What is stem cell therapy and how does it work?

Osteoarthritic pain is an ever present and debilitating disorder. It can prevent individuals from pursuing activities that they used to enjoy, such as hiking or skiing. It can also prevent some from pursuing lifelong careers.

stem cell graphic .png

In order to alleviate pain and prevent osteoarthritis from becoming debilitating, many procedures are available. One such procedure, called Stem Cell Therapy, can provide much needed relief to patients suffering from chronic pain due to osteoarthritis or other muscle and ligament related injuries.

girl-jogging(1).jpg

 

What is Stem Cell Therapy?

Stem cells are the raw materials that the body uses to produce the varied cells required to maintain life. Stem cells can grow into soft tissue or hard tissue. Each stem cell in the body has the potential of creating one of the myriad of specialized cells the body requires through a process called differentiation. During this process the stem cell splits, creating daughter cells that are specialized for a particular function, such as heart tissue or bone tissue.

Researchers in regenerative medicine have studied stem cells as a possible solution to many health problems due to their special rejuvenating properties. Under the right conditions, stem cells can be used to regenerate damaged or diseased tissue. For those that suffer from Osteoarthritis, this means that damaged muscle, cartilage and ligaments in the joints can literally take on a new life, providing greater stability and relief from pain.

How does Stem Cell Therapy work?

 Human Cells Blood Cells Scan Electron Microscope

Stem cells are extracted from a patient using a process called bone marrow aspiration. During this procedure, a sampling of blood is taken from the bone marrow, usually from the pelvis region. This blood is then spun in a centrifuge to separate out the plasma from the other parts of the blood. Once separation is complete the stem cell can be extracted from what remains. This concentrated cluster of stem cells is called Bone Marrow Aspirate Concentrate (BMAC).

The physician can then inject the BMAC into the damaged region of the patient. The procedure for extracting the stem cells is done within a clinic setting and takes little over an hour. The extraction process with the assistance of local anesthesia is quite tolerable. Since the stem cells are from your own body, there is no risk of an allergic reaction. The process is natural and free from side effects.

 

What kind of results can be expected?

Research has demonstrated the regenerative potential of Stem Cell Therapy. In a study published by the Departments of Orthopaedic Surgery and Biomedical Engineering at Duke University Medical Center, researchers observed that injections of stem cells not only reduce inflammation, but stemmed the progression of osteoarthritis in the joint. This is due, in large part, to the rejuvenating properties of stem cells in the ligaments and surrounding tissue.

Likewise, those undergoing Stem Cell Therapy can expect a reduction of inflammation in the treatment area, as well as a reduction in the progression of osteoarthritis. This will result in less pain—both immediate and long term. The same results have been found in other types of ligament injuries such as rotator cuff, tennis elbow, plantar fasciitis, quadriceps and patellar tendon tears.

Is Stem Cell Therapy right for you?

Since Stem Cell Therapy does not require invasive surgical procedures, the treatment is ideal for those who are unable to undergo the standard surgical procedure due to the risk of complications. Stem Cell Therapy is also commonly used in cases where other standard treatments have failed.

Dr. Chappell of In2it Medical specializes in Stem Cell Therapy, using ultrasound guidance for injections in order to reduce the risk of damaging surrounding tissue. Call our trained staff to see if this kind of treatment is right for you and schedule your consultation.

 

 

Sources:

Stem cell-based therapies for osteoarthritis: Challenges and opportunities

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3616879/ 

Bone marrow aspiration

https://docs.google.com/document/d/1i-JsZtHZrIYtpgGpXfxcx8TwOth_K6AMs_jpXolryEE/edit

Stem cells: What they are and what they do

https://www.mayoclinic.org/tests-procedures/bone-marrow-transplant/in-depth/stem-cells/art-20048117

Arthritis By The Numbers

https://www.arthritis.org/Documents/Sections/About-Arthritis/arthritis-facts-stats-figures.pdf

 

 

5 Symptoms of Carpal Tunnel Syndrome

Carpal Tunnel Pain.jpg

According to the U.S. Department of Labor, Occupational Safety and Health Administration (OSHA), repetitive strain injuries such as Carpal Tunnel Syndrome are the most costly occupational health hazard. It is estimated that hundreds of thousands of Americans are afflicted with this type of injury, costing employers more than $20 billion a year in workers’ compensation.

