure he'd rather spend his day with his family, but he has -commitments- to his patients and staff. Similarly, I had -commitments-. That comment was red flag number 3 and really what motivated me to leave a poor review.

While there are some studies that show PRP does work for some people, I had no benefit. Some studies do show that multiple treatments are more beneficial, but I refused to return. For me, this experience was a waste of time and money.

Lastly, I understand Dr. Klisiewicz is doing Discseel combined with PRP. This hasn't been studied in clinical trials. This is just inventing medicine and can be dangerous. That's not my opinion. That's the comment of several doctors familiar with the procedures. Even Discseel only works in 1/2 the patients. This data comes from the doctor who created the procedure. "At the 12-month follow-up, 50% of patients achieved minimal clinically important differences...".

The only reason I gave 2 stars is because of his nursing staff. They're great. If it weren't for them, this would be a zero star review.
I have never left a review regarding a phone call, but there is always a first. I have called this office multiple times asking every question that comes to mind for my husband with back issues. And every time I called I have spoken to Amanda Nagle. She took all of my calls so patiently and kind answering all my questions. I was never rushed most importantly she put me at ease. I have called multiple offices finding a good fit for my husband. And I’m comfortable enough just speaking to, Amanda that this is the right place for him. If the front office “the face of the office” is like this, I know that the rest is amazing.
Anybody going through chronic pain knows the frustration. What did PRP do for me? Pain went from a 9 to a 2 and sometimes 0. Activity? Before I couldn't do anything and was in pain. After, some limitations but no lasting pain. For example, I'm jump roping and running but no load bearing above 30 pounds. It's a learning pain. PRP improved my health. At Integrative Rehab Med. they are absolutely 100% caring and professional. I am thankful for Dr. Sebastian and his professional staff!
I have seen spinal surgeons, orthopedic surgeons, neurologists, and gotten trigger point injections. Nothing made my chronic low back pain better. Once I went to Dr. Sebastian and his clinic, they reviewed my MRIs and X-Rays, did a physical assessment, and quickly identified my issue in the first visit. I was hesitant to continue with the PRP procedure in my pelvis and low back, since I have been in constant pain for 11 months and had many failures with injections. I am now a little over 2 months post-PRP procedure, back to running and lifting with no pain. I am extremely grateful for Dr. Sebastian and his entire staff, who were welcoming and supportive every day I came into the clinic!
Response from the owner:Thank you for trusting Integrative Rehab Medicine in Estero, Florida with your back pain care. We understand how discouraging chronic low back pain can be after seeing multiple specialists without relief. We’re glad that a comprehensive assessment allowed Dr. Sebastian Klisiewicz to identify the source of your, and better yet, an effective back pain treatment with PRP injections and specific rehabilitation. Hearing that you’re back to running and lifting pain-free just over two months after your PRP procedure is incredibly rewarding. Our team is committed to providing care in a safe environment while supporting our patients every step of the way. We’re grateful to be part of your recovery and wish you continued health and strength.
I am currently one month removed from my procedure from Dr. Sabastian and his staff. All of my consistent pain stop. Physical therapy is continuing under there direction.

With more positive improvement coming long term my advice why wait call or visit them. Integrative Rehab Medicine is the very best non-surgical treatment of the spinal discs.

I excited about my future living without pain. Make this appointment your health will Thank you later.

Chris Drikakis
A fellow golfer and Vietnam veteran
Response from the owner:Thank you so much, Chris, for taking the time to share your experience—and for your service as a Vietnam veteran. We’re truly honored to be part of your healing journey.

We’re thrilled to hear that just one month after your non-surgical spinal disc procedure, your consistent pain has resolved and that you’re continuing to make progress. At Integrative Rehab Medicine, our mission is to help patients avoid unnecessary spine surgery by offering advanced, evidence-based treatments for chronic back and neck pain, including non-surgical disc repair options such as Discseel® and PRP.

Your story highlights exactly why we focus on treating the underlying cause of disc-related pain—not just masking symptoms—and why so many active patients, including golfers and veterans, seek out non-operative spine care with us. We’re excited about your continued improvement and long-term recovery.

https://irehabmed.com/va

Thank you again for your kind words.
As a medical professional ( anesthesiology) for 40 years Dr Sebastian helped me avoid debilitating back surgery with a six week recovery ( which I scheduled for ) two weeks before my Ozone/ lysated platelet epidural. I am beyond the moon happy with my results. His office is very professional and his PT therapist Christine is also excellent !
Response from the owner:Thank you so much for sharing your experience. Coming from a medical professional with over 40 years in anesthesiology, your perspective truly means a great deal to our entire team.
We’re thrilled to hear that your ozone intradiscal treatment combined with lysated platelet (PRP) epidural injections helped you avoid a major back surgery and a prolonged recovery. At Integrative Rehab Medicine, we love helping patients with herniated and bulging discs find effective, non-surgical alternatives to spine surgery.
Your outcome highlights the power of biologic and regenerative spine treatments—using ozone to reduce disc inflammation and herniation, along with platelet-based therapies to support healing around irritated spinal nerves. We’re also glad to hear your experience with Kristine, our physical therapist, has complemented your recovery.
Thank you again for your words and confidence in our team.
Im very fortunate to met the Doctor Sebastian when he came to Margaritaville Cancun riviera Maya. He treated my knee after two surgeries in my right knee without result. The time Doctor Sebastian attended me I was in pain every day and taking anti inflammatory every 2 days, since he treated me my knee and movement change drastically at level I don’t taking any more medication he is a really master pro, for sure I’ll will see him early next year for a second treatment to keep improving my recovery thanks Doctor to came across my live 🙏🙏🙏🙏Hernan Mota