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Tag Archive for: regenerative injection

Posts

Man looking down at handheld device, straining neck.

“Text Neck Syndrome” Is No Joke; Your Chronic Neck Pain is Trying to Get Your Attention

July 22, 2024/in Conditions/by Kaplan Center

Chronic neck pain has been a growing problem since the arrival of handheld technology. “Text Neck,” also called forward head posture, is a condition caused by the repetitive stress placed on the cervical spine from looking down. In addition to chronic neck pain, bending your neck for too long may also cause upper shoulder pain, headaches, muscle stiffness and postural changes. But neck pain can also be an important clue to the existence of underlying health issues.

Looking down for an extended period of time puts you at risk of overstretching the supporting muscles, tendons, and ligaments of the cervical spine. These elastic structures should recoil back to normal, but there are many reasons why the connective tissue in the neck doesn’t rebound, including:

  • Disc problems – cervical discs can wear out and start to degenerate over time, making the neck feel painful and stiff.
  • Facet Arthritis – when cartilage that covers the ends of the facet joints wear out pain and stiffness can result.
  • Hypermobility Syndromes – neck pain, headaches, “heavy head” are all common symptoms of cervical hypermobility.
  • Hormonal Changes – cervical spine (neck) problems could be an indicator of low thyroid in women and low testosterone in men
  • Chronic Infection – untreated viral and bacterial infections can lead to painful inflammation of the neck muscles.
  • Altered Metabolism – Chronic neck pain has also been associated with metabolic syndrome and a high body mass index.
  • Nutritional Deficiencies – B12 and Vitamin D deficiencies can cause or worsen neck pain.
  • Emotional Stress – Many people “carry stress” in their neck which presents as pain and can cause real physiological changes.

Diagnosing & Treating Chronic Neck Pain

At the Kaplan Center, we’ll look at multiple areas of health to determine the root cause of your pain and all the factors that may be exacerbating your symptoms. Neck problems are best treated by a multidisciplinary team and comprehensive treatment is key to long-lasting results. Depending on your evaluation and test results, recommended treatments may include:

  • Osteopathic manipulation – Manual therapies are often used for treating chronic neck pain. Craniosacral therapy, visceral manipulation, myofascial release and strain/counterstrain are just a few of the techniques that we can use to rebalance and realign musculoskeletal, connective, visceral, and other body tissues to ensure optimal body function.
  • Physical therapy – Chronic neck pain can often be successfully treated with physical therapy. Our physical therapists can evaluate and treat your condition with strengthening and stretching exercises, as appropriate.
  • Acupuncture is thought to work by blocking pain messages to the brain with competing stimuli through the release of endorphins (the body’s natural painkillers) and the secretion of neurotransmitters, which affect one’s perception of pain.
  • Hormone replacement – When hormonal changes are the cause of your pain, hormone replacement therapy can help improve symptoms for both men and women.
  • Stress reduction – Mind body therapies can help lower stress.
  • Nutrition & supplementation – Positive dietary changes and supplementation will help correct deficiencies and can improve your pain symptoms and overall wellbeing.
  • Regenerative medicine therapies, including prolotherapy and platelet-rich plasma have been very successful in treating chronic neck pain related to texting and poor posture.

The treatments above can help relieve your immediate pain, promote long-term symptom relief, and help prevent future episodes of neck pain. In our experience, a combination of treatment strategies works best.

Don’t ignore the message, let us help you! Please give us a call today to make an appointment – 703-532-4892. Ext 2.

We are here for you, and we want to help.

Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2

PRP or Prolotherapy for Knee Pain

Platelet Rich Plasma (PRP) and Prolotherapy – Non-surgical Treatments for Musculoskeletal Pain

July 10, 2023/in Treatments/by Kaplan Center

If you have suffered from chronic joint pain or a sports injury to a ligament or tendon, PRP (Platelet Rich Plasma) and Prolotherapy, regenerative injection therapies that promote repair and self-healing naturally, may be a treatment option for you. There are different levels of joint dysfunction. There are also different levels of treatment. The right injection therapy can help you increase function, decrease pain and healing time, and get you back to living your best life faster. Injection therapies also help some people avoid orthopedic surgery! Regenerative injections can also be used to rejuvenate aging skin and regrow hair.

PRP – Platelet Rich Plasma

Platelet-rich plasma is an injection procedure that uses concentrates from your own blood, the platelet-rich portion of your plasma, to help your body heal and regenerate naturally. Platelets are very small cells in your blood that are involved in the clotting and healing process. When injected into the damaged area, PRP causes a mild inflammation that triggers a healing cascade. As the platelets organize in the treatment area, they release a number of enzymes to promote healing and tissue responses, including attracting stem cells and releasing growth factors to repair damaged tissue. As a result, new collagen and elastic fibers begin to develop. As the collagen matures, it begins to shrink, causing a tightening and strengthening of the tissue in the damaged area.

Prolotherapy

Prolotherapy is a safe and simple regenerative medicine injection treatment used to strengthen weak and damaged ligaments and tendons due to chronic injury or overuse. Many patients with stretched, torn, or injured ligament and joint attachments have difficulty returning to pre-injury level of functioning due to limited blood supply to these structures. Chronic anti-inflammatory/ NSAID use or overuse of steroid injections further impairs this process. Surgery can often produce scarring and a limited range of motion without addressing the root cause of dysfunction. The technique requires injection of Dextrose or Ascorbic Acid (Vitamin C), and methylcobalamin (Vitamin B12) precisely into the site of pain or injury, where the ligament or tendon attaches to the bone, joint capsule, trigger point, or inside joint.

Prolotherapy creates a mild, controlled inflammation that stimulates the body to lay down collagen with the formation of new tendon, ligament, and cartilage, resulting in a strengthening of the weakened structure. This injection process stimulates the body’s natural wound repair process. A typical treatment course is 3-6 series of injections, given every 3-4 weeks. Prolotherapy has been used for over 60 years with numerous case reports and an increasing number of controlled studies showing its effectiveness.

Physical Conditions that Can Benefit from Injection Therapies:

  • Knee Injuries
  • Shoulder Injuries
  • Rotator Cuff Tears
  • TMJ Dysfunction
  • Tennis Elbow / Golfer’s Elbow
  • Joint Instability
  • Lower Back Pain
  • Plantar Fasciitis
  • Osteoarthritis
  • Support for Hair Regrowth

The best way to find out if you are a good candidate for either PRP or prolotherapy is to receive a comprehensive evaluation to rule out other possible causes of your pain (through appropriate medical testing) and to provide you with an accurate diagnosis first before recommending the most effective treatment.

If you have any of the conditions mentioned above and are looking for a non-surgical treatment option to treat your condition, please give us a call today to schedule your appointment. 

We are here for you, and we want to help.

Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2

References:

Bae G, Kim S, Lee S, Lee WY, Lim Y. Prolotherapy for the patients with chronic musculoskeletal pain: systematic review and meta-analysis . Anesth Pain Med (Seoul). 2021 Jan;16(1):81-95. doi: 10.17085/apm.20078. Epub 2020 Dec 16. PMID: 33348947; PMCID: PMC7861898.

Everts P, Onishi K, Jayaram P, Lana JF, Mautner K. Platelet-Rich Plasma: New Performance Understandings and Therapeutic Considerations in 2020. Int J Mol Sci. 2020 Oct 21;21(20):7794. doi: 10.3390/ijms21207794. PMID: 33096812; PMCID: PMC7589810.

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