TREATMENTS
Helping to Enhance Healing
Insight
We try to identify what factors led to their problem. By gaining an understanding of anatomy and mechanisms of injury, one can often achieve healing without any further interventions.
Exercise
Exercise has many benefits. Certain types of exercise lead to specific adaptations in muscles, tendons, ligaments and discs, with resolution of pain and disability.
Corticosteroid Injections
Corticosteroid injections can provide long-standing relief for certain conditions such as frozen shoulder, which has an immune-mediated inflammatory component, or for carpal tunnel syndrome, trigger finger, shoulder impingement and spinal stenosis, conditions in which swelling and enlargement of tissues causes problems.

Biologic Injections
Biologics such as platelet-rich plasma (PRP) and bone marrow aspirate concentrate (BMAC) obtained from a patient’s own blood and bone marrow are potential options for chronic injuries and degenerative conditions. Certain structures respond well to PRP, such as a torn hip labrum or knee meniscus, while osteoarthritis responds better to BMAC. Approximately two-thirds of patients with chronic disc pain experience substantial long-term improvement or resolution of their pain after an intradiscal PRP injection procedure.


Ultrasound-Guided Surgery
Carpal tunnel syndrome was originally treated using an open approach and general anesthesia. In the 1990s, arthroscopic and mini-open techniques were developed. In the 2000s, ultra-minimally invasive ultrasound-guided techniques were developed wherein the “camera” stays on the outside. Most patients are able to return to work in several days. Ultrasound-guided surgery can be done for conditions such as vaccination-related shoulder dysfunction, calcium deposits, tendon contractures and nerve entrapment.