Center for Integrative Medicine

01/30/2026

Welcome to 2026 and feeling your very best. Come check out our beautiful new office space. Stop by and say hello to Sheila Monday to Thursday, we have a full stock of vitamins and supplements. Dr Flattery sees patients three days a week, and we are here to treat any nagging orthopedic issues or pain. Did you know...Dr. Payson Flattery is Bend’s only board-certified naturopathic physician focusing exclusively on the treatment of orthopedic pain and injury. Dr Flattery's specialties include but are not limited to: Regenerative Injection Therapy, Platelet-Rich Plasma Therapy, Prolotherapy, Physical & Orthopedic Medicine, Sports Medicine, Diagnostic Ultrasongraphy, and Chronic Pain. Dr Flattery is certified in the administration of Hyperbaric Oxygen Therapy, offering two hard shell chambers for HBOT treatment at his Center for Integrative Medicine. Dr Flattery is a Functional Medicine Practitioner trained in both natural and conventional approaches to prevent disease, treat acute illness, and manage or reverse chronic health conditions. What are you waiting for? Dr Flattery Specializes in Sports Medicine and Treatment for Musculoskeletal Pain. Call (541) 323-9696

01/22/2026

Looking for orthopedic pain relief. We have a few new patient slots still available in January. The opportunity to meet with Dr. Flattery and discuss options.

Dr. Payson Flattery is Bend’s only board-certified naturopathic physician focusing exclusively on the treatment of orthopedic pain and injury, by utilizing regenerative medicine with naturopathic and conventional medicine in healing.

Dr. Flattery has specialized in Regenerative Medicine for over 16 years. His strength lies in his ability to accurately assess not only a patient’s pain generator but also the aberrant movement patterns that often lead to injury, pain, and dysfunction.

Many physicians have a point and inject approach often chasing pain and missing the actual pain generator. It can often be the connective tissues (tendons ligaments and fascia) that refer pain and govern the movement of the joint that require treatment. This provides more complete and longer lasting relief after treatment.

Call us to discuss your options and schedule an appointment. (541) 323-9696

01/20/2026

Choosing Ultrasound-Guided Injections at Bend Regenerative Medicine. Call our office to schedule an appointment with Dr Flattery: 541-323-9696.
When considering ultrasound-guided treatments for your musculoskeletal condition, choosing a medical practitioner with expertise and experience in this specialized field is crucial. At Bend Regenerative Medicine, (Center for Integrative Medicine) Dr Payson Flattery uses state-of-the-art ultrasound technology to deliver precise, targeted treatments for a wide range of conditions. Dr Flattery will work with you to develop a personalized treatment plan designed to help you achieve optimal pain relief and improved function.