For those afflicted, carpal tunnel can be a devastating disorder robbing them of beloved hobbies and preventing them from performing the skills they had spent so much time developing. In severe cases it can have debilitating results, leaving individuals unable to perform basic functions, like grasping a glass or holding a phone.

In order to prevent this condition from stealing away your favorite activities, it is important to be aware of the symptoms and receive the needed assistance before the condition worsens. Here are 5 symptoms of carpal tunnel to look for:

 

Pain and tingling in the night. Most carpal tunnel symptoms begin in the night. This is due to the position of the wrist during sleep, which is typically bent. If you frequently feel it necessary to shake out your hands when you wake up, this could be an early symptom of carpal tunnel. Consult a physician on the necessary preventive care that will ensure the symptoms do not worsen.

 

Swelling in the fingers. It is common for those afflicted with carpal tunnel to experience swelling in the fingers. Sometimes there is no actual swelling present. However, the sensation of swelling remains.

 

Weakness in the hands. As the symptoms progress, there may be a noticeable increase in the weakness in hands. Individuals will struggle opening jars, drop objects frequently, and find they are unable to make a fist. As symptoms worsen, individuals will struggle to manipulate small objects such as buttons or fasteners. It is common for carpal tunnel to cause weakening in the ligaments and muscles of the hand. In severe case, atrophie may occur to the muscles in the thumb, severely reducing dexterity.

 

Lack of sensitivity to hot and cold. With the weakening of muscles and the reduction of circulation, individuals suffering from carpal tunnel may find they have trouble distinguishing hot and cold with the touch of their hand or fingers. This dulling of sensitivity can increase as the condition worsens.

 

Shock moving up arm and into shoulder. In later stages of the syndrome, individuals will feel an electric shock or burning sensation moving up their arm and into their shoulder. At times, the pain can be unbearable. If left untreated the pain will increase and may even become debilitating.

Carpal Tunnel Syndrome Infographic In2it Medical Utah(1).jpg

 

If you experience any of these symptoms, it is important to consult a trained physician that can help. Preventive measures can be taken for those who are starting to experience symptoms. For those who have severe carpal tunnel, a non-invasive surgical option is also available. Dr. Chappell of In2it Medical specializes in a cutting edge procedure using sonography (ultrasound). This new procedure is done right in our office (instead of a hospital or surgical center) and has a that day recovery time (versus four weeks!) that has been associated with faster pain relief. Learn more about what we can do for your carpal tunnel by watching this video.

 https://www.in2itmedical.com/blog/how-do-i-know-if-i-have-carpal-tunnel-syndrome

 

Sources:

Video Link

https://www.youtube.com/watch?v=YBd0GY1GTPA&feature=youtu.be 

Carpal Tunnel Syndrome Fact Sheet

https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Carpal-Tunnel-Syndrome-Fact-Sheet 

National & International Statistics for Carpal Tunnel Syndrome and Repetitive Strain Injuries of the Upper Extremity

http://www.repetitive-strain.com/national.html

Pain Management Without Surgery or Prescriptions

Many of us have experienced that moment of dread when we’ve turned wrong, lifted improperly, or fell, and everything changes. Injuries, pain (both acute and chronic) and recovery can turn our worlds upside down. Physical movement that used to be second nature becomes more difficult and sometimes even impossible, greatly impacting how we function in our daily lives.

468127825

Not only can pain be debilitating, but treating it often comes with tough decisions. Desperate for relief, many people utilize opioid medications, risking negative side effects and addiction. In 2017, the US Department of Health and Human Services declared an opioid public health emergency, stating that approximately 2.1 million Americans suffer from opioid addiction, with at least 130 deaths every day from opioid overdose.

