Interventional Orthopedics
Orthopedic treatments for a variety of injuries and conditions
Interventional Orthopedics involves using minimally-invasive image-guided procedures to inject a variety of specific medications and regenerative therapeutic agents at the exact site of injury to stimulate and accelerate the repair of tissues and joints. These medications can include a variety of cell signaling peptides, PRF, A2M, stem cells, viscosupplementation, and new arthritis medications, in addition to several anti-inflammatory agents, described in further detail below.
"Orthopedic surgeons are at an exciting crossroads in medicine, where biologic therapies are evolving and increasingly available. Time-tested interventions such as arthroplasty have shown good results and still have a major role to play, but newer regenerative approaches have the potential to effectively delay or reduce the requirement for such invasive procedures." --Aaron Krych and Mario Hevesi, Orthopedic Surgeons at the Mayo Clinic, International Orthopaedics, Feb 2021.
Orthopedic Injuries - the following conditions are commonly treated at our clinic. Also see additional information for the newest treatments of connective tissue injuries (tendon, ligament, meniscus, labrum, cartilage, etc.) as well as spine injuries, nerve injuries, joint injuries, arthritis, and other conditions with many treatments described on the PRF, A2M, peptides, spine, joint arthritis, stem cells, shockwave, and treatment pages.
Of note, some practitioners continue to use high-dose steroid injections as a shotgun approach for many orthopedic ailments even though these medications tend to cause atrophy of tendon, ligament, bone, cartilage, and skin due to downregulation of collagen synthesis, thus causing worsening or recurrence of some problems and deleterious feedback cycles. There are a few instances where corticosteroids should be used (primarily for actual inflammatory processes and rarely for repetitive degradative injuries, nerve entrapments, chronic inflammatory conditions, etc.) (1) (2) (3) (4) (5) (6) (7) (8). Rather than use injections of degradative medications, in most cases it is preferable to use a regenerative approach that actually stimulates tissue repair, including peptides, biologics, PRF, A2M, pentosan, hyaluronic acid, chondroitin, and shockwave therapy, which promote connective tissue rebuilding, repair, and protection rather than inhibit it as corticosteroids do. We suppress inflammatory processes as necessary and then kickstart regenerative phases that will optimize tissue repair and healing using image-guided injections with a cocktail of factors that are chosen specifically for your injury or condition.
- Spine injuries, pathologies, and pain of the neck and low back (cervical thoracic and lumbar spine). strained ligaments, herniated discs, & spinal facet joints.
- Herniated discs, annular and radial tears of disc, strained ligaments, & spinal facet joints.
- Vertebral fractures, pars defect fractures, spondylosis, sponylolisthesis, and spinal stenosis.
- Arthritis and other arthropathies of the spine, facets, knees, hips, sacroiliac (SI) joints, ankles, shoulders, elbows, toes, thumbs, hands, wrists, fingers, neck, back, atlanto-axial, atlanto-occipital, and temporomandibular joints.
- Forearm lateral epicondyle pathologies (tennis elbow).
- Forearm medial epicondyle pathologies (golfer's elbow).
- Rotator cuff tears, adhesive capsulitis (frozen shoulder), & many other shoulder pathologies.
- Strains, sprains, ruptures, or tears of tendons, ligaments, labrum, meniscus, & pulleys.
- Labral tears, meniscus tears, and dislocations of hip, shoulder, knee, etc.
- Osteoarthritis, joint pain, joint instability, synovitis & effusions.
- Hip pathologies, including labrum, ligament, & cartilage injuries.
- Sacroiliac (SI joint), piriformis, gemelli, obturator, greater trochanteric, & deep gluteal syndromes.
- Hip & Femoroacetabular impingement syndromes (Femoral-Acetabular Impingement = FAI) & ankle impingement syndromes.
- Knee pathologies, including ligament, cartilage, & meniscus injuries.
- Cartilage fracture, contusion, delamination, & subchondral injuries.
- Iliotibial IT band friction syndrome and bursitis at the hip, knee, elbow, & shoulder.
- Hamstring tears of muscle and tendon (hip origin & knee insertion).
- Hip flexor and femoral quadriceps pathologies (proximal & distal).
- Pathologies of biceps femoris, semitendinosus, & semimembranosus.
- Impingement syndromes of shoulder & hip (FAI-S).
- Injuries of the hip, thigh, knee, ankle, foot, and toe in runners and other competitive athletes.
- Patellar tendinosis & plica syndrome.
- Gastrocnemius/soleus pathologies.
- Peroneus/tibialis posterior or anterior pathologies.
- Medial tibial stress syndrome (shin splints & stress fractures).
- Achilles tendinosis & achillodynia.
- Plantar fasciitis.
- Turf toe, capsuloligamentous tears, & Morton's neuroma.
- Tendonitis, enthesitis, tendinopathies, tenosynovitis, & tears.
- Pulley ruptures, volar plate avulsions, checkrein ligament strains, lumbrical tears, jersey finger, stener lesion, & related injuries.
- Ganglion cysts, Dupuytren's contractures, Heberden's nodes, Bouchard nodes, tophi, synovial cysts, & fibromatosis.
- Osteophytes, enthesophytes, bone spurs, & calcific tendinosis.
- Rotator Cuff, SASD, Scapulothoracic, Gluteal, Ischial, Olecranon, & Prepatellar Bursitis
- Joint effusions & cysts.
- Muscle tears, strains, trigger points & myofascial syndromes.
- Osteoporosis (zoledronic acid infusions, bisphosphonate therapy, and parathryoid hormone analogs like teriparatide and abaloparatide)
- Radicular nerve root pain, thoracic outlet syndrome, neuropathy, nerve entrapment or impingement, & nerve tunnel syndromes.
- Regional nerve blocks and releases of spine, head, neck, hip, knee, shoulder, elbow, ribs, arm, ankle, etc.
- Nerve compression and nerve entrapment injections of carpal tunnel (median nerve), cubital tunnel and guyon's canal (ulnar nerve), radial nerve, suprascapular nerve, occipital nerves, sciatic nerve (sciatica, piriformis syndrome, ischiofemoral ischial tunnel, etc), tarsal tunnel (tibial nerve), fibular nerve, superficial and deep peroneal nerve, meralgia paresthetica (lateral femoral cutaneous nerve), femoral nerve, nerve plexus, regional blocks, stellate ganglion, sphenopalatine pterygopalatine ganglion, discogenic nerve root compressions, etc.
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