Alberto J. Panero, D.O.
Regenerative Orthopedics Specialist & Sports Medicine Specialist located in Sacramento, CA
Alberto J. Panero, D.O. is a board-certified Physical Medicine & Rehabilitation physician with subspecialty certification in Sports Medicine and an internationally recognized leader in regenerative orthopedics and interventional sports medicine. He is the founder of The BIOS Orthopedic Institute, a premier practice based in Sacramento, California, focused on advanced orthobiologic treatments and precision, non-surgical musculoskeletal care.
Dr. Panero serves as core faculty for the University of California, Davis PM&R Sports Medicine Fellowship, where he is actively involved in training the next generation of physicians in interventional orthopedics, musculoskeletal ultrasound, and regenerative medicine. He is widely regarded for his expertise in orthobiologics, including platelet-rich plasma (PRP) and advanced tissue-based therapies, stem cells, as well as high-level image-guided procedures.
He has authored multiple peer-reviewed publications and has delivered over 100 national and international presentations on orthobiologics, ultrasound-guided procedures, and sports medicine at leading conferences, including AAOS, AMSSM, AOSSM, TOBI, and the Biologic Association. His work focuses on bridging innovation, clinical outcomes, and real-world application in regenerative medicine.
Dr. Panero currently serves as a team physician for Team Alpha Male and works closely with professional mixed martial artists, including UFC fighters, specializing in high-performance, non-surgical recovery strategies for combat athletes. He has previously served as team physician for the Sacramento River Cats (Triple-A affiliate of the San Francisco Giants) and Sacramento Republic FC, as well as Co-Head Team Physician for Sacramento State University. His clinical practice spans from elite and professional athletes to active individuals seeking advanced, non-surgical solutions to optimize recovery and performance.
A former elite athlete, Dr. Panero competed in track and field, baseball, and soccer, and was part of the United States Olympic Development Program in soccer, competing internationally in the United States, France, and Argentina. His own experience with recurrent injuries ultimately led him to pursue a career in sports medicine, where he now applies that same competitive mindset and personal insight to patient care.
Dr. Panero takes a comprehensive, physiatric approach to care—focusing on restoring function, optimizing performance, and addressing the root cause of injury. He is committed to delivering innovative, patient-centered care while advancing the field of regenerative orthopedics through clinical practice, research, and education.
CLINICAL TRIALS & PUBLICATIONS
1. Panero A J, Warrick A E, Nakagawa H, et al. (August 16, 2025) Comparing Biologic Factor Composition of Birth Tissue-Derived Allografts and Platelet-Rich Plasma. Cureus 17(8): e90259. doi:10.7759/cureus.90259
2. Panero, A., Barber, M.S., et al., 2025. Musculoskeletal Ultrasound in Orthobiologic Care—From Harvest to Injection: A Cadaveric Validation of Ultrasound-Guided Lipoaspiration for Orthobiologic Applications. Medical Research Archives, 13(6). https://doi.org/10.18103/mra.v13i6.6606
3. Clinical Trial: Autologous Adipose-Derived Stromal Vascular Faction for Treatment of Knee Osteoarthritis. ClinicalTrials.gov ID: NCT04440189. Sponsor GID BIO, Inc. Status: Recruitment Completed.
4. Panero AJ, Everts PA, Nakagawa H, Sussman W, Qin X. Basic Science of Allograft Orthobiologics. Phys Med Rehabil Clin N Am. 2023 Feb;34(1):49-61. doi: 10.1016/j.pmr.2022.08.005. PMID: 36410890.
5. Everts PA, Panero AJ. Basic Science of Autologous Orthobiologics: Part 2. Mesenchymal Stem Cells. Phys Med Rehabil Clin N Am. 2023 Feb;34(1):25-47. doi: 10.1016/j.pmr.2022.08.004. Epub 2022 Oct 18. PMID: 36410885.
6. Panero AJ, et.al. (2022). Allograft Tissues (pp 89-101). In Williams C, Sussman W, Pitts, J. Atlas of Interventional Orthopedics Procedures. Elsevier.
