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  • Board-Certified Orthopedic Surgeon
  • 25+ Years Experience
  • Hilo, Big Island

Heal without surgery. Move without pain.

Dr. David Hock, DO uses ultrasound-guided PRP therapy to help your body repair worn joints, tendons and ligaments, naturally, right here on the Big Island.

Am I a candidate? (2-min check) How PRP works

Honest assessment Transparent pricing No referral needed

25+
Years as an orthopedic surgeon
3,500+
Procedures performed
45 min
In-office, no hospital stay
$1,200+
Transparent cash pricing

Why Island Orthobiologics

Most PRP clinics won't tell you when it won't work.

Dr. Hock will. After 25+ years and thousands of surgeries, he came to regenerative medicine for one reason: to help people skip the operating room when their body can heal itself, and to be honest when it can't.

A surgeon, not a salesman

Dr. Hock spent 25+ years in the operating room. He knows exactly when PRP can help, and when you genuinely need surgery. He'll tell you the difference.

The Big Island's PRP option

You shouldn't have to fly to Honolulu for regenerative care. Island residents finally have ultrasound-guided PRP, right here in Hilo.

Honest, published pricing

No mystery quotes or pressure. Our cash prices are right on the website, and we tell you up front how many sessions a condition usually needs.

Evidence, graded honestly

We grade every condition by what the research actually shows, strong, mixed, or weak. If PRP won't help you, we say so. That's the whole point.

Watch, 90 seconds

See how PRP actually works.

The whole process, from a simple blood draw to real healing, in about a minute and a half.

The process

Your own blood, concentrated into medicine.

PRP uses the healing platelets already in your blood, concentrated and delivered precisely where you need them. Four steps, about 45 minutes, no hospital.

  1. 01

    Blood draw

    We draw a small sample of your blood, just like a routine lab test. Quick and simple.

  2. 02

    Concentration

    A centrifuge concentrates your platelets to 5–10× their normal amount, the healing payload.

  3. 03

    Precision injection

    Using ultrasound guidance, Dr. Hock places the platelets exactly where you're injured.

  4. 04

    Natural healing

    Growth factors recruit your body's repair response over the next 4–12 weeks. Real healing, not masking.

The full PRP guide
A centrifuge tube showing blood separated into golden platelet-rich plasma above red blood cells

The golden layer is your platelet-rich plasma, the active healing fraction.

The whole point

This isn't about an injection. It's about everything after.

Hiking the volcano trails. Your tennis serve. Walking Hilo Bay at sunrise. Keeping up with the grandkids. PRP is just the means, getting you back to the life you love is the point.

Find your condition Am I a candidate?
A hiker pausing on a ridge trail above the ocean
A tennis player reaching for a serve

Movement is the goal.

Conditions we treat

What hurts? Here's the honest evidence.

Every condition is graded by what the research actually shows. Tap one to see the data, the success rates, and whether you're a good candidate.

Strong Mixed Weak
Strong evidence

Knee Pain & Arthritis

One of PRP's strongest, best-studied uses.

See the evidence
Mixed evidence

Rotator Cuff & Shoulder Pain

Helps irritated tendons; not a fix for full tears.

See the evidence
Strong evidence

Plantar Fasciitis & Heel Pain

Often the better choice for chronic heel pain.

See the evidence
Strong evidence

Tennis & Golfer's Elbow

Strong evidence, outperforms cortisone long-term.

See the evidence
Mixed evidence

Hip Pain & Arthritis

Can help, but evidence is modest, we'll be candid.

See the evidence
Honest take: weak evidence

Achilles & Chronic Tendon Pain

Honest take: the evidence doesn't support it well.

See the evidence

The honest comparison

Surgery, steroids, or PRP?

For the right candidate, the trade-offs are clear. For the wrong one, Dr. Hock will point you to surgery instead.

Surgery

$15K–50K

  • 6–12 months recovery
  • General anesthesia & hospital stay
  • Extensive physical therapy
  • Permanent changes to anatomy
  • Months off work
Often the sweet spot

PRP Therapy

$1,200–3,000

  • Back to light activity in days
  • 45-minute office procedure
  • Uses your own blood, no rejection
  • Ultrasound-guided precision
  • Rebuilds tissue, lasting relief

Steroid Shots

$200–500

  • Relief lasts only 6–12 weeks
  • Masks pain, doesn't heal
  • Weakens tissue over time
  • Limited to 3–4 shots per year
  • Pain often returns worse

See the full breakdown, including HSA/FSA → Cost & insurance

Dr. David Hock, DO, board-certified orthopedic surgeon

Meet your doctor

After 20 years of surgery, I found a better way.

"I spent over two decades performing surgeries, thousands of them, from sports injuries to joint replacements. I was good at it. But I kept asking: how many of these could we have avoided?"

"That question led me to regenerative medicine. I trained extensively in PRP and saw it help people heal without the knife. Now I've brought it home to the Big Island, because island residents deserve this without flying to Honolulu."

Dr. David Hock, DO

Board-Certified Orthopedic Surgeon · Affiliated with Hilo Medical Center

Read Dr. Hock's story
Turquoise water against the black lava coastline of the Big Island of Hawaii

Care that belongs here

“Island residents shouldn't have to fly to Honolulu to heal. The Big Island deserves this, close to home.”

Dr. David Hock, DO

Your next step

Not sure if PRP is right for you?

Take the 2-minute assessment, or talk to Dr. Hock directly. He'll give you an honest answer, even if that answer is “this won't work for you.”

Take the 2-min assessment Request a consultation
or call (808) 980-1196