ReNew Performance Institute

Stay active with our innovative, state of the art therapies. The Performance Institute is a team of experienced and skilled practitioners who are dedicated to the treatment of musculoskeletal disorders such as chronic joint pain, muscle injury, and tendon and ligament disorders.


Our expert team comprehensively evaluates you and customizes a care plan best suited for you.


None of our treatments are performed with instruments larger than a needle.


Ideal for very active individuals who are seeking non-invasive treatment that produces immediate results. 

Head & Neck

ReNew Institute can help you achieve a healthy, pain-free head and neck. Whether you have acute or chronic pain, arthritis, or headaches, our clinicians will work with you to diagnose your specific problem and recommend the best treatments to relieve pain, reduce inflammation, and accelerate the healing process.

  • Neck Pain
    • Cervical Herniated Disc
    • Cervical Pinched Nerve
    • Cervical Radiculitis
    • Cervical Stinger
  • Headaches
    • Occipital Neuralgia
  • Whiplash
  • Cervical Stenosis
  • Intercostal Neuralgia


Shoulder pain can be caused by a variety of factors, including trauma, overuse, arthritis, and inflammatory disorders. It can have a significant impact on your quality of life and overall body function.

  • Inflammatory Conditions
    • Calcific Tendonitis
    • Bursitis
    • Adhesive Capsulitis (Frozen Shoulder)
  • Tear
    • Rotator Cuff Tear
    • Biceps Tendon tear/tendinosis
  • Arthritis
    • Shoulder Arthritis
  • Joint Pain
    • AC (acromioclavicular) Joint Pain
    • SC (sternoclavicular) Joint Pain
  • Other
    • Shoulder Pain
    • Shoulder Strain

Spine & Back

Back pain can be a debilitating condition that can make it difficult to do everyday activities. It can be caused by a variety of factors, including nerve and muscular problems, poor posture, acute injuries, and arthritis.

  • Degenerative Disc Disease
  • Herniated Disc
  • Stenosis
  • Facet Arthritis
  • Pinched Nerve
  • Lumbar Radiculitis
  • Sciatica
  • Sacroiliac Joint (SI) Dysfunction
  • Intercostal Neuralgia
  • Rib Pain

Hand & Wrist

The hands and wrists are often subjected to strain due to everyday overuse, acute injuries, and age-related conditions such as arthritis. This can lead to joint and muscle pain, stiffness, and swelling.

  • Arthritis
    • Carpometacarpal Joint Arthritis
    • Metacarpophalangeal Joint Arthritis
    • Thumb Arthritis
  • Inflammation
    • Carpal Tunnel Syndrome
    • De Quervain’s Tenosynovitis
    • Ganglion Cyst
  • Other
    • Neuritis
    • Gout


Conditions like tennis elbow, bursitis, dislocation, arthritis, and overuse can all cause pain, swelling, and discomfort. Our innovative diagnostic technologies can help us quickly identify the cause of your problem and recommend the best treatments to reduce stiffness, decrease pain, and regain mobility.

  • Elbow Tendinopathies
    • Golfer’s Elbow (Medial Epicondylitis)
    • Tennis Elbow (Lateral Epicondylitis)
  • Triceps Tendonitis
  • Biceps Tendinitis
  • Biceps Tenosynovitis
  • Ulnar Neuritis

Joint & Hip

The pelvis, hip, and sacroiliac (SI) joint can cause pain and physical dysfunction, making everyday activities and restful sleep challenging and uncomfortable.

  • Arthritis
    • Sacroiliac Arthritis
    • Hip Osteoarthritis
  • Inflammation
    • Sacroiliitis
    • Gluteal Tendinosis
    • Bursitis
    • Tendinitis
  • Neuropathy
    • Pudendal Neuralgia
    • Border Nerve Syndrome
    • Meralgia Paresthetica
  • Impingement
    • Ischiofemoral Impingement
    • Femoral Acetabular Impingement
  • Other
    • Gluteus Medius Dysfunction
    • Piriformis Syndrome
    • Hamstring Strain
    • Hip Effusion
    • Labral Tear

Knee & Leg

The knee is one of the most important joints in the body, and it is also one of the most vulnerable to injury. This is because the knee is a weight-bearing joint, which means that it supports the weight of the body when we walk, run, or jump. This constant stress can wear down the cartilage in the knee, which can lead to pain and other problems.