The Advantages of Ultrasound-Guided Injection Therapy
Ultrasound imaging has become an indispensable tool for injection therapy, offering numerous advantages over traditional injection techniques and other imaging modalities. Some of the key benefits of ultrasound-guided injections include:
Real-time visualization: Ultrasound enables physicians to guide the needle precisely to the desired location, providing real-time imaging of soft tissue and vascular structures that ensures accurate medication delivery and minimizes the risk of complications associated with incorrect needle placement.
No ionizing radiation: Unlike X-rays or CT scans, ultrasound does not expose patients or healthcare providers to ionizing radiation, making ultrasound a safer option, especially for patients requiring multiple injections.
Improved patient comfort: Ultrasound-guided injections are generally less painful than traditional injections, helping to reduce patient anxiety and increase overall satisfaction with the procedure.
Enhanced treatment outcomes: Ultrasound-guided injections can lead to better treatment outcomes, including improved pain relief, reduced inflammation, and faster healing times.
Cost-effective and convenient: Ultrasound is a relatively inexpensive imaging modality compared to other techniques like MRI or CT scans.
Versatility: Ultrasound can be used to guide a variety of tendon, joint, and musculoskeletal injections, providing relief for conditions affecting various parts of the body, including the shoulder, hip, knee, elbow, wrist, hand, foot, and ankle.
How Ultrasound-Guided Injections Work
Dr Flattery offers ultrasound-guided injections, allowing him the ability to visualize the targeted area, ensuring the precise delivery of medication. By ensuring accurate medication placement, ultrasound-guided injections can improve pain management and enhance function for patients suffering from various musculoskeletal conditions.
Specific Injection Sites and Their Benefits
Ultrasound-guided injections can be performed at various sites throughout the body, including:
Knee
Knee joint
Meniscus and ligaments
Baker’s cyst
Shoulder
Rotator cuff/subacromial bursa
Acromioclavicular joint
Shoulder/glenohumeral joint
Labrum
Biceps tendon
Hip
Hip joint
Labrum
Bursa/greater trochanter/gluteal tendons
Iliopsoas tendon/bursa
Piriformis
Elbow
Lateral epicondyle (tennis elbow)
Medial epicondyle (golfer’s elbow)
Elbow joint
Wrist and hand
Thumb/first CMC joint
Carpal tunnel
Trigger finger
DeQuervain’s tenosynovitis
Foot and ankle
Plantar fascia
Achilles tendon
Ankle joint
Morton’s neuroma
Tarsal tunnel
Conditions Treated with Ultrasound-Guided Injections
Shoulder to Hand: Addressing Upper Body Pain
Ultrasound-guided injections can effectively treat a wide range of upper body conditions, including rotator cuff injuries, shoulder arthritis, tennis and golfer’s elbow, and carpal tunnel syndrome. By targeting the specific area of inflammation or damage, these injections can reduce pain, improve range of motion, and promote healing.
Hip to Ankle: Solutions for Lower Body Discomfort
For lower body conditions, such as hip and knee arthritis, hip bursitis, meniscus tears, and plantar fasciitis, ultrasound-guided injections offer a targeted approach to pain relief and improved function. By delivering medication directly to the affected area, these injections can help patients manage their symptoms and maintain an active lifestyle.

What to Expect During and After the Procedure
Preparing for Your Injection
Before the procedure, Dr Flattery will spend time with you discussing your medical history, allergies, and any medications you are currently taking. You may be asked to stop taking certain medications, such as NSAIDs (before PRP injections) or blood thinners in certain cases for a period of time before an injection. On the day of the procedure, wear loose, comfortable clothing that allows easy access to the injection site. During the injection, you will lie or sit comfortably while Dr Flattery uses the ultrasound transducer to visualize the targeted area. A local anesthetic may be used to numb the injection site before the injection is administered.
Recovery and Follow-Up
After the injection, you may experience temporary discomfort or swelling at the injection site. Dr Flattery will provide specific post-injection care instructions. Call our office to schedule an appointment with Dr Flattery: 541-323-9696.

01/14/2026

01/09/2026

Hyperbaric Oxygen Therapy

Dedicated to treating the root cause of illness and using the most advanced integrative methods in a safe environment. We at Bend Regenerative Medicine utilize the benefits of hyperbaric oxygen as an adjunct therapy to complement and enhance the healing process in both chronic and acute conditions.
WHAT IS HYPERBARIC OXYGEN THERAPY?
Hyperbaric Baric Oxygen Therapy (HBOT), a safe and non-invasive therapy is the most trusted way to deliver a large concentration of oxygen to all organs of the body, even to areas with poor blood flow. HBOT is the medical use of oxygen in a pressurized environment (“hyperbaric” means under pressure) at a level higher than 1 atmosphere absolute (1ATA). Increased pressure allows for a large concentration of oxygen to dissolve and saturate the blood plasma independently of hemoglobin in red blood cells. This results in a broad variety of beneficial physiological, biochemical and cellular effects, not achievable with any other therapy.
Safe and painless, a typical treatment lasts 60-90 minutes, during which time the patient relaxes in the pressurized chamber and breathes normally. The patient may listen to music, watch a movie or just rest. For the full benefits, it is recommended to have upwards of twenty successive treatments, 4-5 days per week, increasing pressure as tolerated up to 1.5 to 2.2 atmospheres of pressure. This level of oxygenation cannot be achieved with soft chambers; HBOT at Bend Regenerative Medicine is administered in a state of the art, medical steel hyperbaric chamber. HBOT is performed under the medical supervision of Dr. Payson Flattery. His trained staff will monitor the patient closely during therapy allowing for two-way communication with the attending medical staff. The patient experiences a feeling similar to flying in a plane or diving. Air pressure must be equalized in the ears during the 15-minute compression and decompression phases by either swallowing or yawning.

