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a meniscus tear can be one of the most painful knee injuries.

Everything You Need to Know about a Meniscus Tear

A meniscus tear can be excruciating like many knee injuries is no exception. Meniscus injuries are one of the most common injuries to the knee cartilage. The meniscus is the piece of cartilage that stabilizes and cushions. The knee joint protects the bones from rubbing against each other. Twisting the knee can cause the meniscus to tear; sometimes, a piece of broken-off cartilage can become lodged in the knee joint and cause it to lock up. Athletes often experience meniscus injuries, particularly older athletes.

Meniscus Tear Symptoms

Signs that point to a meniscus injury include knee pain and swelling. You may also notice a popping sensation when the damage occurs. Some people also have trouble either straightening or bending the knee. Or, the knee joint locks up or become “stuck.” The pain of a meniscus tear is not always severe at first, but it will usually intensify.

Meniscus Tear Treatment

The right treatment depends on a few factors such as the location and size of the tear or the age and activity level of the patient. If the damage is in the outer section of the meniscus, it may heal on its own as this area has good blood flow. However, the inner area does not; tears in this zone will require medical treatment. That doesn’t necessarily mean surgery – there are more conservative treatments to try first, and these are often successful. Many people achieve healing by resting the knee, icing the injured area, compressing and elevating the knee, taking over-the-counter anti-inflammatory drugs, and doing specific exercises to strengthen and stretch the knee. If you do require surgery, the procedure is a simple one, and most patients return home the same day.

Meniscus Teat Recovery Time

The length of recovery time will differ from person to person and injury to injury. If you have surgery, full recovery can take up to six weeks depending on factors such as the type of procedure. It’s important to follow your doctor’s instructions for recuperating. Don’t rush it – you shouldn’t return to your normal levels of physical activity until your knee can fully bend and straighten without pain, there is no more swelling, and you feel no pain at all when you walk, run, or jump. Putting too much stress on your knee before it’s healed can exacerbate your injury.

Meniscus Tear Prevention

Most meniscus injuries are accidents and therefore difficult to prevent. However, there are some precautions you can take to minimize your risk of a meniscus tear. Keeping your leg muscles strong with regular exercise can help, as can warming up before beginning a strenuous workout. You should also avoid pushing yourself to the point of exhaustion and be sure to give yourself enough recovery time between workouts. If you want to increase the intensity at which you’re working out, do so slowly and gradually – never escalate the intensity suddenly. Stretch after exercise to keep your body flexible and make sure the shoes you’re wearing are suitable for your activity and offer enough support.

If you think you may have sustained a meniscus injury, contact Progressive Spine & Sports Medicine. We can help.

trigger_point_injections

Trigger Point Injections: FAQs

Trigger point injections contain a local anesthetic and sometimes a corticosteroid and are a relatively easy and inexpensive treatment option that can provide an instant reduction in pain. In addition to the immediate pain relief, they can also provide long-term pain relief and help improve range of motion, helping patients return to their normal daily activities.

Trigger point injections are particularly helpful for patients whose pain has not responded to more
conservative treatments such as physical therapy and massage. They can be used to treat pain from
various conditions such as fibromyalgia, migraine, tension, myofascial pain syndrome, and more, efficiently reducing or even eliminating dependence on pain medications.

What are trigger points?
You can develop trigger points in any area of the body, but they are most familiar near bony attachments and in the shoulder and pelvic areas. These are tender, sensitive, or painful nodules or areas that can usually be identified using palpation. They have many different causes. These tender points may form as a result of an overuse injury or muscle strain, herniated disk, fracture, compressed nerve, postural problems, osteoarthritis, or surgical incision healing sites. However, a direct cause cannot always be found; sometimes, the section itself is the source of pain.

Who can benefit?
These injections are typically recommended for patients whose trigger points can be found by palpation. Your doctor will assess to ensure that you do not have joint disorders such as chronic shoulder pain or lower back pain that could become disabling if not treated properly. That’s because trigger point injections are not a cure, but rather a pain management technique. Patients who should not undergo trigger point injections include those with a hemorrhagic syndrome, allergies to local anesthetics, anticoagulant use, or psychiatric disturbance. They are also not recommended for patients with multiple trigger points who also have another condition such as hyperthyroidism, estrogen deficiency, or Cushing disease. However, for other patients, they represent a highly effective treatment with only a small risk of complications.

