What we treat — and how
Heal At Home Hawaii offers ultrasound-guided regenerative injections for chronic joint, tendon, and nerve pain. We come to you, anywhere on Oʻahu. No referral needed. No insurance required. No waiting rooms.
In-home consultation + sports ultrasound
Your evaluation starts before any treatment begins. Dr. Sako arrives with a portable ultrasound system and performs a full musculoskeletal assessment at your home.
Unlike a standard clinic visit, bedside ultrasound lets us see exactly what's going on in real time — tendons, joints, nerves, and fluid — so your treatment plan is based on what we actually see, not just symptoms.
Stimulate Your Body's Own Repair
Prolotherapy uses a precisely injected dextrose (sugar water) solution to stimulate your body's natural repair process at the site of a chronic injury.
It works best for degenerative conditions where inflammation has already resolved but the tissue hasn't fully healed — ligament laxity, tendon insertions, and joint instability.
Available NOW: Platelet Rich Plasma
Concentrated Healing from Your Own Blood.
PRP is made from your own blood. We draw a small sample, spin it in a centrifuge to concentrate the platelets and growth factors, and inject that directly into the injured area — under ultrasound guidance.
Platelets carry the chemical signals your body uses to repair tissue. PRP puts a concentrated dose of those signals exactly where chronic degeneration has stalled the healing process.
Not sure which treatment is right for you? Use our free interactive guide — built on published research — to compare PRP, prolotherapy, and cortisone injections for your specific condition and goals.
Injection options for joint & tendon pain
An educational guide to PRP, prolotherapy, and steroid injections — based on the best available research.
1 Where is your pain?
2 What matters most to you? (tap any that apply)
3 Do any of these apply to you? (tap any that apply)
“Fit” reflects general patterns from published studies, weighted by your selections — it is not a personalized medical recommendation. Final decisions depend on a clinical exam, imaging, and your full history.
© Heal at Home Hawaii LLC • Serving Oʻahu. For patient education only; not a substitute for personal medical advice.
Treatments Offered
Please reach out for free phone consultation to discuss pricing.
Prolotherapy
• Knee osteoarthritis (ligament support + joint)
• Lateral epicondylitis (tennis/pickleball elbow)
• Chronic low back pain (iliolumbar and sacroiliac ligaments)
• Plantar fascia (chronic heel pain)
• Ankle ligament laxity
Typical protocol: 3–6 sessions, 2–4 weeks apart.
Most patients notice meaningful improvement within the first 2–3 sessions.
Hydrodilation
Frozen shoulder (glenohumeral joint)
Carpal tunnel syndrome (median nerve)
Nerve Procedures
Median nerve (carpal tunnel)
Suprascapular nerve
Greater occipital nerve (chronic headaches)
Superficial cervical plexus (chronic neck pain)
Genicular nerve (chronic knee pain)
Platelet Rich Plasma
• Knee osteoarthritis (KL grade 2–3)
• Achilles tendinopathy (mid-portion and insertional)
• Plantar fasciitis / fasciopathy (chronic)
• Gluteal tendinopathy (hip — active adults over 60)
• Lateral epicondylitis (elbow)
• Rotator cuff tendinopathy (shoulder)
PRP is not a cortisone shot. Results develop over 6–12 weeks as tissue remodels.
Many patients see sustained improvement for 12 months or longer
Corticosteroid
While we emphasize regenerative treatments, we recognize that corticosteroid injections have a role in select situations — always discussed transparently with you and your primary provider.
