18May2018

Pain and Injury Back Pain, musculoskeletal injuries

Platelet-rich plasma therapy for pain relief

Platelet-rich plasma therapy is a procedure that is becoming pretty popular in effective treatment for pain relief.

Dr. Michael Monfett, MD - New York, NY — Dr. Michael Monfett, MD – New York, NY

Dr. Michael Monfett of Skyline Physical Medicine and Rehabilitation one of many New York pain doctors specializing in Platelet-Rich Plasma Therapy is located in the borough of Manhattan in New York City.

Platelet Rich Plasma (PRP) is blood plasma with concentrated platelets of a patients own blood. Theses concentrated platelets contain growth factors that stimulates tissue healing and renewal.

PRP therapy is used as a treatment for conditions like arthritis, tendon injuries, and ligament injuries.

“Platelet Rich Plasma Therapy can potentially treat a range of sports and acute injuries resulting in joint, tendon and ligament pain. Soft tissue injuries are most responsive to PRP treatment. The following is a representative, non-exhaustive sample: Joint pain resulting from inflammation after an acute injury.”Jul 10, 2017
Platelet Rich Plasma (PRP) Therapy for Sports Injuries | Physio Logic …
physiologicnyc.com/platelet-rich-plasma-prp-sports-injuries/

Platelet Rich Plasma Injections For Chronic Pain Relief May Help You Avoid Surgery.

PRP therapy has become quite popular among athletes and individuals suffering musculoskeletal injuries.

Arthritis (disorder most commonly affects joints in your hands, knees, hips and spine).
Achilles tendon injuries (a springy band of tissue at the back of your ankle and above your heel.)
Back pain (A common, painful condition affecting the lower portion of the spine.)
Bursitis (<shoulder, elbow and hip pain)
Golfer’s elbow (A condition that causes pain on the inner side of the elbow.)
Knee pain (Chronic knee pain is long-term pain, swelling, or sensitivity in one or both knees)
Iliotibial band tendinitis (ITB Syndrome – A painful condition in which connective tissue rubs against the thighbone.)
Ilio-psoas tendonitis (overuse resulting from repetitive hip flexion)
Joint pain (Pain within the joint is a common cause of shoulder pain, ankle pain, and knee pain).
Jumper’s knee (An injury to the tissue connecting the kneecap to the shin bone)
Labral tear (Hip labral tears occur when the labrum, a band of cartilage surrounding the hip joint, is injured)
Ligament injuries (Knee ligament sprains or tears are a common sports injury)
Meniscus tear (A common injury in which forceful twisting causes certain tissue in the knee to tear.)
Patellar tendinitis (An injury to the tissue connecting the kneecap to the shin bone)
Peroneal tendinitis (pain on the outside of your ankle, foot)
Plantar fasciitis (An inflammation of a thick band of tissue that connects the heel bone to the toes.)
Rotator cuff injuries (muscles and tendons that surround the shoulder joint, )
Sacroiliac joint dysfunction (lower back and/or leg pain. Leg pain)
Sports injuries
- Ankle sprain.
- Groin pull.
- Hamstring strain.
- Shin splints.
- Knee injury: ACL tear.
- Knee injury: Patellofemoral syndrome
- Tennis elbow (epicondylitis)
Tendonitis (A condition in which the tissue connecting muscle to bone becomes inflamed.)
Tendon injuries (shoulder, elbow, knee, and ankle injury)
Tennis elbow (An irritation of the tissue connecting the forearm muscle to the elbow.)

Platelet-rich plasma ( PRP ) injection

The procedure usually takes about an hour and most of the time is separating the platelet-rich plasma from your blood sample. The procedure is performed with the patient awake. The PRP may be injected with a numbing agent.

The procedure is performed by drawing blood from a patient, placing it in a centrifuge (a machine with a rapidly rotating container that applies centrifugal force to its contents, typically to separate fluids of different densities.) to separate the platelets from the rest of the blood components. The concentrated Platelets are tiny blood cells are then directly injected into the injured area of tissue.

The “rich” platelets contain multiple growth factors that can stimulate new tissue growth. Some of these factors include transforming growth factor, connective tissue growth factor, epidermal growth factor, and vascular growth factor. These growth factors recruit new cells to the area to stimulate healing.

Ask About Platelet Rich Plasma Injections

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15May2018

Cycling Pain and Injury

Has a cycling injury left you in pain? The concept of being injured, let alone in pain from cycling, a fitness sport, that keeps you healthy and brings you happiness, is outrageous, right?

