Non-Surgical Treatment Options

Interventional Orthopedics of San Diego (IOSD) is a physician-led, non-surgical orthopedic and sports medicine practice in Carlsbad, California, helping active individuals recover from injury, manage arthritis, and optimize performance through advanced image-guided treatments and orthobiologic procedures.

Our approach combines precise diagnostics, ultrasound-guided procedures, and personalized care plans designed to help patients move better and heal confidently. The focus is on treating the root cause of pain and dysfunction — not simply masking symptoms — while helping patients stay active and avoid unnecessary surgery whenever possible.

  • Every treatment begins with a comprehensive physician evaluation, including a detailed history, physical examination, and, when appropriate, diagnostic ultrasound. Your diagnosis, goals, and the best available evidence guide every personalized treatment recommendation. Not every patient needs a procedure. Whether the right approach is physical therapy, Class IV Laser Therapy, an orthobiologic treatment, surgery, or a combination of therapies, our recommendations are tailored to what's best for you.

  • Comprehensive treatment options for musculoskeletal pain and dysfunction are designed to reduce pain and improve function while avoiding surgery whenever possible.

  • Advanced light therapy designed to reduce pain, decrease inflammation, and support the body's natural healing response for a wide range of musculoskeletal conditions.

  • We use advanced musculoskeletal ultrasound for both comprehensive diagnostic evaluations and precision ultrasound-guided procedures. Real-time imaging helps accurately identify injured joints, tendons, ligaments, muscles, nerves, and other soft tissues while improving procedural accuracy and guiding personalized treatment plans.

    Learn more about why ultrasound guidance matters for orthopedic injections.

  • PRP is not one-size-fits-all. At IOSD, platelet concentration and preparation are individualized based on your diagnosis, tissue type, and treatment goals, then delivered with precision image guidance to support the body's natural healing response.

  • Advanced orthobiologic procedures using your body's own bone marrow aspirate concentrate for select patients with advanced arthritis, larger tendon and rotator cuff tears, ligament injuries, and other complex musculoskeletal conditions. Every treatment is personalized to your diagnosis, goals, and the tissue being treated.

  • We evaluate and treat acute and chronic sports-related injuries with a focus on helping patients return to activity safely and efficiently.

  • We provide comprehensive evaluation and precision image-guided regenerative procedures for select spine, sacroiliac (SI) joint, and back pain conditions, with treatment plans tailored to each patient's diagnosis and goals.

  • This includes treatment options for chronic tendon injuries including tennis elbow, golfer’s elbow, Achilles tendinopathy, patellar tendinopathy, ACL tears, and more.

  • We offer non-surgical treatment options for mild to advanced joint arthritis, including knee, hip, foot, ankle, hand, wrist, and shoulder conditions.

Medical professional in scrubs and gloves performing a procedure on a patient in a hospital or clinic room, with a monitor displaying a medical image.

Let's Find the Right Path Back to Motion.

Every injury—and every patient—is different. At IOSD, Dr. Melanie Worley takes the time to understand your diagnosis, imaging, activity level, and goals to build a treatment plan designed around you.

Schedule a consultation