7. Rothenberg J, Godha K, Civitarese D, Malanga G, Singh J, Panero A, Everts P, Dididze M, Jayaram P. Pain and Functional Outcomes of the Sacroiliac Joint After Platelet Rich Plasma Injection: A Descriptive Review. Regenerative Medicine. E-pub ahead of print. 10.2217/me- 2020-0110
8. Hirhara AM, Andersen WJ, Panero AJ. Superior Capsular Reconstruction with Dermal Allograft Demonstrates Evidence of Hypertrophy and Vascularization on Ultrasound. Arthroscopy. 2019 Dec;35(12):3194-3202
9. Panero AJ, Hirahara AM, Andersen WJ, Rothenberg J, Fierro F. Are Amniotic Fluid Products “Stem Cell” Therapies? A Study of Amniotic Fluid Preparations for Mesenchymal Stem Cells with Bone Marrow Comparison. Am J Sports Med. 2019 Mar 7:363546519829034.
10. Hirahara AM, Panero AJ, Andersen WJ. An MRI Analysis of the Pelvis to Determine the Ideal Method for Ultrasound-Guided Bone Marrow Aspiration from the Iliac Crest. Am J Orthop. 2018 May; 47(5).
11. Hirahara AM, Panero AJ, Andersen WJ. Superior Capsular Reconstruction: Clinical Outcomes After Minimum 2-Year Follow-Up. Am J Orthp. 2017 Nov/Dec; 46(6). 266- 278.
12. Hirahara AM, Panero AJ. A Guide to Ultrasound of the Shoulder, Part 3: Interventional and Procedural Uses. Am J Orthop. 2016 Nov; 45(7):440-45.
13. Raghunanandan A, Panero AJ. Platelet-Rich Plasma or Hyaluronic Acid Intra-Articular Knee Injections for Early OA, Which is Better? Sport Rev J. 2016;1(6).
14. Panero AJ, Hirahara AM. A Guide to Ultrasound of the Shoulder, Part 2: The Diagnostic evaluation. Am J Orthop. 2016 May-Jun; 45(4):233-8.
15. Hirahara AM, Panero AJ. A Guide to Ultrasound of the Shoulder, Part 1: Coding and Reimbursement. Am J Orthop. 2016 Mar; 45(3):176-82.
16. Rothenberg J, Ross K, Harrington A, Panero A: How a Seemingly Minimal Physical Exam Finding Unveiled a More Serious Condition: A Case Report. J Med Cases. 2015; 6(6):240- 24
17. Bashir J, Panero A, Sherman A. The Emerging Use of Platelet-Rich Plasma in Musculoskeletal Medicine. JAOA. 2015 Jan; 115(1): 24-31.
18. Fins JJ, Hammond C, Tarsney PS, Panero A. Surrogate decision making in the case of a pregnant woman newly disabled with brain injury. PMR. 2013 Jan; 5(1): 57-65
19. Panero, A. Accuracy of shoulder injections using an anterior approach. A review of Kraeutler, M. et al., Accuracy of intra-articular injections of the glenohumeral joint through an anterior approach: arthroscopic correlation. J Shoulder Elbow Surg. 2012; 21, 380-383. Published in Rehab in Review Vol 20, #4, pgs 2-3.
TEACHING & PRESENTATION EXPERIENCE
Mar, 2026 – SLARD 2026 XV Congreso Internacional, Lima, Peru
• Ortobioilogicos en Orthopedia
Dec, 2025 – Major League Baseball (MLB) Winter Conference
• From Dugout to Destination: Understanding Stem Cell Options
at Home and Overseas
Dec, 2025 – Arthrex Advancement in Orthobiologics Course, Denver, CO
• Updates in Intraosseous Bioplasty
Aug, 2025 – The Orthobiologic Institute (TOBI), Las Vegas, NV
• 16th Annual Regenerative Medicine Symposium
More Platelets, More Problem
May, 2025 – Arthrex Advancement in Orthobiologics Course, Naples FL
• Optimizing Platelet-Rich Plasma: Understanding Concentration
and Dosing for Enhanced Clinical Outcomes
