Interventional Pain Medicine
911 BioCare’s interventional pain physicians are board certified anesthesiologists with sub-specialty training in pain medicine.
Interventional pain care patients are given a thorough evaluation to determine the source of their pain, and medically-responsible treatment plans are tailored for each patient. If medication is prescribed, patients are educated on its use and required to agree to strict guidelines (Legitimate pain management practices do NOT routinely prescribe narcotics)
The type of treatment options recommended by our interventional pain specialists is based on the location, source and severity of the pain. We first use technologically advanced equipment to diagnose the source of your pain. We then customize a goal-oriented treatment plan focused on your timely and safe return to an active lifestyle.
- Simple Fractures
- Shoulder & Rotator Cuff
- Tendinitis, Bursitis
- Tennis Elbow
- Golfer’s Elbow
- Carpel Tunnel
- Achilles Tendinitis
- Plantar Fasciitis
- Trigger Finger
- Neck Pain
- Chronic Pains
- Trigger Points
- Back Pain
- Knee Pain
If you have an acute problem or recent injury, please let our staff know so they can schedule you for the earliest possible appointment.
Common Physician Office Procedures
Viscosupplementation is a procedure that involves live x-ray guided injection of natural and synthetic gel like fluid into the knee joint. These are know as hyaluronates and work to provide a higher level of viscosity within the knee. By increasing the lubrication in the knee joint this will eliminate the friction from bone and cartilage thus eliminating pain. Research indicates that continued use of viscosupplementation decreases knee pain and can slow down the worsening of knee arthritis. The procedure is almost always covered by insurance and Medicare.
Who benefits from viscosupplementation?
Hyaluronate injection benefits patients with painful osteoarthritis of the knee, and those who have experienced a breakdown of the synovial fluid due to accident or disease. The procedure is highly successful for those who have failed to respond to more conservative treatment. The process involves a series of 3-5 injections into the knee joint over the course of a month or so.
How does viscosupplementation work?
The viscosupplementation injection is administered directly into the knee from a point on the side and under the kneecap. The injections usually take no longer than 15 seconds. Up to 12 weeks may be required for the injections to take full effect. Patients commonly report pain reduction and increased joint mobility lasting from a few months to over a year.
2. Regenerative PRP Growth Factor Injections
What is Platelet Rich Plasma?
Platelet Rich Plasma, or PRP is blood plasma with concentrated platelets. The concentrated platelets found in PRP contain huge reservoirs of bioactive proteins, including growth factors that are vital to initiate and accelerate tissue repair and regeneration. These bioactive proteins initiate connective tissue healing: bone, tendon and ligament regeneration and repair, promote development of new blood vessels, and stimulate the wound healing process.
How does PRP Therapy work?
To prepare PRP, a small amount of blood is taken from the patient. The blood is then placed in a centrifuge. The centrifuge spins and automatically produces the PRP. The entire process takes less than 15 minutes and increases the concentration of platelets and growth factors up to 500%. When PRP is injected into the damaged area it stimulates the tendon or ligament, causing mild inflammation that triggers the healing cascade. As a result new collagen begins to develop. As this collagen matures it begins to shrink causing the tightening and strengthening of the tendons or ligaments of the damaged area.
What can be treated?
PRP injections can be performed in tendons and ligaments all over the body. Sports injuries, any appropriate tendon injury that your physician feels would benefit from PRP can be treated, including tennis elbow, carpal tunnel syndrome, ACL tears, shin splints, rotator cuff tears, plantar fasciitis and iliotibial band syndrome may all be effectively treated with PRP.
What types of results can I expect from this treatment?
It may take several weeks for platelet rich plasma injections to begin working. We recommend a series of 3 injections roughly 3-4 weeks apart. Though outcomes vary from patient to patient, most patients feel significant improvement with long lasting results.
3. Trigger Point Injections
Trigger points are uncomfortable knots that form in the muscles. These knots may be felt beneath the skin and also may cause radiating pain due to irritation of the surrounding nerves. We offer the widest array of trigger point medications from typical cortisone to alternatives such as plant extract injections, sterile glucose based solutions, and Botox. Trigger point injections have been able to release years of chronic pain with relief felt after just one injection and often a complete resolution of pain after a limited series of injections, allowing the nervous system to re-train itself. Trigger point injections are almost always intended to be accompanied by physical therapy. The therapist is able to elongate the involved muscle without as much pain after the injection.
4. Intravenous Lidocaine Infusion
An intravenous lidocaine infusion is used to assess the potential benefits of lidocaine (a numbing medication) and related medications to manage your pain. Depending on the specific cause of the pain some patients report immediate, temporary relief of pain during the lidocaine infusion.
Other patients report sustained relief for one to four weeks after the infusion. If you notice an improvement in your pain during the infusion, please take note as to how long the beneficial effects of the medication last and report this to your provider at the time of your next scheduled office visit.
5. Proliferative Therapy
Proliferative therapy involves the injection of natural substances into the affected area. When properly placed, these injections stimulate the release of growth factors and formation of new collagen in the affected area. The prefix “prolo” refers to this stage of new tissue growth or “proliferation.” As the body forms new collagen, the treated ligaments and tendons become thicker and stronger and more capable of doing their work. Proper alignment, stability, and function are restored, and typically the pain subsides. Proliferative Therapy Is The Only Direct Treatment Available for Damaged Connective Tissue.
Proliferative Therapy Procedures
- Prolotherapy, the oldest and most widely used form of proliferative therapy, has been used since the 1930’s. Former U.S. Surgeon General Dr. C. Everett Koop strongly endorsed Prolotherapy after his chronic disabling back pain was cured using this treatment. With Prolotherapy, a natural substance such as dextrose is injected to purposefully provoke mild localized inflammation. This increases the blood supply and flow of nutrients to the area, and the body responds by regenerating the damaged structures.
- Prolozone™ Therapy, a type of proliferative therapy pioneered by Dr. Frank Shallenberger, uses ozone, a naturally occurring form of oxygen with powerful regenerative capacity. Prolozone injections work by increasing circulation and oxygen to the damaged areas. In addition to strengthening ligaments and tendons, Prolozone may also help rebuild cartilage in the treated joint.
- Platelet Rich Plasma Injection (PRP) Therapy uses the body’s own platelets for injection. A small amount of blood is drawn and centrifuged to separate out the plasma. The high concentration of platelets in the plasma is rich in bioactive proteins and growth factors that can accelerate tissue repair and regeneration. PRP is rapidly gaining popularity among professional athletes.
The 911 BioCare Pain Care Difference
- Our doctors are board certified and fellowship trained in Anesthesia and Pain Management, each with hospital and surgery center experience
- Our clinics utilizes a multifaceted approach, with pain procedures, by combining chiropractic, physical therapy, rehabilitation and patient education to eliminate symptoms, restore full function and promote a healthy lifestyle.
- Goal oriented treatment plans are customized for each patient, emphasizing function, not dysfunction.
- Our patients are seen by the physician on a regular basis and must comply with our prescription policy.
- We do not routinely prescribe narcotics
- We accept most PPO insurance plans