Joint Injections

Joint Injections

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Platelet Rich Plasma (PRP) For Joint Injections

We use Platelet-rich plasma (PRP) in our practice to treat tendon irritations, tendinitis, and bursitis around the shoulder, knee, elbow, and ankle joints.

PRP Blood DrawWe start by drawing a small amount of a patient’s blood, then spin it in an orthopedic centrifuge to isolate the PRP. The doctor then injects the PRP directly into the injured area, with the use of either ultrasound or fluoroscopy, where the growth factors can take action to help heal the damaged tissue.

The PRP has the benefit of stimulating the release of stem cells from vessel walls further augmenting repair. Stem cells are also being directly added to our cartilage regeneration efforts.

Tendinitis is an inflammation, degeneration or injury to the tendon, the structure in your body that connects muscle to bone. Tendinitis can lead to degeneration of the collagen fibers that make up the tendon. The chronic pain that develops with tendinitis has been successfully treated with soft tissue massage, stretching, icing, and careful exercises.

In the past, when tissues and joints were injured, the common treatment in similar circumstances was a cortisone injection. Cortisone is a steroid that inhibits protein metabolism so inflamed cells that are actively turning over are shut down. This effect reduces swelling and therefore pain. Unfortunately, it also reduces activity in normal cells and tissues, and leads to weakening of the tissues and occasional tendon ruptures. Joints that are repeatedly injected with cortisone show damage to the articular cartilage surfaces, which protect the ends of bones. Rather than work to actively heal the damaged tissue, a cortisone injection unfortunately only serves to mask the injury, allowing the athlete to continue to play, often causing more damage.

Steps for the joint injection procedure

1. Identifying the area of concern.

Using an ultrasound machine, we examine the area of concern to locate the damaged tissue.

2. Isolating and activating the magic from your blood.

First, the doctor draws about 2 teaspoons of blood. Using a centrifuge in our office, we isolate platelets from that blood (platelet rich plasma, or PRP), all within about 15 minutes. The platelets are then “activated” to release at least eight growth factors will be used to heal injured tissue. These growth factors work like magic to cause increased collagen and new blood flow.

3. Injecting the PRP into the joint.

Using numbing cream and a very small needle the doctor injects the Platlet Rich Plasma containing a high concentration of growth factors into the joint. These growth factors then activate multipotent stem cells already in the tissue, tricking them into “thinking” there’s been an injury. By creating an inflammatory response, the body sends more of it’s own healing elements to the area. The result is the generation of new, younger tissue to replace that which was torn or damaged.

 

What joint injuries can we treat with PRP?

Shoulder pain healed with PRP

Shoulders

Traditional options for patients suffering from many shoulder injuries include arthroscopic shoulder surgery to repair tears, or shoulder joint replacement. With both surgeries, months of rehab are required, and the patient must be aware of and prepared to take on the risks. As an alternative, PRP Injections can be performed with promising results for recovery without the need to undergo surgery.
Knee pain healed by PRP

Knees

Surgical options for those dealing with painful knee issues range from arthroscopic knee surgery to total knee joint replacement. Knee replacement is extremely traumatic and carries new-found risks of toxic wear particles entering the blood stream. Surgeries also often require months of painful rehab to regain strength and mobility. Most surgeries also accelerate the cascade of degeneration that leads to osteoarthritis. Depending on the severity of the knee injury, PRP may be a great alternative to surgery.
Ankle pain healed by PRP

Ankles

Current surgical treatment options for common injuries and arthritis, include ankle arthroscopy to “clean up” damaged cartilage, fusion of ankle bones where cartilage has been lost, and tendon grafts screwed in place to strengthen loose connections between bones. All are painful and may not be effective in the long run. Depending on the severity of ankle injury, PRP may be a great alternative to surgery.
PRP for elbow pain

Elbows

If you are experiencing elbow pain, PRP is likely an excellent treatment option. In recent years, several studies have shown the effectiveness of platelet rich plasma in treating elbow tendon and ligament issues. In fact, these studies are so decisive that at this point in time, there are very few cases where surgery would be recommended for anything but the most severe elbow injuries.

 

ReNue Health is located conveniently in Springboro, Ohio with easy access from Dayton International Airport, Cincinnati International Airport or the adjacent Wright Brothers Private Airport (MGY) for those travelling by private aviation. Click here for directions and contact information.

