Lumbar and Sacroiliac Region
Nearly 80% of Americans suffer from low back and sacroiliac joint pain at some point in their lives. The condition can be caused by an athletic injury, trauma, and overuse related activities that are related to sedentary work conditions and poor posture. Some of the common conditions that cause low back and sacroiliac pain include segmental dysfunction of the lumbar spine and sacrum, mechanical low back pain, joint osteoarthritis and ligament instability, lumbar disc herniations and spinal stenosis. The pain can be centered along the spine or radiate to the buttocks and legs.
A thorough examination is conducted on every patient. Our osteopathic training allows us to diagnose subluxation of the spine joints that can be a source of a previously undiagnosed source of pain. Gentle manipulation of these joints is frequently performed during examination for diagnostic and therapeutic purposes. Structural deficits, restrictions, as well as muscle weakness and imbalances are identified. X-rays and state of the art ultrasound technology are used for diagnosis of structural lumbosacral problems. High-resolution ultrasound imaging is advanced enough to see piriformis restriction related sciatic nerve injury, tendonitis and joint swelling that can be a cause of acute and chronic pain. Advanced imaging techniques such as MRI are frequently used for further assessment of disc and spinal nerve root injury.
Dextrose and Biocellular Prolotherapy
Ultrasound guided steroid injections of the lumbar and sacroiliac joints can relieve pain and inflammation of arthritic joints. Frequently the injured area of the lumbo-sacral spine is a victim of underlying instability. We treat the entire spine ligament and deep spine muscle complex to promote joint stabilization. Treatment of underlying sacroiliac instability frequently helps with buttock, leg, groin and pelvic pain. Unlike a more commonly used target specific approach where just a joint that hurts is injected, our technique restores stability to the areas around the injury. This not only allows for better healing of painful joint but prevents recurrence of breakdown of the area in the future.
Concentrated dextrose solution is the foundation of our regenerative treatments. When injected around the ligaments and deep muscles of the spine, it promotes ligament regeneration and mild cartilage repair. It stimulates and enhances both PRP and Stem cell’s regenerative potential.
PRP (platelet rich plasma) is a stronger biocellular treatment. It promotes joint cartilage regeneration and repair of worn ligament and muscle. PRP Prolotherapy technique is used in more advanced arthritic and degenerative cases. It directly delivers grown factors in the damaged tissue and activates a signaling mechanism that stimulates body’s stem cell production and recruitment to the site of injury. Repair and new tissue growth occurs quickly and naturally.
Stem Cell therapy is the most advanced regenerative technique available. Stem cells are extracted from either the bone marrow or fat and are immediately reinjected into the injured areas of the spine. Direct delivery of mesenchymal stem cells into the affected area allows for repair by growth of new healthy tissue.
Osteopathic Manual Therapy( OMT) is utilized during every physician encounter as needed for correction of lumbar and sacroiliac restrictions. State of the art personalized one-on-one physical therapy is conducted to address restrictions, correct imbalances and promote strength of the supporting lumbo-sacral muscles. SpineForce is a revolutionary tool that is used to facilitate rehabilitation and allow for independent exercise during and after the corrective treatment phase. Private and small exclusive therapeutic Yoga classes are prescribed for gentle strengthening and relaxation of the chronically overused low back and pelvic muscles. Yoga also addresses stress related causes of low back pain through teaching of Mindfulness Based Stress Reduction and breathing techniques. Yoga program is typically instituted after completion of the physical therapy and rehabilitation program. It is used in conjunction with SpineForce for continued improvement of postural balance, conditioning, and strength.