May, 2025 -2025 Annual Summit- Arthroscopy Association of North America/Biologic Association
• Dosing Implications and Outcomes for Knee Osteoarthritis
Apr, 2025 – Arthrex Advancement in Orthobiologics Course, Denver, CO
• Intraosseous Bioplasty Lab Instructor
Feb, 2025 – University of California, Irvine PM&R Residency Webinar
• Percutaneous Ultrasonic Tenotomy
Nov, 2024 – Orthobiologics Global Exchange, Naples Fl
• Adipose in the U.S.A
Oct, 2024– Arthrex Advancement in Orthobiologics Course, Denver, CO
• Intraosseous Bioplasty Lab Instructor
Jun, 2024 – The Orthobiologic Institute (TOBI), Las Vegas, NV
15th Annual Regnerative Medicine Symposium
Mar, 2024 – Arthrex Advancement in Orthobiologics Course, Naples FL
• Intraosseous Bioplasty Lab Instructor
Mar, 2024 – Steelhead Surgical Orthobiologics Roundtable, Bend OR
Feb, 2024 – University of California Davis, Dept PM&R, Sacramento, CA
• Percutaneous Ultrasonic Debridement of Tendon & Bone
Oct, 2023 – Arthrex Advancement in Orthobiologics Course, Naples FL
• Intraosseous Bioplasty Lab Instructor
Sep, 2023 – Madigan Air Force Base Tenex Course, Seattle, WA
• Percutaneous Ultrasonic Debridement of Tendon & Bone
Aug, 2023 – Arthrex Advancement in Orthobiologics Course, Long Beach, CA
• Intraosseous Bioplasty Lab Instructor
Aug 2023 – Biologics International Training Singapore Webinar
• Orthobiologics for Arthritis & Tendonitis
Jun, 2023 – The Orthobiologic Institute (TOBI), Las Vegas, NV
• 14th Annual Regenerative Medicine Symposium
• Miniature Scope Needle Guided Biologic Injections: When, Why, & How?
The Interventional Orthopedic Foundation Annual Meeting, Phoenix, AZ Feb, 2023
• Master of Ceremonies
Feb, 2023 – Advanced Regenerative Medicine Institute – EVOLVE Conference
• Intraosseous Bioplasty Injections
Jan, 2023 – Ossur National Sales Meeting
• Key Note Speaker
• Understanding the Business Support Needs for Clinical Practices
Dec, 2022 – Arthrex Advancement in Orthobiologics Course
• Intraosseous Bioplasty Lab Instructor
Equine Regenerative Medicine & Orthobiologics Summit Online Oct, 2022
• Amnion Products, What’s in the Product and Why and When to Choose?
Jun, 2022 – Clarius Mobile Health Ultrasound Webinar
• Optimizing Reimbursement for Diagnostic MSK Exams, Ultrasound Guided Interventions and Surgery Webinar
Jun, 2022 – The Orthobiologic Institute (TOBI), Hollywood, FL
• 13th Annual Regenerative Medicine Symposium
• Perinatal Tissues: The End or Just the Beginning? Comparative Analysis of PRP, Amnion, Wharton’s Jelly, and Exosome Products
May, 2022 – Biologic Association – 3rd Annual Summit, San Francisco, CA
• AOSSM-AANA Combined Annual Meeting
• Platelet Rich Plasma (PRP) in Osteoarthritis
Apr, 2022 – AMMSSM 21st Annual Meeting – Orthobiologic Pre-Course, Austin Tx
• Platelet Rich Plasma (PRP) 2.0
• Birth Tissue Derived Producs – Are We Done With Them, or Will They Survive Regulatory Scrutiny?
Mar, 2022 – Sociedad Latinoamericana De Artroscopia, Reconstrucción
Articular Y Trauma Deportive (SLARD) – Cartagena, Colombia
• 13th Annual Congress
• Live Cadaveric Demonstration of Ultrasound Guided Interventional Procedures
• Orthobiologics for Sports Applications
Jan, 2022 – Biologics Association Webinar – Orthobiologics Live!
