Physical Medicine & Rehabilitation Services

Headaches are different for each patient so treatment depends on symptoms, severity of pain, frequency, etc.

OnabotulinumtoxinA Injections for Migraines can be used to prevent headaches in adults suffering from chronic migraines that are sometimes accompanied by nausea and sensitivity to sound or light. Patients who are candidates typically suffer 15+ days each month with headaches lasting four hours or longer. This injection is given as a number of tiny injections intended to affect only the area where injected.

Neck generated headaches are common and due to arthritic changes in the neck and muscle tightness caused by injuries. Treatment of these headaches can include blocks of the occipital nerves which transmit the pain from the neck into the forehead region.

Electrodiagnostic testing measures the speed and degree of electrical activity in a patient’s muscles and nerves. Electromyography (EMG) and Nerve Conduction Studies (NCS) are the two most commonly used. These tests allow a physician to diagnose the source of a patient’s pain or numbness.

With the help of an ultrasound machine, we can evaluate many joints, tendons and muscles for acute or chronic changes as a source of pain, weakness or physical limitation. We can also use the images obtained for specific guidance of injection or other treatment modalities to address the abnormal findings.

Epidural Injections deliver medication into the epidural space, the area between the bony canal and the dura (a soft layer of tissue) of the spinal cord. The medication may include an anesthetic that will numb the pain and a steroid that can decrease swelling and irritation.

Joint injections are administered directly into a joint to help with pain and inflammation. Joints may include the knee, wrist, hip or ankle.

Each vertebra on the spine has two pair of facet joints. One pair points up (connecting with the vertebrae above) while the second pair points down (connecting with the vertebrae below). A Facet Joint Injection can reduce pain, as well as help in determining if that joint is the cause of the patient’s pain. If the injected joint is proven to be the cause of pain, steroid medication can be added to the injection to help control pain and inflammation.

Trigger points are painful areas in muscles that can be described to feel like a “knot” or specific area of tightness. When pressure is applied to the trigger point, the pain spreads out to other areas of the body. Trigger Point Injections are administered directly to the trigger point, which can reduce pain and increase physical function.

Viscosupplementation is an injection of hyaluronic acid into a joint, most commonly the knee or shoulder. This injection is used to treat the symptoms of osteoarthritis.

Regenerative medicine is the process of replacing or regenerating tissue that may be permanently damaged to restore function. Platelet-Rich Plasma (PRP) therapy is one type of regenerative medicine.

PRP therapy injects a concentration of a patient’s own platelets to help promote faster healing of injured tendons, ligaments, muscles and joints, and some milder forms of arthritis.