Surgical intervention is also used to treat chronic pain, which can result in a lengthy recovery and opioid use as the patient trades one type of pain for another. Depending on the case, surgical outcomes could also provide pain relief but not fully restore functionality.

Sometimes, depending on the condition being treated, drug therapy and surgery are the best options. However, if you’re combating pain from a sports injury, an accident or overuse that is preventing you from engaging in your normal activities, there are all-natural pain management services available at In2it Medical that can help reduce or eliminate your pain.

Unlike opioids, regenerative injections at In2it Medical don’t just mask the pain, but they work to restore the affected area and to heal the condition causing the pain. With proper care, the injections offer a long-lasting and potentially permanent reparative process, especially if patients commit to a rehabilitative program. The healing process is gradual and progressive, with subtle initial results that usually become significant and dramatic by the completion of treatment. You will see more endurance, less pain and better function over time.  

Let’s look at three of the treatment options we offer:

Platelet Rich Plasma. According to the American Association of Orthopedic Medicine, “The body’s first response to soft tissue injury is to deliver platelet cells. Packed with growth and healing factors, platelets initiate repair and attract the critical assistance of stem cells. Platelet Rich Plasma therapy’s natural healing process intensifies the body’s efforts by delivering a higher concentration of platelets.”1

For this treatment, a small amount of the patient’s blood is collected then spun in a centrifuge to separate and concentrate the platelets. Then the platelets are injected back into the injured site. Our skilled technique at delivering the PRP with ultrasound guidance ensures positive outcomes.

Stem Cell Treatment. Every cell in the human body starts out as a stem cell. From there, the cells specialize through a process called “differentiation” to become cells of the brain, arm, lung, skin, etc. When used in regenerative medicine, they can replace unhealthy or damaged cells by becoming new, healthy versions of those same cells in the treated area. In this procedure, the stem cells are harvested from your own body with the use of local anesthesia. The process of injecting stem cells follows the same pattern as PRP.

In some cases stem cell therapy can be used as a non-surgical treatment alternative to having a surgical procedure. If surgery is unavoidable, stem cells can be used as a supplement to help reduce the recovery time of the procedure and increase the chances of the treatment being a success.

To see In2it Medical’s statement on sourcing stem cells, click here.

Prolotherapy. This treatment stimulates the body’s natural healing factors, causing new tissues to grow in injured or weakened areas. Using a slender needle, the doctor injects a natural irritant into an injury, tricking the body into repairing the problem. This allows a gradual buildup of heathy tissue, restoring the body’s original strength.

Prolotherapy uses the same physical process as Platelet Rich Plasma (PRP) to initiate and accelerate the body’s response to healing, however, Prolotherapy utilizes stimulus such as Dextrose, a concentrated sugar solution, in place of platelets to trigger healing.

Add a heaIf you are tired of suffering from chronic pain and want to avoid surgery or opioid use or improve post-surgical recovery, come visit us at In2it Medical!ding.png

Interested in hearing more about these procedures from the doctor? Dr. Craig Chappell, founder of In2it Medical, discusses regenerative injections here.

If you are tired of suffering from chronic pain and want to avoid surgery or opioid use or improve post-surgical recovery, come visit us at In2it Medical! We can help you discover if regenerative injections are a good fit for your condition and which types can benefit you the most to get you feeling back to normal in no time. 

 

American Association for Orthopedic Medicine. http://www.aaomed.org/Prolotherapy-FAQs

4 Ways to Prevent Back Injuries During Pregnancy

Pregnancy can be a beautiful experience for many women. Those nine months of developing life can bring such joy. However, that joyful experience can be interrupted by unwanted pain and discomfort. According to the American Pregnancy Association, 50 to 70 percent of women experience back pain during pregnancy.

Pregnant.jpg

Many needlessly suffer through the back pain, seeing it merely as a part of pregnancy. But, with proper care, back pain does not need to be an enduring part of the pregnancy experience. With the right steps and proper care of a physician, the pain can be resolved and the pregnancy enjoyed to its fullest.

