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    • PLATELET RICH PLASMA (PRP)
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Overview Key Areas of Focus About Dr. Kulju About Dr. Abbott Schedule Your Appointment with Dr. Abbott Contact Us

Overview of Regenerative Orthopedics

Regenerative orthopedics is an evolving field focused on developing and applying biologic treatments that may help support the body's natural healing processes for certain musculoskeletal conditions. Tendons, ligaments, and fascia typically have a relatively limited blood supply, which can reduce their ability to heal after injury.
Regenerative orthopedic treatments aim to help manage pain, improve function, and support tissue repair in appropriately selected patients with conditions such as osteoarthritis, tendon disorders, ligament injuries, and other musculoskeletal conditions. These treatments are intended to complement comprehensive orthopedic care, and recommendations are based on each patient's diagnosis, goals, and the current scientific evidence.

Our Approach

At Coastal Orthopedics & Sports Medicine, we combine evidence-informed care with advanced, minimally invasive treatment options to help patients recover from musculoskeletal injuries and manage joint pain. Our regenerative orthopedic services are designed to support the body's natural healing processes and may help reduce pain and improve function in appropriately selected patients. Every treatment plan is individualized based on your diagnosis, goals, and the best available scientific evidence.

Objectives

  • Support Natural Healing: Use evidence-informed regenerative orthopedic treatments to support the body's natural healing response.
  • Reduce Pain: Personalized treatment options to help relieve joint, tendon, ligament, and muscle pain.
  • Improve Function: Help patients return to the activities they enjoy with improved movement and performance.

Key Areas of Focus

  • Platelet-Rich Plasma (PRP) Therapy: Platelet-Rich Plasma (PRP) is a regenerative orthopedic treatment that uses a concentrated portion of your own blood to support the body's natural healing response. Platelets contain growth factors and other bioactive proteins that play an important role in tissue repair.

  • During the procedure, a small sample of your blood is drawn and processed in a centrifuge to concentrate the platelets. The platelet-rich plasma is then injected into the injured or painful area using ultrasound guidance to ensure precise placement.

  • PRP may be considered for certain tendon, ligament, muscle, and joint conditions, including chronic tendon injuries, mild to moderate osteoarthritis, and some ligament injuries. The goal of treatment is to help reduce pain, improve function, and support tissue healing in appropriately selected patients. Providers offering this treatment:
  • Dr. Michael J. Kulju
  • Initial Exam and Diagnostics: Insurance Based Service
  • Platelet-Rich Plasma (PRP) Therapy: Self-Pay Service or Worker's Compensation with prior authorization/approval when applicable
  • Dr. Brian W. Abbott
  • Initial Exam and Diagnostics: Self-Pay Service
  • Platelet-Rich Plasma (PRP) Therapy: Self-Pay Service
LEARN MORE ABOUT PRP
  • Bone Marrow Concentrate (BMC): BMC is a regenerative treatment that uses a patient’s own bone marrow, typically collected from the pelvic bone. After the marrow is obtained, it is concentrated using a centrifuge and injected into the area of injury.

  • Bone marrow contains growth factors, stem cells, and other biologically active components that support tissue repair. BMC is used to treat degenerative joint conditions, as well as cartilage, ligament, and tendon injuries, helping stimulate a targeted healing response in damaged tissues. Provider offering this treatment:
  • Dr. Brian W. Abbott
  • Initial Exam and Diagnostics: Self-Pay Service
  • Platelet-Rich Plasma (PRP) Therapy: Self-Pay Service
LEARN MORE ABOUT BMC THROUGH REGENEXX
  • Intraoperative Bone Marrow Aspirate (BMA): Bone marrow aspirate (BMA) is increasingly used in conjunction with rotator cuff surgery to support the body's natural healing response. BMA involves harvesting a small amount of bone marrow, usually from the surgical site, and then injecting this concentrate into the site of the injury or surgical repair. In rotator cuff repair, BMA can accelerate the healing of the repaired tendons by delivering a high concentration of mesenchymal progenitor cells, growth factors, and other bioactive molecules directly to the damaged/repaired area. This approach aims to improve tendon-to-bone integration, reduce inflammation, and promote more robust tissue regeneration. As a result, patients may experience quicker recovery times, enhanced functional outcomes, and potentially lower rates of re-tear.
  • Provider offering this treatment:
  • Dr. Stephen Katz
  • Initial Exam and Diagnostics: Insurance Based Services
  • Intraoperative Bone Marrow Aspirate (BMA): Self-Pay Service
LEARN MORE
  • Adipose (Fat) Graft: Adipose grafting involves harvesting a small amount of fat from the abdomen or buttocks and preparing it for reinjection into injured or degenerated areas. Adipose tissue contains regenerative cells similar to bone marrow and can help support the body’s natural repair processes.

