Non-Surgical Treatment Options for Sports Injuries

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Non-Surgical Treatment Options for Sports Injuries (1327 words)

Sports is a wonderful way to exercise and enjoy the company of friends. However, according to the National Health Statistics Reports for 2016, an average estimate of 8.6 million sports and recreation related injuries are reported annually, with young males between the ages of 5 to 24 being the most at risk. 

Of those injuries, half resulted in an emergency room or hospital visit. Even those injuries that don’t lead to the ER can bring severe pain and discomfort, but surgery isn’t always required. At In2it Medical, Dr. Craig Chappell specializes in sports injury treatment without the need for expensive surgery. As the team physician for Ohio University, Dr. Chappell provided care for athletes and performing artists. His experience includes injuries related to swimming, track, cross country, endurance events, football, basketball, soccer, field hockey, ice hockey, baseball, and softball. He also served with the Justin Sports Medicine Team, covering the PRCA rodeo.

Common Sports Injuries

During his time working with athletes and performing artists, Dr. Chappell developed several non-surgical approaches to common treatments for sports injuries such as the following:


Sprains are the most common sports injuries, and can cause severe pain and swelling. They occur when the ligament, or tough bands connecting bones to bones, are pushed beyond their limits, causing tears and deformity. With all the running that takes place in sports, ankles are the most susceptible to this type of injury, though other ligaments in the wrist or arm can also be prone to sprains. 

Like sprains, strains or “pulled muscles” are also very common. A strain is an injury to the muscle fibers or tendons that connect the muscle to the bone. This type of injury occurs due to the overuse of the muscle.

While sprains and strains are often mild and can easily be treated with immobilization of the injured ligament and application of ice, in cases where severe trauma has occurred, a sprain can become a chronic issue, resulting in weakness, instability, re-injury, and even pain. If this is the case, it is important to consult a trained physician for treatment options.


Knee injuries are another common injury in sports, especially those requiring extra pressure to knees, such as skiing, football or basketball. This can become one of the more debilitating sports injuries. Many professionals and recreationists have been permanently sidelined due to knee injuries. There are three main classifications of knee injury: patellofemoral syndrome, meniscus tears, and collateral ligament injuries.


Runners are especially susceptible to shin splints, an injury of tissue, tendons or muscle surrounding the tibia, or shin bone. Shin splints develop due to repetitive trauma or overuse, and can cause pain where the muscle attaches along the inner border of the shin. They can also develop in those who are returning to high physical activity.


Overuse of the muscles and tendons in the elbow can lead to what is commonly known as “tennis elbow,” caused by an injury of the muscles and tendons of the forearm that attach to the elbow. It can produce severe pain or burning sensation to the outside of the elbow. In extreme cases, tennis elbow may result in the weakening of grip strength. 


Too much stress on the muscles of the groin and thigh region can overstretch and tear muscle fibers, resulting in what is commonly called a groin pull or groin strain. This injury can cause pain and tenderness in the region while doing routine motions like bringing the legs together or raising the knee. Similar to knee injuries, this type of injury is common in sports that require sudden changes in direction, such as football or basketball.

Non-Surgical Treatments
In severe cases these sports injuries may result in surgery, especially if the injuries are recurring. These surgeries are often expensive and can prevent the patient from returning to their beloved sport activities. However, Dr. Chappell provides many treatment options that do not require surgery. The following are some examples of the non-surgical sports injury treatments offered:


Unlike surgeries that can often weaken the injured area, Dr. Chappell focuses on strengthening the affected area to prevent the injury from reoccurring. Depending on the type and severity of the injury, certain movements may be restricted. But there are still many exercises that can help stabilize those areas that are already strong and strengthen those that are weak. Through physical therapy tailored to your specific injury, you will be able to return to your former activities with the confidence that your performance will not be impacted.


Some injuries may be corrected with proper lifestyle modifications, typically diet and physical activity. By maintaining these behaviors for months and even years, many diseases that lead to injury can be resolved, such as fatigue and obesity. Also, severe pain due to former injuries or arthritis can be reasonably managed. Dr. Chappell utilizes the latest research in modern treatment to recommend not only an effective routine of diet and exercise, but also behavioral and cognitive strategies as part of the therapy. Where necessary, these recommendations may include appropriate referrals for effective treatment.


Stem cells are the raw materials that the body uses to produce the variety of cells required for life. During this process the stem cell splits, creating daughter cells that are specialized for a particular function, such as heart tissue or bone tissue. Under the right conditions, stem cells can be used to regenerate damaged or diseased tissue. This means that damaged muscle, cartilage and ligaments often found in sports injuries can be rejuvenated, providing stability and pain relief without going under the knife. 


Dr. Chappell, a trained osteopathic physician at In2it Medical is trained in the musculoskeletal system. He understands how that system influences the condition of all other body systems. He is trained to identify and correct structural problems caused by sports injuries and can assist your body's natural tendency toward health and self-healing. Osteopathic Manipulation Treatment (OMT) involves using the hands to diagnose and treat injuries. Using techniques including stretching, gentle pressure and resistance, Dr. Chappell can provide relief from the instability and pain associated with recurring sports injuries.