  • Injuries
    • Meniscal Tear
    • Medial Collateral Ligament (MCL)
    • Posterior Cruciate Ligament (PCL)
    • Anterior Cruciate Ligament (ACL)
  • Inflammation
    • Effusion
    • Bursitis
    • Patellar Tendinosis
    • Tendonitis
  • Other
    • Knee Osteoarthritis
    • Compartment Syndrome
    • Popliteal Cyst

Foot & Ankle

The foot is a complex and delicate structure that is made up of many different bones, joints, muscles, and ligaments. It is also a weight-bearing structure that supports the entire body. This makes the foot and ankle susceptible to a wide range of injuries and conditions.

  • Inflammation
    • Plantar Fasciitis
    • Posterior Tibial Tendinitis
    • FHL Tendonitis
    • Os Trigonum Syndrome
    • Os Naviculare Syndrome
    • Morton’s Neuroma
    • Sesamoiditis
  • Instability
    • Ankle Instability
  • Arthritis


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Alternative Non-Operative Treatment Options:

Genicular Artery Embolization

Genicular artery embolization provides pain relief due to knee osteoarthritis by blocking blood flow to the lining of the knee (joint capsule and synovial tissue) and helping to reduce inflammation.

Platelet Rich Plasma Therapy

PRP Therapy is an innovative, all-natural treatment option for joint pain and tendon injuries. It’s a safe, non-surgical treatment that utilizes proteins and growth factors.

Genicular Nerve Ablation

Genicular nerve ablation stops the pain related to knee osteoarthritis at the origin by disrupting the sensory nerves that signal pain to the brain, providing effective pain relief without requiring surgery.

Physical Therapy

Enabling patients to improve performance through injury prevention, strengthening, restoring range of motion, and flexibility.

Treatment Videos

Click on a video below to learn more about some of the treatments and relief we offer at ReNew Institute.

Musculoskeletal Radiology Specialists 

David Tsai, MD

Dr. David Tsai specializes in Musculoskeletal and Trauma radiology. He received his medical degree from the University of Missouri-Kansas City.

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Brandon Roller, MD PhD

Dr. Brandon Roller received his medical degree and a Doctorate in Pathobiology from the University of Missouri.

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Jerrell Ingalls, MD

Dr. Jerrell Ingalls specializes in Musculoskeletal and went to medical school at Baylor College of Medicine in Houston, Texas.

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Marius Pakalniskis, MD

Dr. Marius Pakalniskis studied medicine at Dartmouth’s Geisel School of Medicine in New Hampshire.

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Jonathan T. Sims, MD MBA

Dr. Jonathan Sims received his medical degree and MBA from the University of South Florida, where he also completed his residency and internship.

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Alex Dabrowiecki, MD

Dr. Dabrowiecki (Dom-bro-viet-ski) was born and raised in the Bay Area in Northern California. Prior to medical school he worked as a paramedic – which is how he discovered his love for medicine.

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Donald Garbett, MD

Dr. Donald Garbett specializes in Vascular and Interventional radiology. He studied medicine at University of Illinois in Chicago.

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Dmitriy Kazimirko, MD

Dr. Kazimirko graduated with honors from Northeast Ohio Medical University followed by postgraduate training in Diagnostic Radiology at the University of Mississippi.

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Dariusz Zawierucha, MD

Dr. Zawierucha did his medical training at Stanford Medical School and completed his residency there in diagnostic radiology and fellowship in interventional radiology.

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Bernardo Isuani, MD

Dr. Bernie Isuani received his medical degree from the University of Texas and completed his radiology residency at Vanderbilt University Medical Center in Nashville.

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Jonathan Jo, MD

Dr. Jo received his medical degree at Weill Cornell Medical College in New York City and completed his Diagnostic Radiology residency and interventional radiology fellowship at UCSF.

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