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Musculoskeletal Pain / Injury Recovery

With age comes wisdom (hopefully) but also aches and pains. After the usual measures of ice, anti-inflammatory medications, and rest fail provide sought-after relief, what are the other options?

Breakthrough in Pain Relief

We have highly effective answers to that questions.  In just a few treatment sessions we are able to improve or completely eliminate chronic, painful conditions and restore mobility that have not responded to other treatments. 

We treat painful musculoskeletal conditions with Acoustic Wave Therapy (Resonant Shockwave) and Photobiomodulation (Red Light/ Near Infrared Therapy) depending on your individual needs. 

Shockwave and Light Therapy Compared With Standard Treatment For Joint Pain, Muscle Soreness, Tendonitis, Bursitis and Arthritis

NSAIDs, Ice, Ace, ElevatePhysical TherapyRESONANT ShockwaveRed Light / Near Infrared Therapy
Anti-Inflammatory
Improve Range of Motion
Cellular Repair
Collagen, Elastin Production
Angiogenesis - New Vessel Formation
Nerve Regeneration
Break Up Calcifications, Fibrosis and Scar Tissue
Wound Healing

More About Musculoskeletal Pain / Injury Recovery

Resonant Shockwave

Resonant Shockwave therapy uses the STORZ Medical shockwave device to treat conditions with localized points of inflammation, the kind of pain you can touch and say, “Right there.”  

Acoustic wave therapy is thought to act by creating microtraumas in connective tissue leading to increased collagen production, regenerative cell activity, and angiogenesis (small blood vessel growth). The overall effect is a potent anti-inflammatory effect, pain relief, and healing of injured tissue.

These include such conditions as carpal tunnel syndrome, tennis and golf elbow, knee osteoarthritis, rotator cuff injury, heel pain and plantar fasciitis, Dupuytren’s contracture, and pain trigger points. 

Photobiomodulation (Red Light Therapy)

We use Photobiomodulation in the form of Red Light / Near Infrared Therapy to treat more generalized musculoskeletal pain conditions.  

Photobiomodulation is thought to act by transmitting low level visible red and near infrared light energy deep into tissues.  The light energy is absorbed by mitochondria, the energy factories for our cells. The process also stimulates cellular repair and healing and improves blood circulation through the growth of new blood vessels.

As with acoustic wave therapy, Photobiomodulation generates a potent anti-inflammatory effect, pain relief, and healing of injured tissue.

References

Muscles Ligaments Tendons J. 2012 Jan-Mar; 2(1): 33–37. The biological effects of extracorporeal shock wave therapy (ESWT) on tendon tissue

Mater Sociomed. 2018 Jun; 30(2): 131–146. doi: 10.5455/msm.2018.30.141-146 Effectiveness and Safety of Shockwave Therapy in Tendinopathies

Sisli Etfal Hastan Tip Bul  2018 May 21;52(2):124-128. Doi: 10.14744/SEMB.2017.58076

Extracorporeal Shock Wave Therapy in Dupuytren’s Disease

Photomed Laser Surg  2010 Apr;28(2):227-32. doi: 10.1089/pho.2008.2422.  Anti-inflammatory effect of low-level laser and light-emitting diode in zymosan-induced arthritis

Biosci Rep. 2020 Nov 27; 40(11): BSR20200926.  Published online 2020 Nov 13. doi: 10.1042/BSR20200926 Extracorporeal shockwave treatment in knee osteoarthritis: therapeutic effects and possible mechanism

Medicine (Baltimore)  2018 Jul; 97(27): e11418.  doi: 10.1097/MD.0000000000011418.  Extracorporeal shockwave therapy for the treatment of knee osteoarthritis: A retrospective study

Pain Practice WOL. [Published online June 30, 2017]. Accessed July 10, 2017. doi:10.1111/papr.12608 Radical Extracorporeal Shock Wave Therapy for Relief of Arthralgia in Rheumatoid Arthritis.

https://iopscience.iop.org/article/10.1088/2040-8986/19/1/013003  Photobiomodulation and the Brain: A new paradigm

https://www.alexfergus.com/blog/everything-you-need-to-know-about-red-light-therapy  Everything you need to know about Red Light Therapy

Lasers Med Sci. 2018; 33(3): 469–477.  Published online 2017 Nov 7. doi: 10.1007/s10103-017-2376-6  Anti-inflammatory effects of low-level laser therapy on human periodontal ligament cells: in vitro study

AIMS Biophys 2017;4(3):337-361. doi: 10.3934/biophy.2017.3.337. Epub 2017 May 19 Mechanisms and applications of the anti-inflammatory effects of photobiomodulation

Read our FAQ’s

Our therapists will avoid treating injuries where there is suspected significant tendon or ligament rupture or tear, new fractures, the site of recent surgery, or any area with signs of infection. Patients will be referred back to their physician for evaluation of these conditions prior to therapy. 

No.  Our therapists are careful to adjust the level of shockwave treatment to each person’s tolerance for pain.  They may occasionally use an anesthetic cream when treating areas that are particularly painful or recently injured. Pain tolerance rapidly improves after just a few sessions.

Yes, our therapists have successfully treated many patients with carpal tunnel syndrome, sparing them the use of cumbersome braces and the prospect of painful surgery.

Yes, we frequently combine the two therapies for optimal effect.  These sessions will typically last longer than ordinary shockwave therapies and may cost more.

Most orthopedic pain and injury respond within 3 to 5 treatments. Each treatment session lasts 10-15 minutes and can be scheduled twice weekly with 2 days between treatments. 

Light therapy is a fast-growing technology used to treat a multitude of conditions that require stimulation of healing, relief of pain and inflammation, and restoration of function. The particular frequencies of light we use impact a number of structures.  

Light therapy stimulates mitochondria, the source of energy for all cells, boosts the formation of new blood vessels, enhances the production of collagen and fibroblasts, important components of connective tissue, accelerates turnover of damaged cells through RNA and DNA synthesis, enhances lymphatic drainage and reduces inflammation and pain. Men have found that exposure to Red Light /Near Infrared light can also enhance testosterone production and enhance vitality. 

A broad range of conditions can be treated with light therapy.  These can range from headache to brain fog, to low back pain and sciatica, to peripheral neuropathy and hair loss. Our therapists can guide you as to which conditions are most responsive to light therapy. 

Red Light Therapy involves using devices fitted with LED bulbs to apply a narrow spectrum of light to bare skin. Specifically, this is a range of light wavelengths, measured in nanometers (nm), that includes red (630 to 660 nm) and near-infrared (810 to 850 nm).

These wavelengths have been widely studied and confirmed to have a powerful stimulating effect on the human body.

Based on encouraging clinical trials specific to the effects of red light on brain health, along with encouraging anecdotal reports, researchers believe red light may be useful in improving brain cell metabolism and reducing inflammation.

Just as important, red and particularly near-infrared (NIR) wavelengths are long enough to penetrate human tissue – and even bone – which can make red light therapy a viable treatment for brain health.

We find that most headaches respond to a single treatment session of 40 minutes. Chronic headache conditions may require multiple sessions.

We find that most Brain Fog responds to one or two, forty-minute sessions with at least one day in between. We can offer additional therapies depending on the presence of related conditions such as fatigue and sleep difficulties. 

Sessions typically last 40 minutes. If more than one session is required, we allow for at least a day in between treatments. 

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