Platelet Rich Plasma

Platelet-rich plasma (PRP) is a patient’s own concentrated platelets. PRP contains a large number growth factors. These growth factors stimulate healing. When PRP is injected, it can aid the body’s natural healing of injuries. The goal is not only to relieve symptoms but to create actual healing. In some cases, PRP may reduce the need for medication and/or surgery. PRP has been used to treat tendon, ligament, cartilage and bone injuries, as well as arthritis. Around the foot and ankle PRP is used for treatment of tendon and ligament injuries such as plantar fasciitis, Achilles tendon and ankle ligament injuries.

General Details of PRP Injection Therapy

A small amount of a patient’s blood is drawn and then spun at high speed. The platelets are concentrated. This liquid is then injected around or near the area of injury being treated. The PRP at this stage contains three to five times the concentration of growth factors compared to normal human blood.

A physician may recommend a single injection or a series of injections based on the injury being treated and a patient’s initial response to the therapy. Your doctor may use ultrasound or an X-ray as a guide to placing the injection.

What happens after a PRP injection?

You may experience mild pain and irritation of the area for several days following the injection. Some doctors may ask patients to limit motion or weight-bearing activity immediately following the injection. The use of a brace, boot or cast may be recommended during the early post-injection course.

Three to seven days after the injection, you may gradually return to normal physical activities. The return to full activity is determined based on response to the therapy and the recommendation of your surgeon.

Topaz RF therapy

The entire process takes only 20 minutes, and is performed in a hospital using intravenous sedation anesthetic (you are asleep but breathing on your own). Your doctor places the Topaz wand, which looks like a sewing needle, into the affected fascia or tendon for just a half-second. Then, the wand is moved about a quarter-inch and pushed in again. This action is repeated until a grid-like pattern is formed around the affected area.

The Topaz wand uses cobalation technologies, which are radio frequency waves that gently cause microscopic “trauma” to the scar tissue your body hasn’t yet been able to heal. The procedure brings blood back to the affected area and restarts the healing process by increasing the growth factors in the damaged tissue region. The strategically placed Topaz wand greatly minimizes any damage to surrounding healthy tissue.

Custom Molded Orthotics

Our Bracing Service supports surgical procedures, nonsurgical rehabilitation and pain management with its superior products and care. We offer this service at all of our office locations.

Tenex

This procedure is for patients with chronic fascia and tendon problems. Patients who have Tennis Elbow, Golfers Elbow, Patellar Tendonitis, Achilles Tendonitis and Planter Fasciitis.
Tenex procedure requires local anesthesia, an ultrasound and a tiny incision. A thin probe uses ultrasonic energy to remove the damaged portion of the tissue. The procedure takes 25 minutes.

Radiofrequency Nerve Ablation

Radiofrequency Nerve Ablation is a safe, proven means of treating chronic heel pain. RFA is recommended for patients who have pain for over 3 months and all other forms of therapy have been unresponsive.

How Radiofrequency Ablation works

Radio frequency energy is transmitted to the tip of a needle where it is converted to heat and targeted at specific nerve tissue. Once the nerves undergo this heat treatment, they slowly stop transmitting pain. Radiofrequency refers to radio waves, a form of electromagnetic energy produced during the procedure.

What to expect after your RFA procedure

The RFA heel pain procedure takes 15 to 30 minutes and is performed on an outpatient basis. After the treatment is completed, a small bandage is placed over the probe insertion site and you can return to normal activity almost immediately.

Internal Brace for Ankle Ligament Repair

Chronic Ankle Instability Explained

Chronic ankle instability is a condition characterized by a recurring “giving way” of the outer (lateral) side of the ankle. This condition often develops after repeated ankle sprains. Usually the “giving way” occurs while walking or doing other activities, but it can also happen when you’re just standing. Many athletes, as well as others, suffer from chronic ankle instability. People with chronic ankle instability often complain of: • A repeated turning of the ankle, especially on uneven surfaces or when participating in sports • Persistent (chronic) discomfort and swelling • Pain or tenderness
What Causes It? Chronic ankle instability usually develops following an ankle sprain that has not adequately healed or was not rehabilitated completely. When you sprain your ankle, the connective tissues (ligaments) are stretched or torn. The ability to balance is often affected. Proper rehabilitation is needed to strengthen the muscles around the ankle and “retrain” the tissues within the ankle that affect balance.

How does the InternalBrace improve upon traditional treatments?

Although the foot and ankle community generally recognizes the Brostrom procedure as the “gold standard” of ligament repair, augmenting the repair with an InternalBrace adds stability and decreases recovery times. You’ll spend less time in a cast, start physical therapy sooner, and return to sports much earlier than you would with a traditional repair.

What is the InternalBrace?

InternalBrace is a tiny, thick, rope-like fiber that’s stronger than the natural ligament. The fiber is secured into place by a BioComposite SwiveLock anchor, designed to allow blood and bone marrow to circulate through the device. The InternalBrace tightly joins the torn ligaments together to strengthen the repair and increase healing time. When their job is done, the fiber and anchors biodegrade and reabsorb into the body.

InternalBrace: A Faster and Stronger Recovery

With the minimally-invasive InternalBrace repair system, patients can expect to be out of their cast and into a walking boot in 2-3 weeks. You can start physical therapy as soon as you’re out of your cast. Although each case is different, patients generally spend less time in physical therapy thanks to the added stability offered by the InternalBrace. The sooner you’re out of physical therapy, the sooner you can get back on track towards your regular training routine.