Your visit will start with a personal interview and physical examination. This may be followed by diagnostic tests such as X-rays and MRI, if indicated. After a comprehensive evaluation your doctor will make recommendations for a treatment plan based on your medical history, extent of the injury, your tolerance for specific medications, procedures, or therapies.
There are many different non-surgical treatment options available that your doctor may prescribe. In many cases, more than one treatment options are recommended at a time or in a step-wise fashion. Treatment options may vary depending on the condition and the severity of the injury such as:
- We work on a relative rest model. We will work to find activities that you can do while your injury heals. Some injuries require more rest than others.
Non-steroidal Anti-inflammatory Medications (to reduce swelling, pain or stiffness)
- Various anti-inflammatory medications are used to treat the problem.
- Some are taken by mouth others are used topically on an injured tissue.
- We do not sell supplements but do use medicinal food products that are over-the-counter or prescription to help in the healing process.
- Examples are Avocado Soybean Unsaponifibles (ASU), Limbrel, Glucosamine, etc.
Prescription Pain Medications
- We use pain as a guide to our treatment so often avoid pain blocking medication outside of the post-surgical situation.
- Steroid Injections: Used to reduce swelling, pain or stiffness.
- Platelet-rich Plasma (PRP): A newer treatment that has promising results for tendons and arthritis BUT often not covered by your insurance company policy.
- Whole Blood: Similar to PRP this has been used by doctors to treat tendon injuries.
- Percutaneous Tenotomy: A method to treat tendon injuries using ultrasound to find the area of injury and break up scar tissue.
Physical Therapy and Mechanical Therapy
- One of our trained therapists will use specific and targeted exercises to stimulate healing or restore strength and range of motion to an injured joint.
- Eccentric exercises, sometimes called negatives, are specialized exercises proven to stimulate tendon cells to initiate repair of an injury. We use these exercises regularly for tendon injuries.
Immobilization (restricts motion to allow the injured area to heal)
- Casts, splints, braces support and protect broken bones or torn ligaments to allow healing.
- Unloader braces are used to help unload an injured side of a knee or
other joint (often used in arthritis).