 

Back pain can occur due to many factors caused by pregnancy. As reported by Webmd, on average, women gain 25 to 35 pounds during pregnancy. This can add undue stress on the back due to the shift in the center of gravity. Another factor that causes back pain is the hormone relaxin, which is produced during pregnancy in order to loosen muscles and ligament in preparation for delivery. However, this hormone can also loosen the ligaments that support the spine. Without the support of these ligaments, injury and back pain will occur.

 

The following 4 tips can help prevent back injuries during pregnancy:

Add a heading(2).png

Squat don’t bend. With the change in the body’s center of gravity, pregnant women are in greater danger of injury when picking up heavy objects. Women in such condition should avoid lifting heavy items, but if needed, remember to squat rather than bending over.

 

Don’t sleep on your back. Sleeping during pregnancy is difficult enough. It may be tempting to position yourself on your back in order to sleep better. However, this position puts strain on the back and can cause injury and pain. Try sleeping on your side, using pillows to provide support.

 

Wear a support belt. There are many support belts available online or at stores specializing in pregnancy apparel that help alleviate the stress on the back due to pregnancy. Support belts are often seamless below clothing and will provide the much needed relief you are looking for. Your physician may be able to provide suggestions on the support belt that will best suit you.

 

Physician approved exercises. If pain persists, your physician may be able to prescribe exercises that are safe and effective for strengthening your core and lower back muscles. Remember to consult your physician before pursuing any workout routines, as some exercises may be harmful to you and your baby.

 

If you have pain during your pregnancy, do not suffer needlessly, consult a physician. In2it Medical specializes in treating pregnancy pain without surgery or medications. Call our office and schedule your first visit.

 

 

 

 

 

Sources:

 

Back Pain During Pregnancy

https://americanpregnancy.org/pregnancy-health/back-pain-during-pregnancy/

 

Back Pain in Pregnancy

https://www.webmd.com/baby/guide/back-pain-in-pregnancy#1

 

We're Hiring! Medical Billing Specialist Job Opening

59435575_596780504150630_2190734462591959040_n.png

Insurance Claims Coding & Billing

-Review & verify automatic charges for correct and complete coding (compare charges with chart notes)
-Generate electronic claims 3-5x/week
-Evaluate when claims need additional attention. Update/correct claims and re-bill when necessary.
-Create and file appeals when necessary
-Work aged accounts - contact insurance companies as necessary to follow-up on claims processing

Patient Account Management

-Answer patient calls for questions regarding balances and statements
-Help patients interpret their EOBs and understand insurance processes
-Manage unassigned payments and apply them to outstanding balances or submit requests for refund
-Monitor patient accounts for past-due balances and arrange payment prior to collections status
-Submit aged patient accounts to collections as needed

Billing Management

-Keep insurance files up to date with current fee schedules
-Review fee schedules and reimbursements at least annually
-Maintain and update insurance contracts as needed
-Run and review billing reports monthly with Practice Manager

JOB REQUIREMENTS

-1-2 years experience in medical billing
-Ability to communicate effectively with patients while providing good customer service
-Experience working with Medicaid, Medicare, and Commercial Payers
-Experience submitting claims and appealing denied claims
-Ability to understand and assess CPT & ICD-10 codes

Contact us at 801-610-7321

3 Things You Can Change to Reduce Chronic Inflammation and Avoid Chronic Disease

If you’ve ever injured yourself or had an infection, you know that acute inflammation, with swelling, redness, and warmth, is part of the body’s healing process. It not only alerts you that something is wrong, but it helps deliver white blood cells to the affected area and restricts movement. This same process, however, can have negative effects when it becomes a chronic condition.