Cycling like any other fitness sport can one day make you feel exhilarated and the struggling to pedal pain-free. Cycling injuries are expected especially if you’re a diehard cyclist.

An injury caused by cycling is not one to be sweated. Common cycling injuries, are treatable as long as the injury is properly diagnosed and treated by a professional pain specialist.

Common Types Of Cycling Injuries Include:

Overuse Injuries

Impact Injuries (concussion, fractures, clavicle injuries, muscle strains).
Back Pain (Lower back pain)
Knee Pain
Anterior Knee Pain (pain at the front of the knee, on and around the kneecap (patella).
- Posterior Knee Pain (Overextending the knee)
- Medial & Lateral Knee Pain (Stress extending from the feet)
- Iliotibial Band (IT Band) Syndrome (Tissue that can often become tight or inflamed).
Wrist Pain
Arm Pain
Hand Pain
Neck Pain

Resources:

Cyclists overuse injuries can cause patellar tendinitis or patellofemoral pain syndrome, which will either cause pain just below the knee or a generalized discomfort around the kneecap.May 3, 2016

5 Causes and Cures for Knee Pain in Cyclists

https://blog.mapmyrun.com/5-causes-and-cures-for-knee-pain-in-cyclists/

The Types of Knee Pain from Cycling

https://www.ilovebicycling.com/types-knee-pain-cycling/

The Most Common Types of Cycling Pain and Injuries

https://www.verywellfit.com/cycling-pain-and-injuries-3120159

Sports Injuries Conditions and Treatments

painandinjury.com/sports-injuries.html

Treatment for sports-related conditions for pain relief speedy recovery and injury prevention from sports injuries.

3May2018

Pain and Injury DIAGNOSING PAIN, fractures, Injury Doctors

Physiatry Pain’s Best Kept Secret

Physiatry pain medicine

The history of Physiatry ( physicians specializing in physical medicine; residencies or fellowships in PM&R) dates back to 1946 in the World Wars era. Injured soldiers returning from active duty traumatic injuries such as spinal cord injuries, amputation, fractures, etc…

The Physiatry specialty was developed to enable doctors to identify their patients’ physical impairments and functional disabilities and then rehabilitate them back to improved functional independence, restoring them to healthy, productive lifestyles. Today, physiatry is used to treat patients suffering spinal cord injury, fractures, and chronic pain from work injuries, car accidents, and sports injuries.

How do we find PMR physiatrists who are board certified by the American Academy of Physical Medicine (AAPMR) and Rehabilitation and the American Academy of Pain Management (AAPM&R). Well these specialty doctors are located throughout the United States. You just need to know what to look for. New York & New Jersey pain specialists practicing acute and chronic pain management acn be searched by accessing painandinjury.com. Pain and Injury Doctors Musculoskeletal Resources (MSR) provides doctors specializing in sports medicine, physical therapy and rehabilitation, neck and back pain relief, carpal tunnel syndrome, work and auto-related injuries including disability assessment.

For more information on physiatry, visit www.painandinjury.com to begin living a pain free life. Physiatry, offers non-surgical treatments for pain. Physiatry is broken down into three major areas of medical care: diagnosis and treatment of musculoskeletal injuries and pain syndromes, electrodiagnostic medicine, and rehabilitation of patients with severe impairments. Physical therapy requires educating patients on how to utilizing proper exercises designed to improve posture, coordination, and stamina to avoid injury, as well as prescription medication management and interventional injections (Injections—also called nerve blocks—work to provide temporary pain relief) for chronic pain syndromes.

Physical Medicine & Rehabilitation – Physiatry . Find Pain Specialists in New York & New Jersey

CHRONIC PAIN IS REAL. YOUR NOT ALONE!

“My visit to the pain doctor today was disappointing. He said he could do the steroid block on my neck where the disk and the Spine was narrowing at c6-c7 but he couldn’t promise it would take away the pain. Frustrated, I cried. It’s hard for doctors to understand how someone can be in pain for 30 years. They don’t get it. I’ve been on hydrocodone for 15 years. He told me the best thing to do is to get off them bc he wasn’t prescribing pain meds. I Have severe fibromyalgia and CFS also. What good is a pain doctor that doesn’t prescribe pain meds? Now what are my choices ? Surgery is not an option unless the disks ruptures. What do I do? Who do I see?” Tina

As in Tina’s case, chronic pain is defined as a pain that has lasted more than three months.

