Case study

Case Study: How We Approached Chronic Elbow Pain and Fatigue in a 65-Year-Old

A regenerative protocol combining IV stem cell therapy, weekly ozone, and BHRT.

Every outcome here is an individual result, not a typical or guaranteed one. Outcomes vary substantially between patients, which is why we lead with how each protocol was reasoned rather than a headline number. Whether any therapy is right for you is determined from your own labs and history at consultation.

Patient snapshot

A 65-year-old business owner and avid golfer with a partial knee replacement presented with chronic golfer’s elbow, worsening fatigue, low testosterone, and lab-confirmed EBV reactivation.

The struggle

His routine physicals came back "fine," but his energy had dropped, his mental sharpness had blunted, and chronic golfer’s elbow was forcing him to shorten or cancel rounds. He had already tried physical therapy, a cortisone injection, elbow braces, and a swing-coach adjustment. His fatigue was starting to affect his work: canceled meetings, thinking pushed earlier in the day.

The protocol

The treatments

  • Comprehensive 45–60 minute consultation with Dr. Southern including musculoskeletal assessment with ultrasound and full labs (hormonal, inflammatory, viral)
  • BHRT pellet insertion at week 2 to optimize testosterone: a driver of tissue regeneration and energy recovery in men and women alike
  • Weekly IV ozone therapy across the 9-month protocol to address EBV reactivation and modulate systemic oxidative stress
  • 3 IV stem cell infusions: at day 30, day 120, and day 210
The outcome

The transformation

  • Within three to four weeks of the pellet he described his energy as "night and day," and reported he was no longer scheduling around fatigue.
  • After the first stem cell IV and ongoing weekly ozone, he reported less elbow pain during rounds.
  • By the third infusion, he reported his elbow was no longer limiting his swing.
  • Follow-up panels were repeated at month nine and reviewed with him in detail; he reported playing weekly at home and while traveling.

His wife has said she can’t keep up with him and needs to become a patient too.

Clinical commentary

Chronic viral reactivation is under-recognized in this demographic. It’s often what turns "getting older" into "declining." Combined with very low testosterone and elevated inflammatory markers, it creates a terrain in which tissue can’t repair and energy can’t recover. Addressing the elbow in isolation would have delivered a short-lived response. Addressing all three layers in parallel is what produced the outcome.

Dr. Ashley SouthernDr. Ashley Southern, NMD

Start with a consultation.

Comprehensive lab work, an honest read on whether we can help, and a protocol designed around your biology.