Inflammation .png

Chronic inflammation is usually caused by an immune response to some sort of “threat” to the body (such as a resistant infection or gluten), although it can still be triggered when there is no real threat. It may linger after a threat is resolved or continue because a threat isn’t resolving. Regardless of what causes it, chronic inflammation is hazardous to the body because the white blood cells begin attacking healthy tissue as well. It has even been linked to serious or life-threatening diseases such as cardiovascular disease, cancer, diabetes, rheumatoid arthritis, chronic kidney disease (CKD), and chronic obstructive pulmonary disease (COPD). Symptoms of chronic inflammation include fatigue, body and joint pain, gastrointestinal complaints, skin problems, regular infections and increased mucus production.

Although this sounds scary, the good news is that chronic inflammation can be reduced through three simple lifestyle changes:

Chronic inflammation can be reduced through three simple lifestyle changes_.png

1.       Improve Your Diet

·         Eat more anti-inflammatory foods

Foods that naturally reduce inflammation include tomatoes, olive oil, fruits (especially apples and blueberries) leafy greens, nuts, fatty fish and some spices such as ginger and turmeric.

·         Eat fewer inflammatory foods

Foods that trigger inflammation include refined carbohydrates such as white rice and white bread, lard and shortening, red or processed meats, fried foods or any other foods with trans fats and sodas or other sugary drinks.

·         Avoid processed sugar

Processed sugar, especially high-fructose corn syrup, is linked with increased inflammation as well as contributing to obesity, another inflammation trigger. Natural sugars, like those found in fruit, do not have the same inflammatory effect.

In general, Americans are at a higher risk for nutrition-related inflammation because our diet in often includes a lot of processed foods. By contrast, the Mediterranean diet is naturally anti-inflammatory.

 

2.       Increase Your Activity

Multiple studies have shown links to reduced inflammation and regular exercise. For best results, be sure to get 30-45 minutes of exercise—both cardio and weight or resistance training—at least 4 times a week.

 

3.       Reduce Your Stress

There are different kinds of stress: “good” stress, for example, can be a catalyst for progression, while “bad” stress prompts the release of excess levels of cortisol. Cortisol regulates the inflammatory and immune response, and elevated levels of cortisol can reduce its effectiveness, allowing inflammation to continue.  Habits such as meditation, visualization, and purposeful breathing are all effective at reducing stress. Taking time to relax, re-center, be active, and talk with loved ones can also improve stress levels.

Stress can also affect our ability to sleep or sleep well, and improper amounts of sleep also trigger inflammation. Making even small changes in your lifestyle to promote better sleep will help improve the level of chronic inflammation in your body and will help you cope better with stress.

Although the concept of “eat better, move more and stress less” is not a new one, the ramifications of living this lifestyle (or not living it) go far beyond just being healthy—making these changes could save your life.

 

If you are suffering from chronic pain, come see us at In2it Medical. We can help you understand the source of your pain and find the right pain management options for you.

 

 

 

Sources:

https://www.health.harvard.edu/staying-healthy/foods-that-fight-inflammation

https://www.ncbi.nlm.nih.gov/books/NBK493173/

https://www.rn.com/featured-stories/stress-inflammation-immunity/

Can OMT help with my pregnancy pain and is it safe?

Bassinet or crib? Jungle or forest animal décor? Eagerly awaiting baby’s arrival or struggling to cope with back pain?  

Expectant moms have a lot of decisions to make when preparing for a new baby but choosing to live with debilitating pain doesn’t have to be one of them. It’s common knowledge that pregnant women can expect some degree of pain and discomfort during pregnancy. For the safety of the growing baby, these moms are also limited in what home remedies they can use to treat their symptoms, which can make it even more frustrating. If you are dealing with this, you are not alone: nearly 70% of pregnant women will experience significant lower back and pelvic pain.  

pregnant women .png

However, there are therapeutic treatment options available that can provide relief for your lower back and pelvic pain more effectively than a not-too-warm bath and time with your favorite body pillow. Osteopathic manipulation treatment (OMT)—which is safe for mom and baby—is offered at In2it Medical, and it can help reduce your pain and improve your body’s function during pregnancy and may even improve post-delivery recovery so you can focus on your new bundle of joy.