Platelets are small blood cells that clot the blood when open wound injuries occur, such as a cut or scrape. Researchers have found that platelets not only clot the blood, but contain a mixture of proteins that aid in the healing process. By drawing a patient’s blood and spinning it in a centrifuge to separate the platelets from the plasma, physicians can extract enough platelets to inject back into an injured area of the patient. Platelet Rich Plasma Treatment has been known to increase the healing rate of various injuries and reduce chronic pain without the need for surgery.

If you are suffering from pain or discomfort related to sports injuries and are looking for sports injury treatment in Utah, contact In2it Medical and schedule your appointment with our trained staff. Located in Pleasant Grove, In2it Medical takes patients Monday through Friday. Dr. Chappell will be able to determine what treatment is best for you. Contact us now at 801-610-7321 or through our website




Dr Chappell Answers Questions on Meniscus Tears

Dr. Chappell is here to answer some questions for us on meniscus injuries. Normally tears in the meniscus presents in knee pain, knee swelling and dysfunction. At In2it Medical, Dr. Chappell is a non-surgical regenerative orthopedic physician. First Dr. Chappell will rule out the absolute need for surgery and then go over treatment options with you. If you are experiencing problems in your knee, give our office a call to see how we can help you non-surgically and get you back in2it quickly.

What is OMT and Who Can It Help?

OMT stands for Osteopathic Manipulative Treatment. Dr. Craig Chappell is here to tell us more about this type of treatment and who it can help. OMT can help people with sports injuries, overuse injuries, nerve pain as well as many other causes of pain. Here at In2It we use OMT a lot to help women who are pregnant and in pain. Nearly 70% of pregnant women will experience significant low-back and pelvic pain during pregnancy. OMT is safe for all stages of pregnancy and can significantly reduce pain during and after pregnancy.

Meet Our Licensed Athletic Trainer, Danielle

Danielle is our certified and licensed athletic trainer. She received her Master's Degree in Athletic Training from Weber State University where she worked in various settings including physical therapy clinics, high schools and medical clinics. She has had a love for medicine as long as she can remember and fell in love with sports medicine and athletic training after experiencing her own sports injury. In her free time she spends her time with her fiance riding dirt bikes and playing with their cat and dog, Kora and Koda.

Dr. Craig Chappell Invited to Train Regenerative Medicine and Musculoskeletal Ultrasound at Gulfcoast Ultrasound Institute in Florida


Twice a year, Dr. Chappell leaves his medical practice in Utah to teach week long courses in Florida. Nationally recognized for his expertise in regenerative medicine and musculoskeletal ultrasound, Dr. Chappell is Invited to train established physicians and medical students the latest in ultrasound technology and regenerative medical procedures.

Dr. Chappell doesn’t like to brag, but we think it’s pretty awesome that he’s not only helping patients in Utah but he’s sharing his expertise to benefit the industry as a whole.

Florida isn’t the only place he travels, he’s often invited to speak at conferences and workshops all over the country.

When you’re at In2it Medical, know that your physician is triple board certified, highly recommended and nationally honored for his work.


If you’d like to learn more about our use of regenerative medicine go here.

Utah doctor, Dr. Craig Chappell is a triple board-certified physician with a non-surgical medical practice in Pleasant Grove, Utah.  In2it Medical focuses on regenerative medicine like stem cell therapy, platelet rich plasma as well as osteopathic manipulation. 

Proven Carpal Tunnel Treatment in Utah

Those who suffer with Carpal Tunnel Syndrome (CTS) often find that they are unable to accomplish simple daily tasks without intense pain. Brushing teeth, typing on the computer, playing an instrument, buttoning a shirt, or even just holding a loved-one’s hand—these are all simple, and sometimes necessary, tasks that can send severe pain pulsing through fingers, wrists, arms, and shoulders. More than 12 million Americans suffer from the painful and pressing effects of CTS, resulting in 500,000 surgeries every year. And women are three times more likely to get carpal tunnel than men, according to the National Institute of Neurological Disorders and Stroke.[1] The fluctuation of fluid, along with fluid retention during pregnancy, is just one reason women are more susceptible to CTS.


With such a large portion of the population suffering from CTS, there has been great effort to help find relief, and various treatments are available. However, many of these treatments require serious medication and/or invasive surgeries that can take weeks and even months of recovery. This means time out of work, which is both costly to individuals who suffer from CTS and their employers. While preventative measures have been put in place at many organizations, some are more susceptible to CTS and it cannot be avoided. At the 2007 Meeting of the American Academy of Orthopedic Surgeons, researcher David Ring, MD announced, “The major risk factor for carpal tunnel is genetic.”[2]


Whether you are a long-time sufferer of CTS or currently experiencing the first symptoms, it is never too late nor too early to seek out the advice of a trained physician. At In2it Medical, Dr. Craig Chappell is trained in many non-invasive techniques that can not only make CTS manageable, but can bring you back to full functioning in as little as 4 to 6 days. Dr. Chappell is the only physician in Utah certified to offer the Sonex SX- One MicroKnife CTS procedure, a highly advanced micro-incision technique developed by researchers at the Mayo Clinic.