• ABC’s of Amnion: Regulatory Considerations and the Future of
Perinatal Tissues
Nov, 2021 – KIME Physical Therapy Lecture Series, Sacramento, CA
• Orthobiologics – A comprehensive Overview
The Orthobiologic Institute (TOBI) Oct, 2021
• 12th Annual Virtual Regenerative Medicine Symposium
• PRP Applications Panel
Jul, 2021 – Orthobiologics South Atlantic & Southeast Regional Training Webinar
• Nonoperative Spine Orthobiologics
Jun, 2021 – Latinamerica (LATAM) Orthobiologic Education Webinar
• Optimizando mis Resultados con Plasma Rico en Plaquetas
Jun, 2021 – Biologic Association – Annual Summit, Nashville, TN
• AOSSM-AANA Combined Annual Meeting
• Complications from Allograft Tissues
Mar, 2021 – Arthrex National Training Webinar
• Orthobiologics in Spine Care Webinar
Mar, 2021 – An Evening Webinar Series
• Orthobioloigcs: The Epic Duel – Part 2
Mar, 2021 – Advancements in Orthobiologics, Naples, FL
• Anatomy & Landmarks Bone Marrow Aspiration
• Spine and Orthobiologics
Mar, 2021 – An Evening Webinar Series
• Orthobioloigcs: The Epic Duel – Part 1
Feb, 2021 – University of California, Los Angeles (UCLA) Fellowship Training
• Department of Pain Management
• ACGME Fellowship Conversations on Orthobiologics Webinar
Jan, 2021 – VA National Lecture on Biologics
• Allograft options in Orthobiologics
Jan, 2021 – An Evening Webinar Series
• Orthopedic Options for Massive Rotator Cuff Tears
Dec, 2020 – An Evening Webinar Series
• The Role of Musculoskeletal Ultrasound in Orthopedics
Nov, 2020 – Equine Regenerative Medicine and Orthobiologics Summit
• Acellular Orthobiologics Expert Panel
Aug, 2020 – Programa de Educacion Medica LATAM – Ortobiologicos
• Orthobiologic Applications in OA & Sports Medicine
Jul, 2020 – Spin for the Win: Autologous Blood Product Content & Applications
• What’s Important in an Autologous Blood Product?
• Case Presentations
Jun, 2020 – The Orthobiologic Institute
• TOBI 11th Annual PRP & Regenerative Medicine Symposium
• Presenting; Non-Surgical Options for Tendinopathy
• Panel: Rehabilitation after Biologic Injections
May, 2020 – Lipoaspiration Crash Course
• Indications for Adipose Derived therapies
• Ultrasound guided lipoaspiration techniques
Apr, 2020 – American Medical Society for Sports Medicine (AMSSM)
• Knee OA, Biologics, & Biomechanics
Feb, 2020 – The Interventional Orthopedic Foundation Annual Meeting
• Are Amniotic Fluid Products Stem Cell Therapies
Oct, 2019 – American Osteopathic Academy of Orthopedics (AOAO)
• Annual Fall Meeting
• Are Amniotic Fluid Products Stem Cell Therapies
Jun, 2019 – The Orthobiologic Institute
• TOBI X 10th Annual PRP & Regenerative Medicine Symposium
• Presenting; Are Amniotic Fluid Products “Stem Cell” Therapies?
• Panel: PRP, BMC, LIPO, AMNIO: Which do I Chose
Mar, 2019 – American Academy of Orthopedic Surgery (AAOS)
• AAOS Annual Meeting Presentation
• Are Amniotic Fluid Products “Stem Cell” Therapies? A Study of Amniotic Fluid
Jan, 2019 – San Francisco Giants Sports Medicine Conference
• Orthobiologics in Baseball Inj
Jan, 2019 – Grand Rounds – University of California, Davis, CA
• Orthobiologics: What, When, & Where?
