This includes a detailed history. Prior medical records and images will be reviewed as provided by the patient. A thorough physical examination will be performed. Typically, the ultrasound will be used for assessment as indicated by the physical examination. This appointment lasts approximately 60-90 minutes. An initial consultation will be performed for each patient regardless of the anticipated treatment (regenerative medicine, acupuncture, OMT) as the consultation allows us to formulate the best treatment for you at that time.
Prolotherapy is an injection-based procedure, often performed under ultrasound guidance, which stimulates the body’s own innate healing mechanisms to generate tissue repair.
The process of prolotherapy involves injecting dextrose (a type of sugar water) into areas of musculoskeletal injury thereby causing local tissue trauma. The body creates an inflammatory response to this traumatized area. The body’s cells then work together to lay down new collagen in the weakened structure. Ultimately, as the tissue remodels, pain ignited by the weakened tissue resolves.
PLATELET RICH PLASMA (PRP):
Injection-based procedure similar to prolotherapy. PRP utilizes the patient’s own blood to promote healing of weakened structures.
PERINEURAL INJECTION THERAPY (PIT):
(“Peri” around, “neural” nerve) Injection-based procedure utilized to reduce nerve-type pain, which often occurs in conjunction with musculoskeletal pain. PIT involves injecting fluid into areas of restriction where nerve structures are prone to become entrapped. The release of these nerve structures using a dextrose (sugar water) solution has been shown to reduce neuropathic pain.
Acupuncture can be used for a variety of ailments, including but not limited to: musculoskeletal pain, headaches, anxiety/depression, GI issues (IBS, GERD), infertility. Acupuncture can also be performed as a “tune up” treatment to maintain balance and fortify the immune system. Subsequent acupuncture treatments include a follow up appointment with Dr. Forster to review health and wellness goals. It may be suggested that we initiate acupuncture prior to regenerative medicine procedures as a means of calming the nervous system to allow the body to receive the injections in a better state.
* The first acupuncture treatment is free and done on the same day as the initial consultation.
DRY NEEDLING/TRIGGER POINT RELEASE/SPORTS ACUPUNCTURE:
Trigger points are areas of muscle tension, which can cause referred pain into other areas of the body. These areas can be released using a small needle +/- the injection of a lidocaine solution.
Osteopathic Manipulative Treatment is a hands-on treatment used to alleviate discomfort and bring the body into a more centered state. Your muscles, joints, and connective tissue will be manipulated using gentle stretching and resistance in order to ease discomfort and facilitate healing.
Cupping is a technique in which pneumatic cups are placed over the areas of muscle tension/discomfort. A partial vacuum is created using a pump, and the skin/underlying tissue is drawn up into the cup. The goal is to release stagnant blood to alleviate pain.
Gua Sha is a technique used to manually break up muscle tension using a smooth tool. This technique is helpful for many musculoskeletal pain complaints as well as tension headaches.