Viscosupplementation
Viscosupplementation (hyaluronic acid injections/ “gel shots”) is a once a week lubrication injection for three weeks to help with the cushioning and pain in your arthritic joints. It is a natural substance your body makes, and there is no downside. The treatment can be effective for 6-12 months, and even longer.
Corticosteroid
Corticosteroid (cortisone) shots are a great starter option for many conditions, including tendinitis. Cortisone has a bad reputation because of its misuse in the past, but if it is used responsibly, it is very effective treatment option.
Osteopathic Manipulative Treatment (OMT)
Osteopathic Manipulative Treatment (OMT) is a technique where I use my hands to treat muscle and joint pains. I like to explain it as a different flavor of a combination of what chiropractors and physical therapists offer. The most common problems I treat with OMT are low back pain, neck pain, rib pain, and temporomandibular joint (TMJ) pains. I tailor each treatment to what you need, and I integrate OMT as part of your overall care to getting you back to activity and enjoying life!
Tendinitis
Tendinitis is a painful inflammation of the tendon due to repetitive movements and weak supporting muscles. A tendinitis eventually improves on its own but will return if it is not treated properly.
Tendinosis
Tendinosis (Golfer’s and Tennis Elbow, Jumper’s Knee, and more) is a painful non-inflammatory condition of a tendon because of wear and tear over time. This is the low-grade, annoying, achy pain that won’t go away. A tendinosis does not heal itself because tendons do not have good blood flow. This condition is aggravating but there are many treatment options, including PRP, which can help heal the tendon and significantly reduce pain.
Osteoarthritis
Osteoarthritis describes a chronic painful wear and tear of cartilage in any joint, most commonly in the knees, hips, and shoulders. Cartilage is a cushion in each joint. Cartilage does not heal itself because there is not much blood flow. Not to worry! There are many nonsurgical treatments available, including cortisone, viscosupplementation, and platelet-rich plasma (PRP).
Bursitis
Bursitis is very painful condition in which the bursa becomes inflamed from repetitive movements and weak supporting muscles. Imagine the bursa as a ziplock baggie without anything inside it. The bursa sits between and tendon and bone (bone, bursa, tendon) to help with gliding. Bursitis happens when the tendon rubs too much over the bursa, causing pain and inflammation. Treatments include a cortisone shot to help get rid of the pain/inflammation and a proper physical therapy regimen to help prevent it from coming back.
Meniscal Tear
The meniscus is a type of cartilage that is shaped like a C that is in the knee. It can sometimes tear and become chronically painful. Most of the time, surgical treatments involve removing the torn meniscus, which can cause arthritis in your knee within years. Platelet rich plasma (PRP) can help heal the torn meniscus without surgery and the risk of arthritis.
Labral Tear
The labrum is cartilage in your hip and your shoulder that helps stabilize the joint. Imagine the joint as a golf ball on a tee. The labrum is the extended cartilage around the tee so that the golf ball is more stable. Sometimes tears can happen in the labrum and platelet rich plasma (PRP) can help heal the tear without surgery!
Rotator Cuff Tear
The rotator cuff is a group of four deep shoulder muscles that work together to help stabilize your shoulder. Sometimes, one of those tendons can get pinched under the acromion (part of the wing bone), and over time this repetitive pinching can cause tears. Tendon tears don’t heal themselves unfortunately, but there are ways to treat the pain and even help heal the tear, using your own platelets, without surgery!
Impingement Syndrome
The rotator cuff is a group of four deep shoulder muscles that work together to help stabilize your shoulder. Sometimes, one of those tendons can get pinched under the acromion (part of the wing bone), and over time this repetitive pinching can cause tears. Fixing shoulder impingement and preventing this tear can easily be done without surgery!
Nerve Entrapment
Sometimes when we repeat the same motion over and over, our nerves can become entrapped within the fascia of our muscles, causing inflammation and pain. This can be confused with a tendinitis or tendinosis. The treatment involves a multifaceted approach.
Concussion
By definition, a concussion is any hit to the head with any neurological symptom, as simple as bumping your head and seeing stars. The good news is that most people improve fairly quickly, but If a concussion is not cared for properly, the recovery can be prolonged and residual symptoms can develop.
Platelet rich plasma (PRP) is a cutting-edge treatment for tendon tears, osteoarthritis, hair regrowth, facial rejuvenation, and more. We take your blood, spin it in a centrifuge, and inject the platelets under ultrasound guidance. Platelets have growth factors that can provide significant pain relief and even regenerate damaged tissue without surgery. PRP is a fantastic method to get you back to living your life with less down time and pain than surgery.