What is causing your pain during pregnancy? 

During pregnancy, the mother’s body undergoes a number of structural and physiological changes to accommodate a growing baby. These include:

·         The hormone relaxin is produced, which (among other things) allows your ligaments to stretch, placing more pressure on your muscles and joints.

·         The position of the pelvis changes, causing extra stretching of related muscles and the sacroiliac joints, leading to lower back and pelvic pain.

·         Your stomach grows with the baby, changing your center of gravity and adding weight to your frame, which adds stress to your joints and muscles.

·         Blood production increases, along with water and sodium retention, and blood pressure can decrease.

·         Sciatic pain can also develop as the baby moves lower into the pelvis and adds pressure to the surrounding structures and nerves.

Although these changes are a normal part of pregnancy, they can also seriously limit your daily activities, especially when paired with the fatigue, gastrointestinal complaints, and reduced mobility that often accompany pregnancy as well.

 

How can OMT help?

This is where OMT comes in. According to an article published in The Journal of the America Osteopathic Association, “The application of osteopathic manipulative treatment (OMT) may improve and optimize physiologic function, which can alleviate somatic dysfunctions and improve quality of life for pregnant women. If OMT is applied from the beginning of pregnancy through delivery, these hemodynamic changes can be controlled so that they may continue to provide benefits to the fetus but also be cultivated to avoid harm to the pregnant patient.”1  In short, OMT can help make all the pregnancy-related changes manageable rather than debilitating.

So, what exactly is pregnancy-related osteopathic manipulation treatment? It is the therapeutic application of manually guided forces by an Osteopathic Physician to improve physiologic function and/or support homeostasis that has been altered by your pregnancy. Your doctor will move your muscles and joints using techniques including stretching, gentle pressure, and resistance. For additional information about general osteopathic manipulation, click here.

OMT and pregnancy pain .png

As Osteopathic Physicians, both Dr. Chappell and Dr. Edwards at In2it Medical are specially trained in osteopathic manipulation treatment. Dr. Edwards—who is an Assistant Professor of Osteopathic Manipulative Medicine at Rocky Vista University in Ivins, Utah, when not seeing patients—also has extensive experience in providing OMT for pregnancy-related pain and discomfort. Early on in his practice, Dr. Edwards noted that many of his patient referrals came from a nearby OB/GYN clinic:

“Being pregnant results in similar complaints that I was seeing in my elite athletes. I have had great results providing natural and safe treatment for pregnant women in pain. I have also had the opportunity to provide postpartum care, immediately following labor and delivery, with excellent results while still in the hospital.” 

Your pregnancy should be all about your excitement and anticipation as you prepare for your new baby, not struggling to make it through each day as you suffer from pregnancy-related back or pelvic pain. If pain is clouding your journey to parenthood, let In2it Medical help you find relief so you can focus on what matters the most.

 

 

 

1.       Lavelle, John M. “Osteopathic Manipulative Treatment in Pregnant Women.” The Journal of the American Osteopathic Association, June 2012, Vol. 112, 343-346.

Will Tennis Elbow Heal on Its Own? Or Could My Pain Be Something More?

If you’ve ever had a bout of tennis elbow, swimmer’s shoulder, or jumper’s knee, you know that professional athleticism is not a pre-req for developing pain and stiffness in these joints and others such as the hips and ankles. In fact, any repetitive motion or sudden trauma can bring with it a classic case of tendinitis. But did you know that there is another—and more likely—culprit responsible for your tendon pain? Studies have shown that in many cases suspected tendinitis is actually tendinosis.

for linked in .jpg

Although they sound similar and both affect the fibrous tendons that connect muscle to bone, there are distinct differences in their symptoms which can help you identify what you are experiencing. Their underlying causes and, more importantly, their treatments are also different. Let’s start with an overview of the two conditions:   

Tendinitis—tendinitis occurs when repetitive movement, injury, or strain (such as carrying a heavy object) causes microtears in your tendon, resulting in inflammation and pain.

