Prolotherapy
Prolotherapy, short for proliferation therapy, is a regenerative treatment designed to address musculoskeletal conditions, particularly chronic pain and injuries to ligaments or tendons. This therapy involves injecting a solution—commonly dextrose, saline, or another irritant—into weakened or injured areas such as joints, ligaments, or tendons. The injected solution stimulates the body’s natural healing response, promoting collagen production to strengthen and stabilize tissues.
Peptide Therapy
Peptide therapy in primary care sports medicine is a cutting-edge treatment that uses therapeutic peptides to promote healing, reduce inflammation, enhance recovery, and optimize overall performance. Peptides are short chains of amino acids that act as signaling molecules in the body, regulating various biological functions.
Hormone Therapy
Hormone therapy is a treatment approach that utilizes hormones or hormone-regulating therapies to optimize health, enhance recovery, and improve athletic performance. It is often applied to address hormonal imbalances, deficiencies, or conditions that impact musculoskeletal health, energy levels, or overall well-being. We address deficiencies in hormones like testosterone and thyroid hormones to improve physical and mental health.
PRP Therapy
Platelet-Rich Plasma (PRP) Therapy is a regenerative treatment that uses components of the patient’s own blood to promote healing, reduce pain, and enhance recovery from musculoskeletal injuries. PRP is particularly valuable for treating soft tissue injuries, joint pain, and chronic conditions without the need for surgery or prolonged medication use. PRP therapy offers a non-surgical, drug-free option for athletes and active individuals looking to recover faster, improve mobility, and return to their activities. By addressing the root cause of pain and injury, PRP helps optimize performance and long-term musculoskeletal health.
BMA Therapy
Bone Marrow Aspirate (BMA) Therapy is a regenerative treatment that utilizes cells derived from the patient’s own bone marrow to promote healing, reduce pain, and repair damaged tissues. It is particularly useful for managing musculoskeletal conditions, including joint degeneration, tendon injuries, and cartilage damage, without the need for invasive surgery. Bone marrow is typically drawn from the patient’s hip (iliac crest) using a minimally invasive procedure. The aspirate is processed to concentrate cells, including mesenchymal stem cells (MSCs), growth factors, and cytokines. The concentrated bone marrow aspirate is injected into the injured or painful area under ultrasound for precise delivery.
Tips for Injections
Preparing for a biologic injection, such as Platelet-Rich Plasma (PRP) or Bone Marrow Aspirate (BMA), is essential for optimizing results and ensuring a smooth procedure. Here are some practical tips to consider:
NSAIDs
Avoid anti-inflammatory medications like ibuprofen (Advil), naproxen (Aleve), or aspirin at least 7-10 days before the procedure, unless directed otherwise.
Avoid Alcohol and Cigarettes
Limit or eliminate alcohol and smoking for at least 48-72 hours before the procedure. Both can negatively impact healing and platelet function.
Physical Activity
Stay active while avoiding strenuous exercise or activities that could strain the area being treated for at least a day or two before the injection.
Aftercare Planning
Over-the-counter topical lidocaine cream and ketamine patches are usually allowed for managing discomfort for a few days after the procedure. Avoid anti-inflammatory drugs.
Day 0-3
Avoid strenuous activity. Allow the PRP to work by reducing stress on the tendon.
Day 4-7
Exercise, but avoid any activity that causes pain in the treated area. Mild soreness is normal. Resuming activity too soon can delay healing or risk re-injury.
Day 8-21
Progress with activity as tolerated. Physical Therapy helps with controlled tendon loading, range-of-motion exercises, and strengthening the surrounding muscles.
Pricing
Insurance Companies usually do not cover regenerative therapies.​
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​​Laboratory Assessment
Regularly monitor key biomarkers, including vitamin D, thyroid function, magnesium, hormone levels and many other biomarkers to optimize overall health. Consider a continuous glucose monitor to assess the metabolic effects of certain foods.
Environmental Toxins
Minimize exposure to harmful chemicals commonly found in modern environments, such as microplastics, BPA, phthalates, pesticides, herbicides, heavy metals, PFAS, parabens, and soy-based products.