Platelet Rich Plasma or PRP is a concentrated sample of a patient’s own blood containing serum and a high concentration of platelets. A blood sample is spun or centrifuged and separated to concentrate plateletsas well as growth factors and cytokines that recruit reparative cells and enhance the healing process.
Bone Marrow is the home of a variety of cells including mesenchymal stem cells (MSCs) and other types of stem cells. It is extracted usually from a patient’s iliac crest and concentrated via centrifugation. MSCs are believed to enhance tissue repair via the production of growth factors and cytokines as well as the recruitment of other cells to stimulate tissue repair.
Adipose tissue or fat contains a vast number of supportive and reparative cells that help promote a healing environment throughout the body. A small amount of fat can be removed from a patient, treated, and reinjected into areas of tissue pathology.
We treat disorders of the joints via several technologies. When indicated, we use advanced imaging techniques to guide our injections such as fluoroscopy (x-ray) and ultrasound.
An epidural injection is a minimally invasive procedure in which we deliver an injection to the epidural space of the spine to treat conditions such as neck, arm, leg, or back pain caused by inflamed spinal nerves due to spinal stenosis or disc herniation. Epidural injections may be performed via three different routes: interlaminar, transforaminal, or caudal.
An intradiscal injection is a minimally invasive procedure performed under x-ray guidance in which an injection is performed into an intervertebral disc for diagnostic or therapeutic purposes.
Intraosseous procedures are minimally invasive procedures in which we place a needle into a bone to extract marrow or deliver a therapeutic injection.
Facet joint injections are minimally invasive procedures where the facet or zygapophyseal joints of the spine are injected under x-ray guidance for pain relief.
A sacroiliac injection is a minimally invasive procedure in which a needle is placed into the sacroiliac joint under x-ray or ultrasound guidance to perform a therapeutic injection for pain.
Radiofrequecny Ablations are minimally invasive treatments in which a needle probe is used to deliver radio waves to heat up a nerve for the purpose of pain relief. This is often used for pain in the neck, back, sacroiliac joint, knees, and hips.
Coolief TM is a brand or radiofrequency treatment system which creates a larger lesion than standard radiofrequency equipment. This is often used for pain in the back, sacroiliac joint, hips, knees, and shoulders including pain that may persist after a joint replacement.
A spinal cord stimulator is a device implanted with wires placed near the spinal cord. Electrical signals are sent to the spinal cord to treat pain in the spine or legs.
A peripheral nerve stimulator is a device implanted near a peripheral nerve in a minimally invasive fashion that uses electrical impulses to treat chronic pain in a peripheral nerve in the ribs, arms, or legs.
Percutaneous Tenotomy and Fasciiotomy are minimally invasive techniques used to treat chronic tendon pain by removing diseased tissue. The site of tendon pathology is identified under ultrasound guidance and a small instrument is used to treat the area. This is popular in cases of lateral epicondylitis (tennis elbow), medial epicondylitis (golfer’s elbow), achilles tendinitis, patellar tendinitis, plantar fasciitis,and gluteal tendinitis, which is often referred to as trochanteric bursitis.
The intracept® procedure is a new procedure for chronic low back pain. In patients with chronic low back pain, the discs are often described as the source of pain, however, in many patients it has been discovered that the vertebral end plates are a major source of pain. The Intracept® procedure targets the basivertebral nerve for the relief of chronic vertebrogenic low back pain in select patients.