Reduce Pain and Improve Hand and Wrist Health Without Surgery
Living with hand and wrist issues like carpal tunnel syndrome, osteoarthritis or tendon tears can make everyday tasks—like gripping, lifting, writing or typing—painful and frustrating. Stiffness, swelling, or sharp pain with movement can interfere with your quality of life. Surgery is sometimes presented as the only option, but there are less invasive treatments that address the root causes of hand and wrist pain without the risks of surgery.
Why Choose Regenexx?
The Regenexx approach uses your body’s natural healing abilities to help treat hand and wrist damage.
- Reduce pain and improve function without surgery.
- Limit the need for prescription medications, frequent office visits, or invasive surgical techniques.
- Minimize downtime from work and activities.
- Concentrations of your own cells are customized for your specific type of hand and wrist condition or injury.
- Procedures are performed by board-certified physicians.
Connect with our team for more Regenexx information or to schedule an appointment.
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Conventional Treatments May Offer Temporary Relief, Not a Long-Term Solution
For hand and wrist issues such as carpal tunnel syndrome, osteoarthritis or tendon tears, common treatments like physical therapy, anti-inflammatory medications, and corticosteroid injections may offer temporary relief by reducing pain and inflammation. Unfortunately, these approaches often do not address the root causes of the pain, which means pain may persist or even worsen over time if underlying tissue or joint issues remain untreated.
When conservative care or common treatments no longer offer enough relief, surgery is often suggested. However, procedures like joint fusion or tendon repair come with challenges, including a lengthy recovery period, limited hand or wrist mobility, and potential complications like infection or stiffness. While surgery can reduce pain, it may not fully restore function. After hand or wrist surgery, some people may experience lingering stiffness or changes in the joint over time that may require further treatment or additional surgery.
Fortunately, there are alternative treatments that reduce the need for surgery.
Hand & Wrist Procedure Outcomes
Regenexx maintains an active patient registry that tracks patients’ progress or side effects, post-procedure. Our outcomes database contains records on tens of thousands of Regenexx procedures performed by physicians in our network.
Industry-Leading Musculoskeletal Specialists – Focused on Results
Regenexx patients benefit from the expertise of a board-certified physician who handles both their evaluation and their Regenexx procedure. Patients receive a treatment plan customized to their specific condition or injury needs. Regenexx non-surgical procedures are informed by research, utilize leading biotechnology, and are supported by over 19 years of patient results. These injection-based procedures require less downtime compared to surgery. Regenexx patients return to normal daily activities as tolerated. Most resume light activities and work after 5 to 7 days and return to sports at 6 to 8 weeks.
Doctors
Dr. Zamfirov, also known as Dr. Zed, was born and raised in Bulgaria. He played soccer professionally and he was selected to play for the Bulgarian Junior National Team. Early in his sports career he decided to become a physician for athletes and to treat their sports injuries. He received his MD degree from the Plovdiv Medical University in 1987. He then completed his Orthopedic Surgery Residency and specialized in sports trauma and knee surgery. For over eight years he served as a physician of the Bulgarian Olympic Canoe team, several professional soccer teams in Bulgarian soccer division “A”, and as a consulting physician of the Bulgarian National Soccer team. During his orthopedic practice in Bulgaria Dr. Zed has treated and operated on many internationally known athletes, Olympic and World champions.
In 2000 he and his family moved to the US. Here, he completed his Physical Medicine and Rehabilitation Residency at Georgetown University/ National Rehabilitation Hospital in Washington, DC where he received extensive training in the field of interventional pain management. Since 2007 Dr. Zed has been providing comprehensive care for thousands of patients in his offices in Maryland. 
Dr Zamfirov is the founder of All Star Pain Management and Regenerative Medicine which opened its doors on February 1st, 2017. Dr Zed was a pioneer in providing regenerative medicine in Maryland and has gone on to become a physician licensed to provide Regenexx injectates to offer his patients research based cutting edge treatment in Regenerative Orthopedics. Dr. Zed is a member of the medical staff at Baltimore Washington Medical Center and Anne Arundel Medical Center.
His areas of special interests include regenerative medicine for orthopedic conditions, fluoroscopically guided spinal injections, non-operative spine care, pain management, sports medicine, neuromodulation.
He still plays soccer in an indoor league at Howard County. He also loves fishing and skiing.
Areas treated: Hip, Knee, Shoulder, Cervical Spine (Not Upper Cervical or CCI)*, Thoracic Spine, Lumbar Spine
Clinic Locations
All Star Pain Management and Regenerative Medicine - Annapolis
166 Defense Highway
Annapolis, MD 21401
Phone: 443-808-1808
Hours:
- Sat-Sun: Closed
- Mon-Thu: 8AM-4PM
- Fri: 8AM-2PM
- Wrist
- Hand
- Elbow
- Shoulder
- Neck
- Middle Back
- Low Back
- Hip
- Knee
- Ankle
- Foot
Commonly Treated Orthopedic Conditions
Regenexx procedures may help you avoid orthopedic surgeries, reduce pain, and improve joint function. Regenexx highly-skilled physicians treat a variety of orthopedic issues.
Select a body area in the adjacent image to see their common conditions.
Commonly Treated Orthopedic Conditions
Regenexx procedures may help you avoid orthopedic surgeries, reduce pain, and improve joint function. Regenexx highly-skilled physicians treat a variety of orthopedic issues.
Select a body area in the adjacent image to see their common conditions.




