Dr. Valente and Dr. Lagosky create an individualized treatment plan for each patient, which may include a blend of conservative care, injection therapy, regenerative medicine and medical management. Some of our most common treatments include:
The spine is made up of vertebra separated by discs and connected by joints called facet joints. These joints guide movement and give us flexibility. As much as 75-90% of back and neck pain originates from the spinal facet joints. Injury, inflammation or degeneration of these joints can produce back, neck, arm or leg pain and headaches.
Facet injections target the facet joints. Depending on your treatment plan, steroids may be used to decrease inflammation and relieve pain quickly, but other medications can be used to ease chronic pain and stimulate healing.
The injection procedure only takes a few minutes and is performed under a special x-ray called fluoroscopy. There is minimal discomfort as specially designed small needles are used. The patient can then drive home. These are not epidural injections and no narcotics are used. The injections often provide relief when other treatments, i. e. manual therapy, epidurals and back surgery have failed.
Epidural Nerve Block
Epidural Nerve Blocks are corticosteroid injections, which are used to decrease pain and inflammation caused by herniated disc, sciatica, or spinal stenosis. The injection is performed near the nerve and herniated disc, near the spine. To ensure accuracy and safety, the procedure is performed under fluoroscopic guidance, using a contrast agent to confirm needle placement. Local anesthetic and corticosteroid anti-inflammatory medications are delivered into the epidural space to shrink the swelling around nerve roots, relieve pain and pressure.
Epidurals typically take 20-30 minutes and are performed on an outpatient basis.
Trigger Point Injection
A trigger point is a portion of the muscle that has become a source of pain and dysfunction. When the trigger point is pressed, it will feel sore and cause pain which extends to another part of the body.
A trigger point injection, injects an anti-inflammtory into the muscle, which can help to eliminate the trigger point. If left untreated, a trigger point can become chronic and lead to other chronic pain syndromes.
The procedure is quick and the patient may experience a marked reduction in their typical pain.
Platelet Rich Plasma Therapy (PRP)
Platelet Rich Plasma (PRP) Therapy is a new treatment that relieves pain by promoting long lasting healing of musculoskeletal conditions. This new treatment has been showing excellent results and is being employed and referred from many Orthopedists as an alternative to treat joint pain. Condtions that may benefit: osteoarthritis of the knee, shoulder, hip and spine, rotator cuff tears, chronic plantar fascitis, anterior cruciate ligament (ACL) injuries, pelvic pain and instability, back and neck injuries, tennis elbow, ankle sprains, tendinitis, and ligament sprains.
The body's first response to a soft tissue injury, is to send platelet cells to the injury site. Platelets are the body's first step to initiate healing, as they are are packed with growth and healing factors that initiate repair. PRP intensifies the body's natural healing by delivering a higher concentration of platelets to the injured area by injection. PRP therapy is performed by taking a small sample of your blood and spinning it in a centrifuge to separate the platelets out. The platelet rich plasma is then injected into and around the point of injury, jump starting and strengthening the body's natural healing process.
PRP is performed safely in the office and can take up to 1 hour. PRP resolves pain through natural healing, so patients may see improvement within a few weeks. Research studies and clinical practice have shown PRP therapy to be very effective at relieving pain and stimulating healing, and returning patients to their normal lives. Both MRI and Ultrasound images have shown definitive tissue repair after PRP therapy.