Category: Prolotherapy


Tennis Elbow

Tennis elbow is a painful condition of the elbow that occurs due to repetitive motion of the arm and hand. The tendons involved attach to the outer or lateral part of the elbow. With recurrent injury, the tendons become chronically damaged. We typically refer to this as a tendinopathy. Contrary to popular belief, people who play tennis are not the only ones who develop this condition. It is often seen in individuals who do manual labor such as construction, carpentry, and factory work. We even see this in people who work on computers and in the restaurant industry. MRI and ultrasound can help assess the scope of injury. Traditional treatments include anti-inflammatory medications, ice, rest, and physical therapy. Symptoms can still persist despite these therapies. In the office, we find that prolotherapy and platelet rich plasma work very well. Drying needling and cold laser can also be effective treatments


Back Pain

Back pain is one of biggest reasons patients go to the doctor. People will commonly miss work and it is the leading cause of disability worldwide. Fortunately, for most, the symptoms will resolve on their own in a few weeks. But for many, the symptoms can be a lifelong disabling condition. Typical causes of back pain include muscular strain, arthritis, disc herniations, and ligamentous laxity. A painful electric-like sensation can occur at times signaling a “pinched nerve”. Others may have intermittent symptoms which may be dull and achy. Physically active and sedentary individuals can both develop back pain. Office workers commonly have this condition. Many of these patients will have poor core strength and shortening of muscles. Ligamentous laxity also develops over time. Rest and medications are usually the first line of treatment. When someone does not get better, physical therapy and accupunture can provide great benefit. An MRI and nerve study may be required to assess for radiculopathy. More invasive treatment can be done if necessary such as injections with corticosteroids. We find that prolotherapy and PRP can significantly reduce disability and be curative in many cases.



Headaches can be caused by a wide variety of conditions. One of the more common causes of headaches is migraine. Typically, one feels intense pain with nausea as well as sensitivity to light or noise. These headaches may have prodrome or aura prior to their onset. Patients may complain of visual disturbances, dizziness, numbness and even focal weakness. Triggers for migraines variable but may include stress, menstrual cycle, certain food, and smells. When symptoms are severe, most people will take an over the counter medication such as tyelenol or ibuprofen. These medications may or may not relieve the symptoms. The relief may only be short-lived as well. A preventive medication may be necessary if the headaches are frequent. Seeing a neurologist at this point makes a lot of sense. A thorough evaluation and appropriate medical and non-medical treatment can provide tremendous relief.

Please call our office today at 973-928-3288.



When people think of concussions, they have a tendency to think of sports-related injuries. Nowadays, we hear a great deal about it due to what we have seen happen in the NFL. Although, it’s quite common to see this issue in the sports arena, we also see it frequently in other areas such as car accidents, construction sites, falls at work, and even injuries sustained in the house. Some people even tell me that they injured themselves because “I have always been clumsy”. Regardless of what caused the trauma, most patients suffer from memory problems, headaches, dizziness, mental fogginess, and neck pain. For most people, symptoms will resolve after a few weeks. For others, symptoms may continue to linger. Repeated head trauma can lead to a condition called chronic traumatic encephalopathy which causes significant cognitive and psychiatric issues. It is very important to have a formal evaluation which includes a comprehensive physical examination. At times, further evaluation with appropriate imaging and other diagnostic modalities are necessary. If the injury is sports related, athletes will likely need to sit out for a period of time before they can resume play. They should be monitored during this time. The road to recovery can be difficult but there are ways to optimize recovery. 12648975-magnetic-resonance-image-MRI-of-the-brain-Stock-Photo-scan

Please call our office today at 973-928-3288.



Why are my hands numb?

Numbness or tingling in your hands? Maybe you were told that you have carpal tunnel syndrome.  People who have this condition normally have numbness and tingling in their hands which can be worsened by activities such as typing, driving, or even using the phone.  Sometimes these symptoms can be painful and awaken you at night.  It is thought to be secondary to nerve compression at the wrist.  An EMG and ultrasound is typically utilized to help further evaluate this condition.  Conservative treatment usually consists of physical therapy as well wrist splints at night. When this fails, more invasive treatments are needed.  Traditional treatments include surgery as well as cortisone injections.

In the office, we utilize a variety of different treatments from injections to laser therapy. Prolotherapy is particularly effective for pseudo carpal tunnel syndrome.   In this condition, loose ligaments cause structures to move and compress the nerve.  Neural therapy may also be combined with this treatment to help decrease inflammation and free the nerve.  It is also important to address the biomechanical dysfunction that exacerbates your symptoms. Other areas of the body may also need to be treated with different modalities in order to achieve effective relief.


What is Prolotherapy?

Prolotherapy is a type of regenerative medicine that has been around for many years. It involves injections that help strengthen ligaments and tendons.  Ligaments are tissues that help keep body parts together such as our arm and shoulders as well as our spine and pelvis. When ligaments or tissues become loose, we feel pain. At other times, we may feel other symptoms such as numbness or tingling. This therapy is utilized for a variety of chronic conditions which include the following: Lower back pain, neck pain, shoulder pain, elbow, hand, and wrist pain as well as chronic hip, knee, foot pain. 

We utilize a dextrose based solution as well as platelet enriched plasma (PRP) for treatment.  These substances are different in comparison to steroids as they promote natural healing.  Steroids, on the other hand, cause degeneration of tissue which ultimately prevents healing.  Many people are unsuccessfully treated with a combination of steroids and non-steroidal anti-inflammatories which also impair healing. 

Recently, I was down in Honduras for medical mission providing prolotherapy to hundreds of patients for a variety of different chronic painful conditions. The patient’s who had treatments for previous problems years ago remarked how their pain simply went away. Because of this, many of their family and friends would come to the clinic. The Honduran people were very grateful for the therapy that we provided them.  I was happy to be a part of this mission which provided such wonderful care.