Tendinosis—tendinosis occurs when overuse of a tendon causes the collagen (the substance tendons are made of) to break down. This compromises the structural integrity of the tendon and causes pain.

Which is it? Check your symptoms! 

If both conditions result in tendon pain and decreased strength and stamina, how can you know which one you are experiencing? Your biggest clue will be the presence or absence of inflammation. If the injured area is reddish, warm to the touch, or swollen, you are likely experiencing an inflammatory response which only occurs with tendinitis. (The suffix -itis literally means inflammation.)

Your recovery time will also be an indicator because tendinitis typically resolves within 1 to 6 weeks with proper rest, while tendinosis can take 6 to 10 weeks if caught early, or 3 to 6 months if it has developed into a chronic condition.

However, if you are unsure if you are experiencing swelling or suspect you may have tendinosis, don’t wait several weeks—see your doctor! They can confirm whether it is tendinitis or tendinosis through a simple ultrasound and set you up with the proper treatment plan.

For recovery, a correct diagnosis is key

Having a correct diagnosis is crucial before beginning treatment because what works for one condition may actually hinder recovery for the other. There is some treatment overlap, with both cases benefitting from resting the injured tendon and receiving massage therapy, but that is usually where the similarities end.

With tendinitis, the inflammation is often treated with ice and nonsteroidal anti-inflammatory drugs (NSAIDS) such as ibuprofen or a stronger corticosteroid injection. As we mentioned before, tendinosis is not accompanied by inflammation. Thus, the goal in treating tendinosis is not to reduce inflammation but to boost collagen production to allow the tendon to heal itself. NSAIDs have been shown to inhibit collagen production, effectively slowing the healing process for tendinosis. This makes a proper diagnosis so important.

Rather than benefitting from anti-inflammatories, tendinosis could require physical therapy to strengthen the surrounding muscles, a brace to reduce stress on the tendon, and collagen-promoting nutrition or platelet-rich plasma injections to encourage healing. Regenerative medicine, like the stem cell injections or prolotherapy offered at In2it Medical, is also used to treat tendinosis, including cases where the tendinosis did not respond to physical therapy.

What does the future hold?

Tennis elbow .png

With proper treatment, those experiencing both tendinitis and tendinosis can expect to reduce their pain, improve their strength and range of motion, and return to normal activities. Tendinosis recovery may vary on a case-by-case basis since it involves damage on the cellular level. If you’re experiencing tendinosis, your main recovery goal may be to prevent further deterioration and surgical intervention, and you could be prone to re-injury in the future. Always discuss your specific treatment plan and goals with your doctor.

How can these injuries be prevented?

If you have a job or participate in activities or sports that leave you at risk for tendon strain or overuse, be sure to take preventative action. Warming up properly before engaging in physical activity, using the correct body mechanics and technique when both active and sedentary, taking regular breaks, and resting at the first signs of discomfort can all contribute to keeping you safe and free of pain.

Experiencing tendon, joint, or muscle pain? Come see us at In2it Medical so we can get you started on the road to recovery!

 

 

Source:

Bass E. (2012). Tendinopathy: why the difference between tendinitis and tendinosis matters. International journal of therapeutic massage & bodywork5(1), 14-7. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3312643/

 

Sports Injuries: 10 Tips for Prevention and Treatment So You Can Stay in the Game

sports injury .png

For both onlookers and athletes, there’s nothing quite like the thrill of sports to bring people together. But nothing can end a game faster than a sports injury. Anyone can experience sports injuries when participating in physical activity, which often take the form of strains, sprains, and breaks. Knowing how to prevent them can go a long way in making sure you stay healthy and game ready. Here are 5 ways to prevent sports injuries and 5 ways to treat them when they do happen.

How do I prevent a sports injury?

  • Engage in proper conditioning: Long before game day, be sure that your body is ready. Become educated on activity-specific exercises that will make sure you’re ready for the required straining, endurance, and repetitive motion of your chosen sport.