HOW DOES HBOT WORK?
When you breathe oxygen at normal atmospheric pressure, this gas is transported on hemoglobin in the red blood cells. Under pressure, however, oxygen molecules decrease in size and are able to dissolve and saturate the plasma, cerebrospinal fluid in the brain and spinal cord, lymph and other body fluids. Higher concentrations of oxygen are therefore easily delivered to all tissues, including those with poor blood supply. The tremendous healing benefits of oxygen are therefore accessed by all areas of the body.
More oxygen equals more energy which translates to the repair of damaged tissues, enhanced regeneration of tissues throughout the body, and optimal levels of cellular function on all levels. Damage from hypoxia or low levels of oxygenation to cells, most dramatically demonstrated in Stroke, heart disease, cancer and diabetes can be significantly affected by hyperbaric oxygen therapy.
20 Treatments at 2 atmospheres has been shown to increase circulating stem cell numbers 8x from the patient’s normal base line. Increased oxygenation also plays a role in fighting harmful bacterial and viral infections by enhancing the cellular functions of the immune system and causing a toxic environment for anaerobic bacterial infection.
BENEFITS
It has long been known that healing many areas of the body cannot take place without appropriate oxygen levels in the tissue. Most illnesses and injuries occur and often linger at the cellular or tissue level with low oxygen tension or saturation.
At the cellular level, higher concentrations of oxygen from HBOT have the following effects:
• Promotes healing,
• Supports the growth of new tissue and blood vessels
• Decreases swelling and inflammation
• Stimulates collagen production
• Increases the body’s ability to fight infections
• Helps metabolize toxins
HBOT has been demonstrated in many clinical studies to have dramatic benefits for stroke, traumatic head and spinal cord injuries, diabetic ulcers, slow healing wounds, burns, skin infections, anemia and autism. In addition, a broad range of other conditions have seen benefits from HBOT including:
• Pre & Post Surgery
• Sports Injuries
• Aid Fracture Healing
• Skin infections
• Radiation tissue damage
• Arthritic diseases
• Fibromyalgia/ Chronic Fatigue Syndrome
• CRPS (Complex Regional Pain Syndrome)
• Lyme Disease
• Peripheral Arterial Insufficiency
• Brain Injuries
• Diabetes
• Autism Spectrum Disorder
• Alzheimer's
• Stroke
• Parkinson's
• Cerebral Palsy
• Multiple Sclerosis
• Prostatitis
• Skin Repair and Anti-Aging benefits

CONTRAINDICATIONS:
The most significant contraindication to receiving hyperbaric oxygen therapy is an untreated pneumothorax.
SIDE EFFECTS:
The most common side effect is barotrauma to the ears and sinuses caused by the change in pressure. To minimize this, patients will learn techniques during compression and decompression to clear the ears. Occasionally, some patients may experience changes in their vision during the treatment which are usually minor and temporary.
INSURANCE REIMBURSEMENT:
For some specific conditions, including the following FDA accepted HBOT indications, HBOT is accepted for insurance reimbursement. These include crush injury/traumatic ischemia; decompression sickness, enhancement in healing in selected problem wounds, exceptional anemia, radiation tissue damage, thermal burn, gangrene, necrotizing soft tissue infections, refractory osteomyelitis, air or gas embolism, carbon monoxide poisoning, arterial insufficiency.
The following conditions are considered off-label which may or may not be covered by insurance or Medicare: Autism Spectrum Disorder, Cerebral Palsy, Lyme Disease, Migraine, Multiple Sclerosis, Near Drowning, Recovery from Plastic Surgery, Sports injuries, Stroke, Traumatic Brain Injury.
CONTACT US
If you are interested in scheduling an appointment for an HBOT consultation with Payson Flattery ND to discuss HBOT please see the front desk or call to schedule 541.323.9696 this initial consultation is done at no cost to you.