  • In addition to providing healing signals, adipose also acts as a natural scaffold, making it useful for addressing larger tissue defects or areas needing structural support. Provider offering this treatment:
  • Dr. Brian W. Abbott
  • Initial Exam and Diagnostics: Self-Pay Service
  • Platelet-Rich Plasma (PRP) Therapy: Self-Pay Service
LEARN MORE
  • Osteopathic Manipulative Medicine (OMM): OMM is a hands-on treatment approach rooted in osteopathic principles: the body functions as a unified whole, structure and function are interconnected, and the body has an inherent ability to heal itself.

  • Using gentle, targeted manual techniques, OMM aims to restore motion, improve function, and reduce pain. It integrates seamlessly with regenerative therapies and helps optimize overall function and mobility. Provider offering this treatment:
  • Dr. Brian W. Abbott
  • Self-Pay Service
LEARN MORE
  • Prolotherapy: Prolotherapy uses an injectable solution of concentrated dextrose to stimulate the body’s natural healing response. By triggering controlled inflammation in weakened ligaments, tendons, and joint tissues, prolotherapy promotes stronger, more stable connective tissue and can reduce chronic pain. It is commonly used for osteoarthritis, ligament laxity, and persistent tendon injuries. Provider offering this treatment:
  • Dr. Brian W. Abbott
  • Initial Exam and Diagnostics: Self-Pay Service
  • Platelet-Rich Plasma (PRP) Therapy: Self-Pay Service
LEARN MORE
  • Class IV Laser: In regenerative orthopedics, class IV lasers play a significant role in supporting tissue repair. Their high energy and precision allow for targeted treatments, which stimulates cellular activity, enhances blood flow, and reduces inflammation. This can be particularly beneficial in promoting the regeneration of damaged tissues and supporting recovery from injuries. The ability of class IV lasers to penetrate deeper into tissues makes them effective for treating conditions such as tendonitis and arthritis. By facilitating faster and more effective healing, class IV lasers contribute to improved patient outcomes and advance the field of regenerative orthopedics.
  • Provider offering this treatment:
  • Justin Brissette, LMT
  • Self-Pay Service
LEARN MORE
  • Nerve Hydrodissection: Peripheral nerves travel through narrow tissue planes, where they can become compressed or irritated. These entrapments may contribute to pain, numbness, tingling, or weakness.

  • Nerve hydrodissection is performed under ultrasound guidance and uses fluid injections to gently separate the nerve from surrounding tissues, improving mobility and reducing symptoms. Conditions such as carpal tunnel, cubital tunnel, and tarsal tunnel syndromes, as well as certain headache syndromes involving the occipital nerves, often respond well to this technique. Providers offering this treatment:
  • Dr. Michael J. Kulju
  • Insurance Based Service

  • Dr. Brian W. Abbott
  • Self-Pay Service
LEARN MORE
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Why Choose Us?

Expertise: Our team of clinicians, therapy staff, and strength and conditioning professionals offer years of experience and a passion for improving health and wellness. Personalized Care: We offer tailored treatment plans designed to meet the unique needs of each patient, ensuring the highest potential for successful outcomes. Cutting-Edge Technology: By integrating the latest advancements in medical technology and research, including PRP therapy, we provide state-of-the-art solutions that push the boundaries of traditional medicine.

Meet Your Regenerative Orthopedic Team

Our providers have specialized training in regenerative orthopedics and ultrasound-guided procedures. Treatment recommendations are individualized based on your condition, goals, and the procedure being considered.
Dr. Michael J. Kulju offers services through insurance when applicable, as well as select self-pay regenerative orthopedic treatment options. Dr. Brian W. Abbott provides regenerative orthopedic services through self-pay options only.

