Dextrose Prolotherapy Injection  

  • 5% Dextrose neuro-prolotherapy
  1. less well known/not many studies
  2. not thought to cause inflammation
  3. may alter TRPV-I and K+ channels in nerves
  4. not covered by insurance 

  • 15-25% Dextrose
  1. similar indication and goal as with PRP
  2. might create more initial inflammation than PRP
  3. shorter term increase in growth factors than PRP
  4. cheaper than PRP since no blood draw or processing required
  5. not covered by insurance                                               Learn more

Platelet Rich Plasma Injection or PRP

  • we use a custom process for Platelet Rich Plasma preparation, not an off the shelf kit
  • All of our PRP Injections are done with ultrasound guidance, which we think is an absolute requirement for best results
  • Same day in office procedure
  • not covered by insurance

Want to learn more about  PRP and how it might help you  ? Then click here

Our Services

  • ​​Ultrasound Guidance is essential for best results with PRP or Prolotherapy
  1. how can you expect it to work if the injection is not given in the correct place
  2. especially critical for Tendon/Ligament injections, if you can't see where the tendon is torn or degenerated you can't get the PRP where it needs to go
  3. for most chronic tendonitis/tendonapthy we also do additional needling (tenotomy) of the tendon and its bony attachment, which is virtually impossible to do accurately without ultrasound
  • Proficiency with ultrasound and needle guidance and visualization is very difficult and very few physicians have this skill
  1. in the realm of musculoskeletal injections it separates the amateur from the pro
  2. make sure your physician can you show you what they are looking at and in most cases show you the needle accurately placed within the sight of pathology

  1. 43 % less procedural pain
  2. 58.5% less absolute pain at 2 weeks
  3. 75% reduction in significant pain
  4. 25.6% increase in responder rate
  5. 200% increase in detection of effusion
  6. 337% increase in volume of aspirated fluid

Ultrasound guided shoulder injection with needle recognition and B-steer

EMG / Nerve Conduction Studies

  • Entire study performed by Physician
  • same day work ins available
  • complete report provided at time of service
  • common indications are leg or arm numbness tingling or weakness
  • common diagnosis are cervical or lumbar radiculopathy, carpal, tarsal or cubital tunnel syndrome, meralgia paresthetica, peripheral neuropathy

Workers Compensation IME & Impairment Ratings

  • We do treat workers compensation patients after careful record review
  • We do workers compensation after careful record review
  • I also have experience in using the significantly more complicated 6th edition 2nd printing of the Impairment Guidelines 

What Conditions do we Commonly Treat ?

Non-Operative Non-Narcotic treatment of common musculoskeletal conditions such as:

  • Neck and Shoulder Pain
  1. is pain coming from neck or shoulder or both
  2. partial rotator cuff tears
  • Low Back and Hip/Buttocks Pain
  1. hamstring  tendonitis commonly misdiagnosed as sciatica
  1. achilles
  2. Tennis Elbow
  3. Golfers Elbow
  4. UCL
  5. plantar fasciitis 
  • Thoracic and Rib dysfunction including Osteopathic Manipulation
  • Myofascial Pain
  1. come checkout the trigger point charts in exam room 1 and 2
  2. we can help you find that muscle knot and get it better
  • Muscle Sprains/Strains/Tears

normal appearing achilles tendon

​      Call Us 501-673-3116

Muscuoskeletal Ultrasound Imaging and Injection Guidance