Conservative Treatment Approach

Bracing /Tens

Braces used in osteoarthritis are “unloading” braces. You wear an unloading brace, example knee or back, to counter the faulty mechanics that lead to joint damage. Transcutaneous electrical nerve stimulation (acronym TENS) is the use of electric current produced by a device to stimulate the nerves for therapeutic purposes.

Diagnostic Imaging, Laboratory Testing and Electrodiagnostic Medicine

Having the appropriate radiographic imagery and blood work is essential for making the correct diagnosis which is why we employ state of the art scanning such as X RAY; MRI; CT SCAN; Bone Scan technology and combine the results with the results of blood work and a comprehensive physical exam to accurately diagnosis the condition. We also may employ electrodiagnostic medicine (EMG/NCS) to help guide a patients treatment plan to a successful outcome. Electromyography, or EMG, involves testing the electrical activity of muscles. Often, EMG testing is performed with another test that measures the conducting function of nerves. This is called a nerve conduction study. Both tests are usually performed at the same time.

Osteoporosis Screening and Treatment

The leading causes of osteoporosis are a drop in estrogen in women at the time of menopause and a drop in testosterone in men. Women over age 50 and men over age 70 have a higher risk for osteoporosis.

Aggressive Treatment Approach

An aggressive treatment approach is usually employed if a patient has failed conservative treatment or presents in severe pain or with loss of function for which a conservative treatment plan would not be appropriate.

Possible aggressive treatment would include:

Diagnostic Vs Therapeutic

Injections which are commonly performed under live xray after IV sedation has been provided is a very safe low risk comfortable way to determine the source of a specific pain complaint (diagnostic injection) as well eliminating the painful condition (Therapeutic Injection)

Less Invasive Non Surgical vs Surgical Procedure

When appropriate patients will be provided the option of state of the art less invasive non surgical interventional treatment including procedures to decompress disc for treatment of disc hernations, Nerve Ablations/Radiofrequency to eliminate damaged painful nerves and the associated chronic pain. We also perform spinal cord stimulation trials and work closely with surgeons for spinal cord stimulator implantation. We have close working relationships with Orthopedic spine and Neurosurgeons who provide exceptional cutting edge surgical options including endoscopic spine surgery with faster healing and recovery time than traditional surgery.