01/03/2026

From Bend Regenerative Medicine
Wishing you an active and healthy 2026

Dr Payson Flattery at Bend Regenerative Medicine merges evidence-based orthopedics with cutting-edge techniques in regenerative medicine that include platelet-rich plasma (PRP), Stem Cell and Prolotherapy. These treatments allow us to provide viable alternatives to surgery to treat common orthopedic and sports-related injuries.

We offer Stem Cell Therapy. Stem cell therapy, or regenerative medicine, uses the body's own stem cells (or donor cells) to repair, replace, or regenerate damaged, dysfunctional tissues and organs, leveraging their unique ability to become different cell types to promote natural healing.

What Conditions Benefit From the Treatments we Offer:
Rotator cuff injuries, including partial-thickness and full-thickness tears
Tennis & golfer’s elbow
Hamstring and hip strains
Knee sprains and instability
Patellofemoral syndrome and patellar tendinosis
Ankle sprains
Achilles tendinosis & plantar fasciitis
Sports hernias & athletic pubalgia
Knee, hip, and other joint osteoarthritis

Let us know how we can support your active lifestyle.

12/17/2025

As we come to the closing of the office on December 20, 2005 for construction. All of us at Bend Regenerative Medicine and Center for Integrative Medicine want to send our Holiday Wishes to all of our patients, past and future.

May your holidays be filled with love, light, good company, family and friends. If you are struggling know our thoughts are with you.

The office will re-open on January 5, 2026 with Dr Flattery as a solo practitioner. Some information below on one of the modalities he will be offering. Sheila and I will be periodically checking voice mail while the office is closed. As a reminder for any urgent needs there are several urgent care clinics that are available in Bend. For emergencies please call 911 or go to your nearest emergency room.

Have a safe and Beautiful Holiday.

What is PRP Therapy?
Platelet-Rich Plasma (PRP) therapy is a non-surgical treatment that uses a patient’s own blood components to stimulate healing in damaged tissues. When you suffer an injury or tissue damage, your body recruit’s platelets and white blood cells from the blood to initiate a healing response. Under normal conditions, platelets attract numerous growth factors which are released in response to signals from the injured tissue.
Modern technology allows us to concentrate platelets and white blood cells from your blood and induce this growth factor release as the solution is injected directly into injured tissue, stimulating a more powerful healing response. By enhancing the body’s natural healing capacity, PRP can be a powerful surgical alternative, leading to a more rapid, efficient, and thorough restoration of the tissue to a healthy state.
What is HBOT Therapy?
Hyperbaric Oxygen Therapy, commonly referred to as HBOT, is the use of 100% oxygen, under increased pressure, to preserve, repair, and enhance cellular function. The combination of pressure and 100% oxygen in a hyperbaric chamber super-saturates the blood plasma with oxygen to levels 1,200% greater than can be achieved under normal conditions.
During an HBOT session, stem cells are released and activated from the bone marrow, traveling to areas of injury through the blood plasma. HBOT also decreases inflammation, reduces swelling, reverses hypoxia, stimulates the creation of new blood vessels, and optimizes all stages of wound healing.
Why Bring PRP Therapy and HBOT Together?
Each of these therapies alone stimulates healing, however, the combination of the two have a powerful synergistic effect. HBOT exponentially increases the number of stem cells in circulation while injected PRP attracts and delivers these stem cells to injured areas. This state-of-the-art combination of regenerative cellular therapies accelerates the healing response, leading to a more efficient and thorough restoration of tissue to a healthy state that is sustained for the long term. HBOT with PRP can also alleviate the achy or sore feeling that patients sometimes experience with PRP therapy.
By adding HBOT before and after each PRP injection, we increase the mobilization of stem cells and enhance the efficacy of the regenerative process.
What to Expect
Each patient receives a formal evaluation and diagnostic workup for both PRP and HBOT. In this process, an individual treatment plan is determined, and all risks and benefits are addressed with the patient. The protocol generally consists of 3 rounds of HBOT + PRP + HBOT but may vary based on injury or condition and its duration and severity.

12/01/2025

Last day to shop the sale 20% off Fullscript supplements

Today is the last day of my Whole for the Holidays Fullscript sale. The 20% discount ends at 3:59 PM today.