Dec, 2018 – Musculoskeletal Ultrasound Course, Seattle, WA
• Introduction to Ultrasound
• Cadaveric Injection Lab
Dec, 2018 – Advancements in Orthobiologics Course, Seattle, WA
• Basic science of PRP & Bone Marrow
• Surgical Outcomes System
Oct, 2018 – American Orthopedic Society for Sports Medicine (AOSSM)
• Orthobiologics: Integrating Biologics and Clinical Ultrasound into Your Practice
• Lab Faculty for MSK ultrasound
Aug, 2018 – Advancements in Orthobiologics Course, Denver, CO
• Basic science of PRP & Bone Marrow
• Surgical Outcomes System
Aug, 2018 – 3rd Annual Results Sports Medicine Symposium, Sacramento, CA
• Orthobiologic Options for Foot & Ankle Pathology
Aug, 2018 – Musculoskeletal Ultrasound Course, Sacramento, CA
• Introduction to Ultrasound
• Billing & Coding of Ultrasound Procedures
Aug, 2018 – Ultrasound In Orthopedics Hands On Course, Redlands, CA
• Basics of ultrasound
• Hands on Shoulder and Knee Training
• Cadaveric Ultrasound Guided Injections
May, 2018 – Foot & Ankle Fellowship Forum, Naples, FL
• Role of Ultrasound in the Foot & Ankle
Apr, 2018 – Orthopedic Technology & Innovation Forum, San Diego, CA
• Post-operative Ultrasound Evaluation After SCR
Mar, 2018 – Advancements in Orthobiologics Course, Naples, FL
• PEARLS in advanced ultrasound guided procedures
Feb, 2018 – Advancements in Orthobiologics Course, Denver, CO
• Alphabet Soup: PRP, Bone Marrow, & Biologics
Jan, 2018 – Advancements in Orthobiologics Course, Seattle, WA
• Basic Science of PRP & Bone Marrow Concentrate
• Orthobiologics & Patient Selection
Jan, 2018 – Principles of MSK Ultrasound, Fresno, FL
• Introduction to MSK Ultrasound
• US Guided Injections
• Billing & Coding
Dec, 2017 – Musculoskeletal Ultrasound Course, Naples, FL
• Lab Faculty for Hands-on Scanning
• Cadaveric Ultrasound Guided Injections
Dec, 2017 – Advancements in Orthobiologics Course, Naples, FL
• Tips for Advanced Ultrasound Guided Procedures
• Evolution of Orthobiologics
Oct, 2017 – 3nd Annual Innovative Techniques: Knee, Hip, and Shoulder Course – Las Vegas, NV
• Course Director: Innovative Techniques Advanced Orthobiologics
• Faculty; Introduction to MSK Ultrasound Course
Aug, 2017 – Advancements in Orthobiologics Course, Los Angeles, CA.
• Orthobiologics & Patient Selection
• Continuum of Patient Care
Jun, 2017 – Regenerative Medicine Summit, Tracy, CA
• Ultrasound Guided Lipoaspiration
Apr, 2017 – Manor Care Health Services, Citrus Heights, CA
• The role of PM&R in Skilled Nursing Facilities
Feb, 2017 – Sutter Medical Center, Department of Family Medicine, Sacramento, CA
• Regenerative Therapies for Tendinopathy
2016 – 2nd Annual Innovative Techniques: The Knee – Las Vegas, NV
• Faculty / Instructor for MSK Ultrasound Course
• Proctored Ultrasound of the Hip Section
2016 – Orthopedic Grand Rounds, Sutter Medical Center, Sacramento, CA
• Cellular and Regenerative Treatments in Orthopedics
2015-Present – Sports Medicine Fellowship – University of California, Davis, CA
• Clinical Faculty|
• Didactic and Hands on Sessions with Yearly Sports Medicine Fellow
2016 – Sports Medicine Soccer Symposium – Results PT, Sacramento, CA
• Sports Concussion
2015 – 1st Annual Innovative Techniques: The Knee – Las Vegas, NV
• Faculty / Instructor for MSK Ultrasound Course
• Proctored Ultrasound of the Hip Section
2015 – Sacramento Republic F.C. – The Coaches’ Symposium – Sacramento, CA
• Concussion in the Soccer Athlete
2015-2016 – University of California Davis, Department of Family Medicine, Sacramento, CA
• Resident Lecture Series – The Hip Exam
• Resident Lecture Series – Ankle/ Foot Injuries
2015 – 40th Annual Education Conference. Network of Family Medicine Residencies, Sacrament, CA
• Musculoskeletal Injection Workshop
2013-Present University of California, Davis, CA – Course Faculty – Musculoskeletal Ultrasound Course
• Hands On Ultrasound Course for Residents and Fellows
2013-Present Sacramento, CA – University of California, Davis, Department of Rehabilitation Medicine
• Journal Club
• Anatomy Lab
• Sports Medicine Imaging Conference
• Musculoskeletal Physical Exam Course
– Resident Lectures
2010-2013 – University of Miami, Department of Rehabilitation Medicine
• Musculoskeletal Ultrasound Course – Anatomy Review of Elbow & Hand
• Journal Sheth N, et. al. DVT Prophylaxis in Total Joint
• Orthop Clin N Am 2010. 41, pgs 273-280.
• Cucurrulo Club- board review lecture series on Traumatic Brain Injury
• Cucurrulo Club- board review lecture series on Wheelchair