Appointments can be made by calling the main office number 937-350-5527 for information.

 

Additional treatments to aid in healing include Bioidentical Hormone Therapy

Hormone Replacement Therapy Benefits

Renue Health offers a full spectrum of hormone replacement therapy programs that may counteract your declining hormone levels which may help you heal and feel brand new again.

Each hormone replacement plan is meticulously designed around your current medical history and lifestyle to provide the best possible results. Thanks to this personalized approach, Renue Health has helped thousands of patients receive many benefits including, but limited to the following:

Want to know more? Download a free detailed booklet on the benefits of Hormone Replacement Therapy

How do I get started?

We make regaining your vitality as easy as possible. Only one visit is necessary to perform a comprehensive history, interview, and education. Follow up evaluations, adjustments and balancing of hormones are done by phone or written communications and a return visit to Dr. Rob is not necessary. Ongoing testing and adjustment is mandatory and performed through a laboratory convenient to your home. You can also contact our office at 937-350-5527 today to speak to us about the many benefits of Bioidentical Hormone Replacement Therapy. No matter what your age or symptoms, we can help you feel like your former self by reclaiming your peak health through Predictive, Preventative and Proactive Interventional Medicine!

FREQUENTLY ASKED QUESTIONS

INITIAL CONSULTATION

To schedule a consultation simply call 937.350.5527 and one of our team members will assist you. Please complete all Renue Health questionnaires, ordered laboratory and obtain any necessary old medical records before you arrive for your initial consultation. This will allow Dr. Rob and his staff time to compile your biomarkers effectively and efficiently. You will receive an email after you make a consultation appointment that contains a link to our online patient forms. You can then download all of the intake forms, Elite Lifestyle Questionnaire and Nutritional Questionnaire.  http://www.renuehealth.com/request-an-appointment/ Upon completion of your consultation, you will receive a copy of all your biomarkers, relevant data and recommendations on a flash drive. Should you need additional copies of your medical records, a $30 administrative fee will be charged for copies, handling, and postage.

FORMS OF PAYMENT

We require a credit card number at the time of scheduling your consultation. Our administrative team immediately begins creating your portfolio to gather your administrative data and biomarkers. We are already working behind the scene in preparation of your upcoming consultation. This credit card will be used to hold your appointment and will be kept on file and will be used to complete payment for services, unless otherwise specified by you at the time of check out. We accept cash, checks, Visa, MasterCard, Discover, and American Express.

INSURANCE COVERAGE

We do not accept insurance. We will provide you with an itemized bill that you can file with your insurance company. Patients who have out-of-network benefits may or may not be reimbursed. Our office cannot assist you with claim resolution. You may be able to use pre-tax dollars from a Health Savings Account (HSA) or a Flexible Spending Account (FSA) to pay for your fees related to your services from this office. Renue Health nor Dr. Rob nor any of his employees or affiliates is responsible for payment differences or amounts set by your insurance company. Payment amounts vary per insurance provider depending on your agreement with them and this office is not responsible for dictating or making you aware of the terms and agreements between your insurance company and yourself. Please contact your insurance company with any questions or concerns regarding covered amounts and deductibles. All of our services must be paid for at the time the services are delivered.

DISABILTY FORMS

Dr. Rob does not fill out medical disability forms for patients, and does not submit medical records to support disability claims.

CANCELLATION OR RESCHEDULING OF CONSULTATION

Your consultation must be cancelled or rescheduled at least 72 hours (3 business days) prior to your consultation time, or you will be charged $100.00 US for the visit. You may cancel your appointment by calling the office at 937-350-5527 or send us an email through our directions and contact information page. We currently have a waiting list for consultations and many of our clients are travelling from considerable distances. We ask that if you know that you need to cancel or reschedule, please let us know as soon as possible so that we may offer your consultation time to someone on the current waiting list.