If you need to create an account you can do that here:Center for Integrative Medicine FullScript Online Ordering
20% OFF First Order
Fullscript Supplement Account Link:

https://us.fullscript.com/welcome/pflattery

Login to Your Fullscript™ Account
Fullscript™ is an online supplement dispensary that allows you to access thousands of high-quality
Supplements at fair prices, backed by features that help you stay on track with your wellness goals.

How Fullscript Works:
Copy and paste the link above into your browser to visit the CIM Fullscript portal.
Sign up on the Center for Integrative Medical Account with your email and name.
Once you have created an account:
You will be able to shop for all things healthy.
You will be able to order the supplements you need.You can also share the link with friends and family so everyone can start their wellness journey!

11/29/2025

CIM is now offering you the ability to order supplements from the convenience of your own home.You have direct access to our online dispensary through Fullscript. You will receive 20% off of your first online order. Fullscript is the Amazon of all things healthy, they carry supplements, body care, mouth care - toothpaste, all nontoxic, physician reviewed brands, grocery items from pumpkin seeds to Goji berries, herbal teas and homeopathic remedies.
For an additional 20% off of your order use code Bonus2025 now through December 1, 2025

Please click on the link to set up your Fullscript account:

09/06/2025

Highlights in Holistic Health. New Food for Thought

Can Low Doses of Lithium Improve Mood, Protect the Brain, and Extend Life?

Lithium, a soft alkali metal, is naturally found in certain minerals and brine deposits across the globe. While lithium is best known today for powering rechargeable batteries, this element also boasts a fascinating history as a medicinal agent.

In the early 20th century, “lithia water” and lithium-containing tablets were widely promoted as tonics for various common ailments. For instance, in Ashland, Oregon, visitors have flocked to the renowned Lithia Springs since the early 1900s, attracted by its mineral-rich waters believed to provide energizing and mood-enhancing benefits.

In contemporary medicine, lithium’s most established role is as a prescription mood stabilizer for bipolar disorder. While highly effective, the high doses required for this use come with significant side effects, necessitating careful laboratory monitoring to avoid lithium toxicity.

For many years, it was assumed that we fully understood lithium’s health effects. However, recent decades have seen a surge of research exploring the therapeutic potential of very low doses of lithium, taken over long periods—often similar to the trace amounts naturally present in drinking water in certain regions.

Surprising Evidence of Benefits in Drinking Water Studies

The studies of lithium enriched drinking water show numerous benefits, especially in mental health and longevity. Some have been surprising. Consider the following:

· Numerous ecological studies in South America, North America, Europe, and Asia consistently show that communities with elevated lithium concentrations tend to have lower su***de rates.

· A large Japanese study involving over 1.2 million people across 18 municipalities found that higher lithium levels in drinking water correlated with lower all-cause mortality.

· Denmark studies (some, not all) have suggested reduced dementia risk in regions with higher lithium water levels

· Across North America, for example, Texas studies found that higher lithium in tap water was associated with reduced su***de, homicide, and overall mortality rates.

Although not all studies are uniformly positive, the breadth of global evidence has led some researchers to propose a “lithiumization” of drinking water as a potential public health intervention to improve mental health and longevity.

How Lithium Supports Brain Health

What mechanisms might explain lithium’s impressive brain benefits? Preclinical research suggests multiple pathways. Lithium inhibits glycogen synthase kinase-3 (GSK-3), an enzyme integral to neuronal function, inflammation, and cell death. Overactivity of GSK-3 is implicated in neurodegenerative diseases such as Alzheimer’s. Moreover, lithium elevates brain-derived neurotrophic factor (BDNF) levels—a protein essential for neuron growth and resilience. In Alzheimer’s disease models, lithium reduces the accumulation of harmful amyloid plaques and tau protein tangles, hallmark features of the condition. It also diminishes neuroinflammation and oxidative stress, both major contributors to cognitive decline and mood disorders.

In an especially timely study from Harvard Medical School published as this article was written, researchers found that mice deprived of lithium exhibited accelerated brain aging and Alzheimer’s-like pathology. Remarkably, supplementing lithium in their drinking water reversed these effects, improving memory and reducing brain damage.

