The B.I.O.S DIFFERENCE - The BIOS Orthopedic Institute

Experience… EXPERIENCE.

Having done thousands of interventional orthopedic procedures including PRP, BMC, and mFat procedures, Dr. Panero has a wealth of knowledge on what type of biologic to use in specific problems and how to make adjustments that can optimize the outcome. His research and international experience gives him access to the world’s best consultants to discuss difficult cases and upcoming technologies. In the rare occasion that a complication happens this experience can be the guiding light on overcoming it and getting the cart back on track.


Long gone are the days of stabbing around with the needle until you find the spot. With advancements in imaging technology there is no reason not to do every procedure with image guidance to ensure optimized precision and safety.

At B.I.O.S we are specialty trained in the use of:

Musculoskeletal Ultrasound – a dynamic imaging modality that we use both to diagnose pathology and guide procedures.

Fluoroscopy – live x-ray guidance that allows us to reach specific anatomical locations in the spine and guide needles precisely inside of bones for injections.

Nanoarthroscopy – this amazing new technology allows us to look inside of the knee with a camera slightly bigger the size of a needle.

Customized Prescriptions

Every patients brings with them a unique condition within the context of their physical abilities, genetic predisposition, and lifestyle habits. Thus, even the same type of pathology may have to be treated differently in different patients. Moreover, not every patient’s goals are the same. One may be trying to walk without pain, while the other wants to run an ultra-marathon without pain.

In that same vein, not every interventional orthopedic treatment can be done exactly the same way.

At B.I.O.S we tailor each treatment plan accordingly. We are able to make a variety of PRP and BMC preparations, and use in certain scenarios scaffolds to ensure that we


At B.I.O.S we believe in the mind body connection and developing a relationship that meets our patient’s goals. We treat everyone with empathy and compassion. The art of medicine lives within the human touch. In order to apply the science we have to always ensure the right diagnosis is being made. Treating the patient first and not just the imaging findings, we focus on a thorough physical exam to connect the patient to the diagnostic findings.

I was very happy with Dr. Panero. He took his time to listen to me and evaluate me. Then he went over all my options and answered all my questions. I am very glad I was referred to him!

David M.

Dr Panero is superb. Always and I have unqualified respect and admiration and trust in him. I am fortunate to be a patient and client of his. His staff are excellent and so professional and thoughtful too.

Leslie S.

I just had my first visit with Dr. Panero and found him to be knowledgeable and personable. I appreciate the fact that he was straightforward with my options for treatment, which are limited due to the nature of my orthopedic problem. I will continue with his recommended injections.

Karen L.

Very personable and knowledgeable presenting options for the problem and then going forward from the choice made. I would definitely recommend him to friends and family! Office staff is fabulous as well.

Jim M.

Dr. Panero is an amazing physician who truly cares about the wellbeing of his patients. His entire team is dedicated, thorough, and professional who makes sure all appointments go smoothly even with the ongoing pandemic. Dr. Panero recommended PRP for my elbow tendinitis and truly advocated for me to get the treatment I needed to improve my chronic pain. I am so grateful to be one of Dr. Panero’s patients!

Rena S.