Our medical staff utilizes a number of injections to assist patients with healing and pain. Our procedures are typically minimally invasive, and are performed on-site. For more invasive procedures, such as epidural spinal injections, we refer to and co-manage with local physicians.
Supartz Knee Injections
Supartz (sodium hyaluronate) is a joint fluid therapy approved for the treatment of osteoarthritis (OA) in the knee of patients who have responded poorly to non-pharmacologic therapy and simple analgesics. This drug is a clear, viscous liquid that is injected into the knee joint, similar to the body’s natural synovial fluid (natural joint lubricant and shock absorber). Supartz is designed to provide long-term pain relief by supplementing the body’s natural synovial fluid, which is degraded by OA. Supartz is administered by intra-articular injection once a week for a total of 5 injections. Most patients are able to return to normal activities immediately and experience relief as early as 1-2 days after the first injection. In our office, after reducing symptoms, we help rebuild your knee strength, which improves your long-term function and level of symptomatic relief.
Trigger Point Injections
Trigger point injections are used to relieve muscle pain associated with muscle tightness. Trigger point injections are used in very small doses and many patients experience an immediate, substantial decrease in symptoms, along with an increase in overall healing.
What is a trigger point? A normal muscle contracts and relaxes when it is used to move your body parts. A trigger point is a knot or tight, rope-like band of muscle that forms when a muscle fails to relax after activity. This knot can often be felt underneath the skin and may involuntarily twitch when touched. Trigger points can entrap or irritate the surrounding nerves and can lead to referred pain, which is pain felt in other areas of the body. Over time, trigger points may lead to decreased range of motion, scarred tissue and muscle weakness. Common areas to find trigger points include the area between your neck and shoulders (can cause headaches in the temples), the base of the back of your skull (can cause headaches above your eyes), and the upper buttock area (can cause pain down your leg).
Trigger point injections are performed with a very small, thin needle and typically involve very little injection discomfort. Often, patients experience immediate relief. We primarily use anesthetics along with Sarapin, a plant-based medication, for best results. Sarapin is a non-toxic, natural substance that has been used for decades as a natural alternative to traditional medications. Sarapin has no known side effects and can be injected nearly anywhere in the body. This natural substance is commonly used to treat myofascial pain syndrome, sciatic pain and intercostal neuralgia. Lidocaine is an injectable anesthetic medication used to numb a joint or treat muscle pain. Research shows that a combination of manipulative therapy and injections can inactivate trigger points and provide prompt relief of painful symptoms related to joint and muscle ailments.
We are able to treat joint pain and many conditions leading to sore, injured or arthritic joints. Other common joints we treat are knees, shoulders, elbows, wrists, sacroiliac and hip joints. Our medical team injects Sarapin, anesthetics, Supartz and varying steroid preparations depending on your condition and your therapy goals. For trickier areas, we use ultrasound guidance to ensure the best accuracy with needle placement. Our goal is to reduce joint pain and minimize injection soreness by spraying the area with ethyl chloride to cool and numb the injection site.
Tendon or Nerve Injections
For tendonitis, tendonopathy pain, pinched nerves, entrapped nerves or general nerve pain, injections of anesthetics, Sarapin or steroids often reduce swelling and pain. Secondary to the injection, damaged tendons and nerves can heal better by reducing or eliminating inflammation. Conditions that arise from pinched nerves include, but are not limited to: carpal tunnel syndrome, sciatica, peripheral neuropathy, peripheral nerve entrapment, tarsal tunnel syndrome, radiculitis, intercostal neuritis, and femoral nerve entrapment. More common tendons affected by overuse and inflammation are associated with: tennis elbow, golfers elbow, Achilles tendonitis, patellar tendonitis, biceps tendonitis, and rotator cuff tendonitis.
Sarapin is a biological medicine derived from the pitcher plant. It works by blocking pain signals in the nerves, but does not affect any other nerve functions. More importantly, Sarapin has no known side effects. Recognized by the FDA and AMA, and requiring a prescription for treatment, Sarapin is used as possible treatment for the following ailments: sciatic pain, intercostal neuralgia, alcoholic neuritis, occipital neuralgia, brachial plexus neuralgia, lumbar neuralgia, and many more.
Lipo B12 Injections
Lipo B12 injections include B-complex vitamins and amino acids, which enhance your body’s ability to burn fat. In doing this, you will experience more energy. Lipo B12 injections are used primarily for our medical weight loss patients to accelerate their metabolisms and help maintain energy as they reduce calories.