Dose Matters

What doses yield these benefits while minimizing toxicity? Natural lithium levels in drinking water generally range between 2 to 5 micrograms per liter—roughly 100,000 times lower than the prescription doses used in psychiatry. These trace amounts are considered nontoxic and potentially beneficial.

Some over-the-counter lithium supplements, such as lithium orotate, provide milligram doses—typically between 1 and 20 milligrams daily. Though lower than pharmaceutical doses, these amounts remain much higher than lithium levels supplied by water in the studies showing health benefits.

While there is some research with supplementation levels of lower dose lithium, more research is needed to clarify benefits and optimal dosing. Clinically, my experience with low-dose lithium supplements has been largely positive. While not a cure-all, low-dose lithium appears to help conditions like depression, mild cognitive impairment, and anxiety in many patients.

In research relating to over-the-counter lithium usage, some mild side effects have been documented, as well as the possibility of withdrawal symptoms upon abrupt cessation. For this reason, prior to initiating any supplements, I advise consulting with a healthcare provider experienced with lithium supplementation to develop an individualized and safely monitored plan.

Emerging research positions lithium at the forefront of brain health science, with promising potential for not only mood stabilization but also neuroprotection and healthy aging. With careful dosing, individualized planning, and ongoing monitoring, low-dose lithium could become a valuable addition to comprehensive, holistic strategies for supporting long-term brain vitality.

08/27/2025

Integrative medicine includes a large variety of treatments and therapies that enhance the body’s ability to boost its immune system and harness its strong healing responses. Our physicians embrace medical philosophies that focus on wellness and healing, backed by sound research and science.

Patients at CIM enjoy holistic healthcare management with primary medical care and supportive, integrative therapies. Our specialties include healing orthopedic injury, reversing the damage of degenerative conditions, and utilizing anti-aging treatments.

08/24/2025

What is PRP Therapy?
Platelet-Rich Plasma (PRP) therapy is a non-surgical treatment that uses a patient’s own blood components to stimulate healing in damaged tissues. When you suffer an injury or tissue damage, your body recruit’s platelets and white blood cells from the blood to initiate a healing response. Under normal conditions, platelets attract numerous growth factors which are released in response to signals from the injured tissue.
Modern technology allows us to concentrate platelets and white blood cells from your blood and induce this growth factor release as the solution is injected directly into injured tissue, stimulating a more powerful healing response. By enhancing the body’s natural healing capacity, PRP can be a powerful surgical alternative, leading to a more rapid, efficient, and thorough restoration of the tissue to a healthy state.
What is HBOT Therapy?
Hyperbaric Oxygen Therapy, commonly referred to as HBOT, is the use of 100% oxygen, under increased pressure, to preserve, repair, and enhance cellular function. The combination of pressure and 100% oxygen in a hyperbaric chamber super-saturates the blood plasma with oxygen to levels 1,200% greater than can be achieved under normal conditions.
During an HBOT session, stem cells are released and activated from the bone marrow, traveling to areas of injury through the blood plasma. HBOT also decreases inflammation, reduces swelling, reverses hypoxia, stimulates the creation of new blood vessels, and optimizes all stages of wound healing.
Why Bring PRP Therapy and HBOT Together?
Each of these therapies alone stimulates healing, however, the combination of the two have a powerful synergistic effect. HBOT exponentially increases the number of stem cells in circulation while injected PRP attracts and delivers these stem cells to injured areas. This state-of-the-art combination of regenerative cellular therapies accelerates the healing response, leading to a more efficient and thorough restoration of tissue to a healthy state that is sustained for the long term. HBOT with PRP can also alleviate the achy or sore feeling that patients sometimes experience with PRP therapy.
By adding HBOT before and after each PRP injection, we increase the mobilization of stem cells and enhance the efficacy of the regenerative process.
What to Expect
Each patient receives a formal evaluation and diagnostic workup for both PRP and HBOT. In this process, an individual treatment plan is determined, and all risks and benefits are addressed with the patient. The protocol generally consists of 3 rounds of HBOT + PRP + HBOT but may vary based on injury or condition and its duration and severity.