In order to make your experience as pleasant as possible, below are answers to frequent questions we receive from new patients.

After all...you have questions... we have answers!


Physical Medicine

We get many questions on the almost 'miracle' medication that we use to inject to those patients with painful OA of the knee.  Here is a link that you can click on that will take you to the Supartz website to answer more of your questions: click here

A Trigger point injection (TPI) may be an option for treating painful, tight muscle spasms in some patients. TPI is a procedure that is used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax.   Trigger points may irritate the nerves around them and cause referred pain, or pain that is felt in another part of the body.  Often one, or a series of trigger point injections are used to successfully stop the cycle of pain/spasm and bring great relief.

In the TPI procedure, a professional inserts a small needle into the patient's trigger point. The injection contains a local anesthetic or saline, and may include a corticosteroid. Injections are given in a doctor's office and usually take just a few minutes.  Depending on the area to be injected, and the patient's body make up, ultrasound guidance can be used to increase the accuracy of the treatment.  We have found this to be a key element in the success in the TPI we provide to our patients. Several sites may be injected in one visit. If a patient has an allergy to a certain drug or is pregnant, a dry-needle technique (involving no medications) can be used.

We have found great success in treating aching knees due to Osteoarthritis (OA).  Especially good for patients who have been told they are not a candidate for Knee Replacement surgery, due to severity of their condition or other health risk factors.  We typically use a 5-shot regimen of a medicine that contains hyaluronic acid (usually "Supartz" for more info click here), spaced out at one visit per week for five weeks.  This material is very similar to the lubrication that a healthy knee joint contains, and often brings the much needed and wanted relief to the achy and painful knees due to OA.  Our physician will evaluate you and be able to tell you if you are a candidate for this treatment.

The length of time of your first visit is usually one hour.  Of course, this depends on what type of Pain condition you are being evaluated for.  We try very hard to gather all needed information in advance, which is why we encourage you to visit our 'patient portal' to fill out the needed medical information ahead of your visit.  Future visits are usually 30 minutes or less.