Fellow of the American Osteopathic Academy of Sclerotherapeutic Pain Management and 1976 Philadelphia College of Osteopathic Medicine graduate Andrew L. Kulik, DO runs a solo osteopathic practice at 3446 Park Boulevard under California DO license 20A4373. Prolotherapy, platelet-rich plasma injections, and osteopathic manipulative treatment fill most of the appointment book, treating the same musculoskeletal pain syndromes that drive referrals to The Pain Center San Diego, but through regenerative injection protocols rather than interventional epidurals or nerve blocks. Case mix covers rotator cuff tendinopathy, hip labral tears, SI joint dysfunction, knee osteoarthritis, chronic ankle sprains, and post-concussion cervicogenic headaches without routing to surgical specialists. Prolotherapy and PRP series patients rebuild load tolerance around the treated joint through structured rehabilitation at Spine & Sport Physical Therapy - Hillcrest, 5th Ave. within the same 92103 footprint. Hormone optimization consults, IV nutrient support, and anti-aging protocols round out the general osteopathic panel for patients avoiding conventional pharmacotherapy. The core referral base consists of failed surgical candidates — patients advised they need shoulder decompression, knee arthroplasty, or hip arthroscopy but wanting a documented conservative trial of regenerative injection therapy first.