What to expect
Patients will discuss the procedure with their doctors to ensure that they understand the procedure and what to expect. Sometimes, the immediate pain relief is followed by a return of the pain; follow-up
Injections can provide the desired results. After the procedure, patients can often resume their daily activities and even return to work. Continuing a treatment plan of physical therapy, stretching exercises, or rest – as recommended – can maximize the results of the procedure.

Progressive Spine and Sports Medicine now offers trigger point injections alongside a range of treatments designed to address back pain, neck pain, sports injuries, car accident injuries, and Workers’ Compensation cases.

Stem Cell Injections: Frequently Asked Questions

What kind of conditions are treated with stem cells?

Stem cell therapy is at the forefront of modern medicine and has the potential to treat some diseases and conditions. Research into stem cell therapy is advancing at a rapid pace, and it is essential for us to at Progressive Spine and Sports Medicine to utilize stem cell therapy only in conditions that are researched. We focus on using stem cell therapy to treat injuries to the body, specifically significant joints (shoulder, elbow, wrist, hip, knee, and ankle), muscles and tendons, and the spine.

What are stem cells?

Stem cells are the “building blocks” of the human body. They have the potential to develop into many different cell types in the body. Serving as a sort of repair system, they can theoretically divide without limit to replenish other cells for as long as the person or animal is still alive. When a stem cell divides, each cell has the potential to either remain a stem cell or become another type of cell with a more specialized function, such as a muscle cell, a cartilage cell, or a brain cell.

What are the different types of stem cells?

  • Adult stem cells
  • Embryonic stem cells
  • Induced pluripotent stem cells

What are the different types of adult stem cells?

  • Hematopoietic Stem Cells (Blood Stem Cells)
  • Mesenchymal Stem Cells
  • Neural Stem Cells
  • Epithelial Stem Cells
  • Skin Stem Cells

What types of stem cells do we use at Progressive Spine and Sports Medicine?

We utilize adult stem cells. Specifically, the mesenchymal stem cells, take from the patient’s fat or bone marrow. Fat cells are usually preferred as they are easily obtainable and have the potential to develop into cartilage cells, bone cells, muscle cells, and tendon cells.

What is involved in the procedure?

The procedure is performed at an outpatient surgical center, typically with light sedation. The entire procedure takes 30 to 60 minutes. If fat cells are used to obtain the stem cells, a small amount of fat is removed out of the “love handle” area. If bone marrow cells are used, a small amount of bone marrow will be withdrawn from the pelvis. The cells are then processed in a specialized centrifuge to extract the stem cells. The stem cells are then injected into the area
that is being treated.

What is the recovery time after the procedure?

There is minimal to no downtime after the procedure. Typically the patient is advised to rest on the day of the procedure. Patients can return to work and light exercise the following day. Patients can typically resume their full exercise/training regimen a week after the procedure. Patients are advised to avoid anti-inflammatory medications, like naproxen and ibuprofen, for 12 weeks after the procedure.

What are the risks of the procedure?

The risks of the procedure are minimal. Some patients can experience bruising, redness, or mild soreness at the site of the fat or bone marrow removal. This typically lasts 24-48 hours. For patients with a sensitivity to anesthesia, there may be headaches or nausea that resolve with 24 hours. There are no known long-term side effects from the stem cells.

When will I see results?

The time frame for seeing results varies by patient, but most patients report improvement between 4 and 12 weeks. Some patients may have improvement up to 6 months following the procedure.

Do I have any options if I don’t know want to use my cells?

Yes. If you prefer to not undergo harvesting of your stem cells from either fat or bone marrow, you do have the option of using donated stem cells from umbilical cords. The cells are from live births that are freely given, so there are no ethical concerns. The umbilical stem cells are screened for disease and can be utilized in the same ways stem cells from your fat, or bone marrow are used

Are stem cells covered by insurance?

