Advanced Center For Sports | Procedures
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Procedures

All procedures listed below can be performed via palpation guidance or musculoskeletal ultrasound guidance.  Please speak to your doctor for more information

Trigger Point Injection

Trigger points are areas of the body, usually muscle, that are painful. These areas usually have a focal or specific point where sometimes a nodule or muscle spasm can be felt. These form for different reasons but are usually the product of acute or chronic muscle imbalance. Common disease states where trigger points are seen are fibromyalgia, migraine headaches and overuse injuries. Trigger Point Injections (TPI) are given to help eliminate pain and restore function. Products used commonly include local anesthetic or corticosteroid in small amounts. The smallest needle is used for maximum patient comfort.

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Corticosteroid injections

Corticosteroid injections have been used for many decades. Their use can be indicated in multiple disease or injury states such as arthritis or overuse injuries. The general concept behind corticosteroid injections is to decrease inflammation. Different kinds of liquid steroid can be injected into different parts of the body (foot, ankle, knee, hip, shoulder, elbow, wrist, hand) to help eliminate pain and restore function. This technique is often effective, quick and completed during an office visit. The smallest needle is used for maximum patient comfort.

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Viscosupplementation

Over the years scientists have been looking for other ways to treat joint and bone/cartilage disease & injury. One effective technique that has been used more often is viscosupplementation. Viscosupplementation is a broad name for hyaluronic gel-liquids made from bacteria or synthetically. The product acts in different ways to help decrease pain and improve function. The viscosity of the fluid acts as a cushion medium in weight bearing joints. Also, the composition of the gel like fluid contains basic building blocks of cartilage which line bone and may help with healing. This product is delivered via the smallest needle for patient comfort, and can be performed in the office.

ACP/PRP

Autologous Conditioned Plasma (ACP) & Platelet Rich Plasma (PRP) are options for those looking for decreased pain, expedited healing and improved function. This technique uses the patients own blood for injection into the target body area. An overview of the process includes drawing a small amount of the patients own blood, extracting the healing and growth factors, then injecting back into the diseased or injured body part. Common use is seen in tendon and ligament damage, as well as osteoarthritis. The entire process can be performed in the office and has high patient satisfaction.

Prolotherapy

Prolotherapy is a technique that has been used for decades. It is a simple technique that has become more popular in its easiness to administer, cost effectiveness, and low side effect profile. The basics behind its mechanism include mixing saline with dextrose or other mild irritant, and injecting into areas of the body to help facilitate the healing process. As opposed to other techniques that aim to decrease inflammation, Prolotherapy increases inflammation in hopes to retrigger an inflammatory/healing cascade and promote tissue regeneration and recovery.

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Needling

Needing is a technique that sounds like its name, but probably on a lot lesser degree than you would think. The technique with needing is where one uses a very small needle introduced into the skin and target area with the intent to elicit multiple healing processes. The needle can be used to break apart scar tissue or calcium deposits commonly seen in tendon, it can also be used to increase circulation and blood flow. In addition, it increases the inflammation cascade attracting healing factors to repair damaged tissue. Needling can be used alone or in combination with other procedures. The process is quick, and cost efficient. It can be performed in the office during a planned visit.

Aspiration

Aspiration is another word for draining. Commonly seen with injury or other disease processes is swelling and edema. Often limbs and joints will fill up with fluid as a response to the injury, trauma or chronic disease process. Aspiration is the process of removing the fluid by way of a needle to decrease pain and improve function of the affected area. This procedure can be performed in the office and is relatively quick. If need be, the fluid drained can be tested for each patients unique treatment plan.

Incision & Drainage

Incision and drainage is performed when a patient presents with an injury, disease or infection requiring removal of contents under the skin. Commonly patients present with infections under the skin (usually encapsulated) that are worsening with time. Occasionally these infections are not responsive to oral antibiotic and need to be drained in the office. This procedure involves numbing the affected area before starting to eliminate pain for the patient. Infection is removed and after skin treatment is standard of care. Usually the physician will see you again soon to make sure you are healing appropriately.

Stem Cell

Stem cell therapy for tissue regeneration coming soon!

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