Center For Manual Medicine Uses Ultrasound For Guided Injections

Prolotherapy

Prolotherapy is a treatment that places a “proliferant” solution into a damaged tendon or ligament. The proliferant, usually concentrated dextrose or sugar water triggers the natural healing response in the body. A repair process is activated at the site in the damaged tendon where the solution has been injected. The ligament or tendon becomes stronger which reduces pain and instability.

Why not cortisone?

Acute tendon and ligament problems may involve painful inflammation that continues beyond the normal few days necessary for healing to start. Unlike cortisone injections that over a period of time have a tendency to degenerate tendons and ligaments, dextrose solution actually starts a temporary inflammatory response that is necessary to bring healing to the area. The treated area normally will feel more painful for a few days. NSAIDs or anti-inflammatory medication should be avoided for this reason. They will tend to block the healing process. Instead, Tylenol and ice are used while healing is initiated.

What problems can prolotherapy help?

Prolotherapy is primarily used on chronic problems that have been present months to years and haven’t responded or have quit responding to standard care including cortisone injection.
These include:

Common osteoarthritis of joints, also called degenerative arthritis. Often pain is produced by the tendons and ligaments as they attach to the bone at the joint. Almost any joint can be treated, but typical ones include knee, ankle and feet, hip, wrist and hand.

Poorly healed injuries such as sprains and strains that have not resolved after a few months/years. This may include shoulder and elbow injuries along with chronic tendonitis such as tennis or golfer’s elbow.

Unstable joint due to ligament looseness. Shoulders that tend to dislocate is one example. Chronic back and neck pain especially if aggravated by prolonged positions. These require quite a few injections and other treatment including physical therapy, medication, manipulation and cortisone injections are used before going to prolotherapy. Unstable sacroiliac joints that only respond temporarily to manipulation are often relieved by prolotherapy.

Ultrasound injection
Now You Can have Reduced Pain and Freedom of Movement

Here’s good news for people who are suffering from muscle and joint pain…there is no need to suffer any longer! The Center For Manual Medicine, at 21st and Fairlawn, combines the services of Dr. Mark Penn, a chiropractor, and Dr. Doug Frye, a medical physician, to create a one-of-a-kind treatment center.

“We have recently begun implementing ultrasound for diagnostic use and guided injections,” says Dr. Frye. “Ultrasound enables us to give an accurate diagnosis and helps us guided the injection needle to the correct target area, which provides much better results for the patient. I believe we are the only office offering this specific service in the Topeka area.

“Local injections can be helpful to threat musculoskeletal conditions including tendonitis bursitis, arthritis capsulitis and fasciitis.” Cortisone injections are used for:

• Shoulder Tendonitis/Arthritis
• Tennis/Golfer’s Elbow
• Carpal Tunnel Syndrome
• DeQuervain’s Tennsynovitis
• Trigger Finger/Arthritis
• Ankle/Foot Tendonitis
• Planter Fasciitis

“Local injections in the shoulder can help speed recovery by reducing pain and inflammation and improving range of motion,” explains Dr.Frye “We also offer Trigger Point injection, Prolotherapy, as well as Viscosupplementation Injections for Chronic knee arthritis.

“Subacromial cortisone injections, without the use of ultrasound, have historically shown a low level of accuracy (between 29% to 79%). However, a recent study in the Journal of Rheumatology showed a 35 point improvement on a 100 point visual injections. In other words, a patient’s chance for improvement is much greater with the use of ultrasound.”

“I had a lot of pain in both feet for years. I tried many different things with no results. Dr.Frye did a series of prolotherapy (using Injection Therapy) and now I have almost no pain. The results were great!”

“Many of our patients are experiencing similar results with this new cutting edge technology,” Says Dr. Frye. “We invite people to set an appointment to see if we can assist them in elimination pain. We Specialize in:

• Back and neck pain
• Pre and Post surgical rehabilitation
• Headache
• Hip and leg, ankle and foot pain
• Carpal tunnel syndrome
• Tendonitis/Bursitis
• Work/Auto/Sports injuries
• Chronic Pain/Fybromyalgia

The clinic also has a fully staffed rehabilitation center. Exercise therapy is utilized at each visit to help patients learn how to keep their problem from returning.

“For several years I had increased pain in my lower back near the hip. My GP said my hips were fine. I had quit exercising and even walking was quite painful. I went to Dr.Penn and found it was my SI joint. With physical therapy and education, I am virtually pain free and back to working out. As a bonus, the metabolic program they offer helped me lose 25 pounds and I am off one of my diabetic medications. I feel better than I have felt in years.”

Iris Gomez - Topeka