DIAGNOSING PAIN

X-rays, MRIs, or CT scans, diagnostic injections or blocks are used by pain specialists in order to identify what’s causing an individuals pain. Interventional injections and blocks can be diagnostic and therapeutic at the same time. Doctors will use an EMG, to obtain information about the muscles and nerves in the body when diagnosing carpal tunnel syndrome, a pinched nerve, radiculopathy, sciatica, neuropathies, and muscle diseases.

MSR Resources serving the east coast (NY/NJ) provides information on pain specialists that offer many procedures, that including epidural injections, facet blocks, Botox, trigger point injections, and electrodiagnostic testing. Their mission is to treat patients with trigger point injections, pinpointing muscular pain. If this don’t in treating pain, the next step would be to assess whether or not the pain is coming from a joint by performing diagnostic and therapeutic facet block injections. If the patients report pain relief then procedures like epidural injections would be considered suggesting disc or nerve related problems.

THE EXAM – WHAT TO EXPECT

New patient consultations begin with reviewing the patients medical history and an examination. Dr. Michael Monfett, MD – Pain Specialist in New York will discuss the patient’s concern’s, diagnose the pain then suggest a treatment plan for that specific patient.

Brooklyn pain specialist Dr. David Delman specializes in treating traumatic injuries caused by car accidents or work-related injuries, is no stranger to performing independent medical evaluations? Dr. Delman one of New York’s top pain doctors provides patients with a work status evaluation.

Patients will find New York pain specialists like Dr. Stella P. Mansukhani, MD. in Washington Heights, NY pleasant by nature, compassionate along with a caring staff that recognizes the importance of making ensuring patients are comfortable, and relaxed. Dr. Mansukhani is the kind of physician who treats her patients with sensitivity, educating them on the available treatments that will allow a healthier pain free life. #painfreelife

Resources

Physical Medicine & Rehabilitation – A review of rehabilitative principles, modalities, and equipment needs in pain management https://www.practicalpainmanagement.com/treatments/rehabilitation/physical-medicine-rehabilitation
Work-related pain and injury and barriers to workers’ compensation. https://www.ncbi.nlm.nih.gov/pubmed/15727981
History of the Specialty http://www.aapmr.org/about-physiatry/history-of-the-specialty

11Mar2018

Pain and Injury complex labral tear, hip injury

Injury To Recovery Against The Odds

Injury To Recovery A Ballerinas Story

Most athletes, dancers, will in their careers will face both physical, emotional strains, and possible injury, in their chosen professions.

Take acclaimed ballerina Wendy Whelan who in 2013 underwent reconstructive surgery. Whelan, who was 46 at the time, feareing that she would never dance again. But after months of injury rehabilitation and physical therapy, she returned briefly to the company she had danced with for more than three decades.

Whelan took her final bow with the New York City Ballet in October 2014. Now, nearly three years after leaving ballet, Whelan continues to perform contemporary dance. She says she feels liberated in her new life: “I’ve been strapped in — physically strapped in to pointe shoes, strapped into a leotard and tights, my hair’s been strapped up — for my whole entire life. … I was terrified to be unconstricted, and now I don’t know another way I’d rather be.”

It was the smallest slip, but I felt it deep in the back of my hip hamstring area. And I thought ... I pulled my hamstring; I didn't imagine it would be a tear. — Wendy Whelan danced with the New York City Ballet for three decades. Read about her injury to recovery.

The documentary Restless Creature chronicles Whelan’s injury to recovery and final performance with her company.

Interview Highlights

On the hip injury that hastened her retirement from ballet

It came out of nowhere, literally came out of nowhere. I slipped, ironically, on Sept. 11, 2012, and I knew something had happened. It was the smallest slip, but I felt it deep in the back of my hip hamstring area. And I thought … I pulled my hamstring; I didn’t imagine it would be a tear.

Hamstring injuries are very common in athletes. Acute hamstring strains can occur with high-speed running or with excessive hamstring lengthening. … The article focuses on diagnosis, treatment and return to play considerations for acute hamstring strains and proximal hamstring tendinopathy in the athlete.

I couldn’t do certain dances that season. I did some. I didn’t do the ones that I was really well known for and wanted to do. And I waited a few months, didn’t stretch it, still danced at a certain level, and within three months I couldn’t close fifth position. Fifth position, if you don’t know ballet, is the base of ballet. It’s the most basic position that everything moves from, and I literally couldn’t do that. So that was a big shock.

I tried everything. I tried acupuncture. I was going to therapy. I tried massage, everything you can imagine — I had injections, MRIs. And then the MRI came back and said there was inflammation in my hip, so I had my hip drained. The doctor also did an ultrasound and he said, “I see a complex labral tear.” … It was there forever; I just didn’t know it until it was discovered, and it had gotten to a place where it was needing to be fixed. … Eight months later I was on the operating table getting reconstructive surgery.

