Areas of Practice


Sports Medicine — Injury Evaluation & Return-to-Play Care

 

Dr. Riva evaluates and treats sports-related injuries, joint pain, soft tissue strains, and decreased athletic performance. Treatment begins with a thorough history, physical exam, and imaging review — followed by a collaborative decision-making conversation about your options. Common treatments include physical therapy, medications, bracing, ultrasound-guided injections, and return-to-play planning.


Orthobiologics — PRP, BMAC & Regenerative Treatments

 

For patients with joint pain, tendon injuries, or arthritis who want an alternative to surgery or long-term medications, advanced biologic treatments may be an option. Dr. Riva offers:

- Platelet-Rich Plasma (PRP) — concentrated growth factors from your own blood to stimulate healing in tendons, ligaments, and joints

- Bone Marrow Aspirate Concentrate (BMAC) — cells harvested from your own bone marrow for more complex conditions

A detailed consultation including history, physical exam, and imaging review is required before any orthobiologic treatment. Insurance covers the consultation visit; treatment costs are discussed in advance.


Cryotherapy & Cryoneurolysis - iovera

 

As a Key Opinion Leader (KOL) with Pacira Cryotech, Dr. Riva offers cryoneurolysis — iovera - a targeted nerve-cooling treatment that interrupts pain signals for months at a time. This is a powerful option for patients undergoing knee replacement surgery. More about iovera


Non-Surgical Orthopaedic Care — Joints, Soft Tissue, Nerves & Spine

 

Many orthopaedic conditions can be effectively managed without surgery. Dr. Riva provides expert evaluation and treatment of acute and chronic joint pain, soft tissue injuries, and musculoskeletal conditions — working to find the right solution before considering surgical options. All injections are performed with ultrasound or fluoroscopic guidance for precision and safety. When surgery is the right choice, Dr. Riva works with a trusted team of surgeons at OSI Ortho to ensure seamless, coordinated care.


Osteoporosis Screening & Bone Health Management

 

Dr. Riva offers bone health screening, evaluation, and collaborative treatment for patients concerned about osteoporosis or bone density. He works closely with your Primary Care Physician, Endocrinologist, Rheumatologist, OB/GYN, and/or Hematologist to develop the most appropriate, individualized treatment plan.