  • Have downtime: Although training is very important, so is taking time to rest. Without rest days, your joints, muscles, and tendons will not have time to strengthen and recuperate, leaving them weakened and vulnerable when it’s time to play.

  • Warm up: “Warm” muscles typically stretch under pressure, while “cold” muscles may strain or spasm. Getting the blood flowing first with stretching and cardio will not only prevent injury but will help you perform better and be mentally prepared.

  • Don’t play through pain: Sudden onset pain is the body’s best alarm to let you know something is wrong. Rather than making you a team player, continuing to play with pain can quickly turn a simple injury into a complex one with a lengthy recovery.

  • Use proper technique and gear: Understanding the proper way to hold yourself, exert force, and even crash or fall will protect your body from the strain and impact of sports. Using the proper gear will also ensure an added layer of protection as you interact with the environment and other players.

How do I treat a sports injury?

A widely accepted method for treating a minor sports injury in the first 2-3 days after it occurs is the

RICE method.

  • Rest: As you recover from an injury, avoid any motion, activity, or weight bearing that reproduces your pain. This allows for healing while also avoiding further damage.

  • Ice: Swelling often appears soon after pain, restricting the movement of an injury and delivering healing cells to the area. Excessive swelling, though, can cause additional discomfort and weaken muscles. Applying ice—alternating 10 minutes on and 10 minutes off with a covered ice pack—to the affected area will reduce swelling. Never apply heat in the first 2-3 days following an acute injury.

  • Compression: Compression with an elastic bandage can also combat swelling and immobilize the injured area. However, you can apply a bandage too tight and interrupt blood flow, so if you see a blue or purple tinge to the surrounding areas, loosen the bandage immediately. Research proper techniques or seek medical advice if you are unsure how to bandage.

  • Elevation: When possible, keeping the injured body part raised above the level of your heart will help to reduce pain, swelling, and throbbing.

A 5th step in addition to the RICE method is:

  • Medication: Over-the-counter medications can help you manage the pain, and non-steroidal anti-inflammatories such as ibuprofen, aspirin, and naproxen reduce inflammation as well. Always check with your pharmacist or doctor if you have questions about dosage or drug interactions.

Should I see a doctor?

When dealing with sports injuries, it’s never a bad idea to see a doctor, even just to rule out something more serious. Immediate medical attention may be needed if you hear a popping sound at the time of injury; if you can’t place any weight on the injury; if you experience severe pain, or your pain worsens or doesn’t improve after a few days; or you experience a neck or back injury accompanied by radiating pain or numbness.

Seeing a doctor of sports medicine can help you recover faster with better outcomes. Even if you aren’t a serious athlete, seeking help early in your recovery can help you prevent the development of a chronic condition, which can affect not only your athletic performance but your ability to comfortably perform everyday tasks. Dr. Chappell and the team at In2it Medical can guide you down the correct rehabilitation path for your specific sports-related injury, with many treatment options including nutrition and exercise recommendations, physical therapy and manual manipulation, and regenerative injections. The sooner you get help, the sooner you can return to the activities you love!

In2it Medical Featured on UtahValley360.com

We recently had the opportunity to submit an article to UtahValley360.com and it is currently being featured on their homepage!

In the article we share about how Dr. Chappell uses ultrasound to diagnose carpal tunnel and how he does ultrasound guided carpal tunnel release.  He's the only doctor in Utah that can perform this specialized carpal tunnel release so we're thrilled that we can share the In2it Medical difference to this site.

If you'd like to see the article go here: https://utahvalley360.com/2019/03/25/carpal-tunnel-syndrome-treatment-at-in2it-medical-accelerates-recovery-time/

For more information about our carpal tunnel diagnosis and treatment options go here:

https://www.in2itmedical.com/carpal-tunnel-syndrome

https://www.in2itmedical.com/carpal-tunnel-release

Screen Shot 2019-03-26 at 12.11.01 PM.png