EMERGENCIES AND URGENT CARE

In case of a serious medical emergency, call 911 or go directly to the nearest emergency room. Dr. Rob serves as a medical consultant. Unless we have accepted you as a primary care concierge patient by application and contractual arrangement, we require you have a primary care physician for your urgent care and problems that arise when Dr. Rob is not available. Our staff is available to take your message about your health Monday through Friday 10am-4pm. We are not available outside of these hours. Please allow up to 72 business hours for a return call. In many instances, we may be able to get back to you sooner than that. Another way to contact the Renue Health Team is by sending us an email through our directions and contact information page. If you are a concierge patient then you have Dr. Rob's private cell phone number and Team numbers and can feel free to contact him or any of the team members directly.

LABS

We have access to laboratories nationwide to accommodate your needs, whether you live locally or out of state. Some of the specialty labs that we recommend involve blood, stool, urine, or saliva samples and can be done by you in your home. You will be given all lab kits and step-by-step instructions for at-home tests at the time of your consult. Once all of the final lab results are received, we will review them with you at your visit. When we request laboratory tests, it is essential that they be performed promptly. Many tests can take up to 4 weeks to perform and for the results to be returned to us. Please do not delay in completing your tests. Some of the specialized tests may not be considered medically necessary by your insurance carrier, and therefore might not be covered. It is your responsibility to make a follow-up appointment to review your lab results with Dr. Rob. If you are unable to return to our office to review your labs, we are available by Skype, Face time, or telephone.

RETURNS

We do not accept returns of supplements or specialty labs. Specialty lab kits must be used within 3 months.

NUTRITIONAL THERAPY AND SUPPLEMENTS

Nutritional therapy and laboratory/diagnostic testing are integral components of your treatment plan. Test results are used to design your personal health care program as well as uncover the root causes of your medical condition. Nutritional supplements are often recommended and we will help you select and find the highest quality products. The supplements that we recommend at Renue Health are available for purchase from our office. It is possible to have your supplements automatically shipped to your home or office for your convenience.

REFILL POLICY

Refills are granted at the time of your consultation or follow up appointments. When you are running low on your medication, it is a REMINDER that you are probably due for your follow up appointment. I generally prescribe enough medication to last until your next follow up appointment. Supplements are immediately available to you by calling the office, visiting the office, or by ordering directly from the websites.

WEBSITE

Information about Dr. Rob, Renue Health and the focus areas of our practice is available on our website at http://www.renuehealth.com and you can learn more about Dr. Rob at http://www.renuehealth.com/about-renue-health/

HOTEL ACCOMMODATIONS

These hotels are conveniently located nearby Renue Health. Hilton Garden Inn
12000 Innovation Way
Miamisburg, OH 45342
(937) 247-5850
Hampton Inn & Suites
25 Greenwood Ln
Springboro, OH 45066
(937) 743-2121
Comfort Inn
15 Sharts Rd
Springboro, OH 45066
(937) 746-0151

WHAT WE TREAT

While the focus of our practice is on the optimization of male performance and health we also do optimize the performance and health of women. Medical conditions we treat and testing we perform:

  • Abdominal Pain
  • Adrenal Fatigue
  • Allergies
  • Athletic Performance
  • Autoimmune Conditions
  • BioIdentical Hormone Replacement
  • Bell's Palsy
  • Carotid Ultrasound with CIMT
  • Cholesterol Management
  • Comprehensive Intracellular Nutrient Testing
  • Comprehensive Laboratory Testing
  • Detoxification Programs
  • DEXA Scan
  • Diabetes
  • Digestive Issues
  • Dysautonomia
  • Fitness Evaluations
  • Flexibility Testing
  • Food Sensitivity Testing
  • Gastric Inflammation
  • Gluten Sensitivities
  • Healthy Aging
  • Heart Attack & Stroke Prevention
  • Hormone Optimization for Men & Women
  • Leaky Gut
  • Low Testosterone (Low T)
  • Medical Body Composition Analysis (mBCA)
  • Men's Health
  • Mental Focus & Clarity
  • MTHFR gene mutations
  • Metabolic Syndrome
  • Neurocognitive Testing for Parkinson's, Alzheimer's, and ADD
  • Nutrition Counseling & Optimization
  • Natural Weight Loss
  • Parasympathetic Overtraining Syndrome
  • POTS Syndrome
  • Strength Testing
  • Sympathetic Overtraining Syndrome
  • Underactive Thyroid
  • VENDYS Vascular Endothelium Testing
  • VO2 Max Testing
  • Women's Health