On choosing to document the end of her ballet career

Wendy Whelan tells of her decision to document the end of her ballet career as being complicated, confusing, exposing her vulnerability. But as filming began Wendy was all on board with the project. She came to like the footage, the directors, filmmakers, especially the cameraman. He had done dance films before, and knew exactly how to move in the studio, following Wendy closely..

The documentation of Wendy’s story turned into a supportive thing, pushing her to bare herself, to open her story up with confidence and creativity.

On showing pain on camera

“My leg wouldn’t accept the weight without a buckle, so dancing was a really big question. That was really hard for me to show, and I actually took a break from the filming at that moment. I needed to get some epidurals in my back and I just was like, “I just need some space.” … I had the cameras leave, because that was just too much for me to show that I couldn’t walk.” states, Wendy Whelan.

Wendy Whelan documents her journey of injury to recovery. Like many athletes who suffer an injury she was faced with “the what now” decision. Wendy was able to go from ballet to contemporary dance.

I felt slowly like … I am now me, and you’re seeing me, the goofy Wendy. I’m not trying to be who you all thought I was for so long. I’m just this girl. I jumped like a little kid a little bit, and I had bad posture and I was walking like a normal person in my bows and I’m like, yep, I’m just a human being and I’ve been this the whole time, but I haven’t been able to show it. Listen to the full interview here.

Like most athletes, most dance careers can last up to 20 years. Some people, as seen with Wendy Whelan, continue dancing until their early 40s or later, and some people have to retire earlier than age 34 because of an injury.

An serious injury can end an athletes or dancer’s career. Because of the risk involved, it is important to work for a company that has worker’s compensation insurance.

Athletes who’s injuries ended their careers:

Resources:

www.npr.org/2017/07/10/536434340/from-injury-to-recovery-a-ballerina-fought-to-retire-on-her-own-terms
www.restlesscreaturefilm.com/
www.ncbi.nlm.nih.gov/pmc/articles/PMC5003616/
www.mensfitness.com/sports/worst-career-ending-sports-injuries
www.instagram.com/wendyw/
www.theportlandballet.org/15-truths-professional-dancer/
www.painandinjury.com/diagnosingpain/musculoskeletalsystem/hips.html
www.complex.com/sports/2012/10/the-25-greatest-sports-careers-ruined-by-injury/sports-careers-ruined-by-injury-14

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16Jan2018

Pain and Injury Pain Free

Pain Free New Year

Have you been living with chronic pain? Well repeat after me its a New Year, it’s a new me, pain free! It’s 2018, a New Year, and time for a change if you’ve been suffering from chronic pain. Time to set some healthy lifestyle goals with a little help from your local pain specialists.

Follow these simple steps to start a healthier happier pain free life.

Step 1: Start Walking / Exercise

Get circulating. Walking and exercise is said to reduce inflammation, strengthen muscles, and provide healing by sending oxygen-rich blood to the painful area. Follow these steps Workout, rest, recover, repeat.

Step 2: When it’s time to sleep – go to sleep

Do you watch TV or are you on your phone before going to bed? Shut off that TV. Put those electronics away. Start counting sheep. You don’t need distractions. Turn off the lights and go to sleep. Studies have shown that sleep plays a critical role in immune function, metabolism, memory, learning, and other vital functions.

Step 3: If you smoke – STOP

Studies have shown that smokers experience pain more frequently than non-smokers.

Quitting smoking can help most of the major parts of your body: from your brain to your DNA.

Quitting smoking can re-wire your brain and help break the cycle of addiction. …
Lungs. Stop lung damage. …
Blood and the Immune System. Normal white blood cell count.

Step 4: Sit at work often – stand up often

Sitting is the new smoking. Studies show that sitting for long periods of time can cause chronic back pain and neck pain. So stand up and walk. Standing and walking (extension) can minimize the available space along your spine and crowd exiting nerve roots.

Have you been living with chronic pain? Well repeat after me its a New Year, it's a new me, pain free! — Have you been living with chronic pain? Well repeat after me its a New Year, it’s a new me, pain free!

Resources:
www.ncbi.nlm.nih.gov/books/NBK19961/
www.skylinepmr.com/blog/new-year-pain-free/
healthysleep.med.harvard.edu/healthy/matters/benefits-of-sleep
smokefree.gov/quitting-smoking/reasons-quit/benefits-quitting