Michael J. Kulju, MD, RMSK

  • Regenerative Procedures Offered:
  • • Platelet-Rich Plasma (PRP)
  • • Nerve Hydrodissection
Schedule with Dr. Kulju
Dr. Kulju is a Board-Certified Primary Care Sports Medicine Physician specializing in non-surgical orthopedics and comprehensive sports medicine care for patients of all ages and activity levels. Dr. Kulju looks to provide innovative and evidence-based care. He holds advanced certification in diagnostic ultrasound and has served as an educator at multiple American Medical Society for Sports Medicine ultrasound courses. As an advocate for innovative care, he was the first provider in Maine to perform ultrasound-guided carpal tunnel release. He regularly cares for patients using advanced techniques with interventional ultrasound as well as providing patients with cutting-edge biologic therapies, such as platelet-rich plasma injections. Dr. Kulju has experience treating athletes from high school to the professional level, including working with University of Notre Dame and the NFL Combine athletes. On a more local level, he has been a team physician for multiple high schools. Outside of medicine, he enjoys staying active and spending time with family and friends.


Brian W. Abbott, DO, RMSK

  • Regenerative Procedures Offered:
  • • Platelet-Rich Plasma (PRP)
  • • Bone Marrow Concentrate (BMAC)
  • • Nerve Hydrodissection
  • • Osteopathic Manipulative Medicine (OMM)
  • • Adipose Graft Procedures
  • • Prolotherapy
Schedule with Dr. Abbott
Brian W. Abbott, DO, RMSK, is board-certified in Family Medicine and Osteopathic Manipulative Medicine, holds a Certificate of Added Qualification in Primary Care Sports Medicine, and is Registered in Musculoskeletal Sonography (RMSK). Dr. Abbott specializes in nonsurgical orthopedic care, managing both acute and chronic musculoskeletal injuries, as well as peripheral nerve conditions. He utilizes musculoskeletal ultrasound for both diagnostic evaluation and image-guided procedures. In addition to traditional treatment approaches, Dr. Abbott performs regenerative orthopedic procedures including prolotherapy, platelet-rich plasma (PRP), bone marrow aspirate concentrate (BMAC), and adipose graft injections. These therapies can help facilitate healing of tendon, ligament, and joint injuries. Dr. Abbott frequently incorporates osteopathic manipulation into patient care. Viewing the body as a functional and interconnected whole, he performs comprehensive evaluations which recognize that few injuries occur in isolation. Through gentle osteopathic techniques, he helps improve pain, mobility, and overall function. Committed to supporting his patients’ activity and performance goals, Dr. Abbott provides care with the understanding that activity level, musculoskeletal health, and general well-being are closely linked. Recognizing the complexity of the human body and the uniqueness of each injury, he takes pride in individualizing treatment plans to meet each patient’s needs. During his sports medicine career, Dr. Abbott has been involved in the medical care of the Grand Rapids Griffins of the American Hockey League, as well as athletes from Grand Valley State University, Aquinas College, Calvin College, and Davenport University. Dr. Abbott began his medical career as faculty in the Eastern Maine Medical Center Family Medicine Residency, then practiced primary care in Seward, Alaska. He later worked in a nonsurgical orthopedic practice in Montana before returning to Maine. In his free time, he enjoys mountain biking, running, skiing, camping, hiking, and spending time with his wife, two boys, two cats, and two dogs.

Schedule Your Appointment

Contact Us

Ready to explore how regenerative orthopedic can make a difference in your life? Contact us today to schedule a consultation or to learn more about our innovative treatments.
Coastal Ortho14 Thomas Point RdBrunswick, ME 04011 Phone: 207-607-4155 Email: Regen@Coastalortho.com
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Frequently Asked Questions (FAQs)

How do I book an appointment?

Appointments can be booked by requesting an appointment, emailing regen@coastalortho.com, or calling 207-607-4155.

Do you take insurance for regenerative services?

No, we believe medical evaluation and treatment decisions are shared between physicians and patients. Most of our services are HSA/FSA eligible.

How do I submit the bill to insurance?

We generate a superbill for services provided. It is the patient’s responsibility to submit the required forms to their insurance company. The insurance company then reimburses patients directly.

What types of payment do you accept?

For self-pay options we accept all major debit and credit cards, cash, and check. Our team ensures transparent pricing.

Can I use my HSA or FSA account?

Our services are HSA/FSA eligible. Please check with your HSA/FSA administrator if you have questions.
Copyright © 2025 Coastal Orthopedics & Sports Medicine. All rights reserved.

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