In most circumstances, if a patient is determined to be a candidate for stem cell therapy, it will be covered by insurance. Using donated umbilical stem cells is not covered by insurance.

Am I a candidate for stem cell therapy?

To determine if you are a candidate for stem cell therapy, you will need to schedule a consult with one of our physicians. Our doctors will perform a complete history and physical exam and review your medical records, if available. They will then discuss your treatment options, including stem cell therapy, and answer any questions you may have.

Contact us at 201-962- 9199 or info@pssmramsey.com to schedule your appointment.

Physical Therapy Rehab North Jersey

Spinal Stenosis Diagnosis, Evaluation & Treatment with Our Ramsey Pain Doctors

Diagnosis & Treatment of Spinal Stenosis at Progressive Spine & Sports Medicine in Ramsey, NJ

 

With decades of combined clinical experience behind them, Ramsey pain doctors Dr. Kevin McElroy and Dr. Steven Ferrer have worked with hundreds of men and women struggling with dysfunction related to spinal stenosis. If you have recently been diagnosed with this condition or are simply wondering what’s causing your pain, then we invite you to visit Progressive Spine & Sports Medicine for answers–and help.

Spinal Stenosis Diagnosis, Evaluation & Treatment with Our Ramsey Pain Doctors

What is Spinal Stenosis & How is it Diagnosed?

 

Spinal stenosis is a progressive condition that causes a narrowing of the spinal canal and/or spaces between the vertebral bones through which the spinal cord and spinal nerves travel. As this space narrows, nervous tissue can become pinched, leading to a variety of symptoms discussed subsequently.

 

Spinal stenosis can be diagnosed based on a comprehensive physical examination, patient history, and diagnostic imaging. It’s typically caused by degenerative changes in the spine such as arthritis or degenerative disc disease, but in rarer cases may be caused by factors such as trauma, tumors, and certain bone or connective tissue diseases.

What are the Symptoms of Spinal Stenosis?

 

Everyone who comes to see us for help with spinal stenosis tends to present with slight variations in their symptom presentation. The exact signs and symptoms will depend on what’s causing the stenosis, which nerves (if any) are being impinged upon, and how severe the degree of stenosis is.

That said, common symptoms include:

  • Back stiffness
  • Back pain
  • Pain, weakness, and/or numbness in an arm or leg

With stenosis, a person’s back pain and other symptoms may improve if a person bends forwards or walks around a little bit.

In extremely rare cases of severe stenosis, the distal part of a person’s spinal cord may become so compressed that a person experiences symptoms such as incontinence, saddle anesthesia (numbness in the groin and perianal area), and/or sexual dysfunction. This is called cauda equina syndrome and is considered a medical emergency. If you notice any of these symptoms, then call 911 right away.

Interventional Pain Relief Spine Injection

If I Have Spinal Stenosis, What Kind of Treatment Options are Available to Me?

 

At our pain management clinic in Ramsey, NJ you’re more than just your diagnosis. Whether you come to us for help from spinal stenosis or any of the many other conditions we treat, we’re confident that we can devise a custom-tailored treatment plan to meet your unique needs and address your individual challenges.

When it comes to spinal stenosis, typical treatments may include:

The goals of treatment is to reduce pressure on compressed nerves, maximize spinal mobility and spinal joint space, reduce symptoms, and maximize function. We’ll adjust our treatment as necessary to meet your changing needs and help you get back to your normal active lifestyle. In the rare cases where surgery may be indicated, our team can help connect you with the right providers to meet your needs.

 

Have You Been Diagnosed with Spinal Stenosis or Need a Second Opinion? Call Our Ramsey Pain Doctors To Reclaim Your Spinal Health Today

 

Dr. Ferrer and Dr. McElroy, along with the rest of their multidisciplinary team, are committed to helping every one of their patients maximize their quality of life through effective symptom management and prevention of recurring problems. To schedule an initial consultation or to learn more about our pain management services, then call Progressive Spine & Sports Medicine today at 201 962 9199.