If you turn your hand palm up, the carpal tunnel is a small space between the wrist bone below, and the transverse carpal ligament over the top. Through this space runs the median nerve and tendons that control the motor functions for the fingers. When swelling or damage occurs to the tissue in this area, pressure can be placed on the median nerve, causing numbness and pain. The most common surgical treatment for CTS is carpal tunnel release (CTR). During this procedure, the carpal ligament is cut by the surgeon to alleviate pressure on the median nerve and allows more space for the nerve and tendons in the carpal tunnel.

Traditional CTR requires a 2-inch incision on the wrist and common surgical instruments are used to cut the ligament. A less invasive technique, called endoscopic carpal tunnel release, uses 2 half inch incisions one in the palm and the other in the wrist. One incision is for a small camera used to guide the surgeon while they cut the ligament through the second incision. Both of these techniques leave large scars and risk damaging surrounding tissue that can lead to loss of mobility and further pain. Recovery from these surgeries can take 4 to 6 weeks and require the wrist to be immobilized, hampering the patient's ability to return to normal activity.


Micro-incision is a new innovative alternative in the surgical field. Rather than making large incisions that take weeks of recovery time and often leave noticeable scars, Dr. Chappell uses cutting edge technology to make micro-incisions instead. The SX-One MicroKnife used by Dr. Chappell, makes a very small and precise incision of 4-5 mm, at least 5 times smaller than incision used in the traditional carpal tunnel release (CTR) surgery. This smaller incision result in quicker recovery time, less noticeable scarring, and a reduction in complications. “The In2it Medical practice is all about eliminating or reducing pain, so we’re pleased to be the first in Utah to be able to offer this new path to relief,” says Dr. Chappell.


Speaking of the SX-One MicroKnife, Dr. Chappell stated, “Technology has given us another extremely effective tool for reducing pain and improving the quality of life for people suffering from carpal tunnel syndrome.”


Developed by musculoskeletal physicians and leading ultrasound imaging experts at the Mayo Clinic, the SX-One MicroKnife is also designed to protect sensitive nerves, blood vessels, tendons, and variable anatomic structures that are often affected by traditional surgical techniques. The SX-One MicroKnife is the cutting edge of micro-incision tools. Its’ unique design provides less trauma to the wrist, meaning faster pain relief and no need for immobilization of the wrist after surgery.


Dr. Chappell uses guided ultrasound during his carpal tunnel release (CTR) surgery in order to provide better outcomes. This technique is proven to provide 5 times better pain relief and faster return to normal daily activities. It also promotes faster recovery and a significant reduction in the need for pain medication. Dr. Chappell is a registered Musculoskeletal sonographer (RMSK), trained in the use of ultrasound-guided techniques.


The entire surgery is an outpatient procedure, lasting around 30-minutes and is performed at the In2it Medical office, keeping surgical related costs to a minimum. The incision is so small that it requires no more than a standard adhesive bandage or strip. Patients can be in and out in one afternoon and back to living a life without limitations.


Dr. Chappell and the staff at In2it Medical also specialize in non-surgical orthopedic medicine options. If you are suffering from the debilitating effects of CTS, contact In2it Medical and schedule your appointment with our trained staff. Located in Pleasant Grove, In2it Medical takes patients Monday through Thursday. Our staff will be able to determine if you are a good candidate for micro-invasive ultrasound-guided carpal tunnel release or if other non-surgical treatments are better suited. You don’t have to live with chronic pain. Contact us now at 801-610-7321 or through our website



Carpal Tunnel Release - Johns Hopkins Medicine

If you would like to learn more about Carpal Tunnel Release in Utah with In2It Medical check out these additional resources

Video, Testimonial for Carpal Tunnel Release with Sonex

Video, Testimonial for Carpal Tunnel Release with Sonex #2

Video, How Do I Know If I Have Carpal Tunnel Syndrome Video

Video, Using Ultrasound to Diagnose and Treat Carpal Tunnel Syndrome Video

Article, Carpal Tunnel Release Treatment from In2It Medical

Article, Carpal Tunnel Release Condition from In2It Medical

Video, Carpal Tunnel Release LIVE with Dr. Craig Chappell

Dr. Craig Chappell is a nationally recognized carpal tunnel release physician and the only doctor in Utah to perform this specialized treatment in the state.  He is a triple board-certified physician who specializes in treating pain without medications or surgery.

[1] “Carpal Tunnel Syndrome Fact Sheet.” National Institute of Neurological Disorders and Stroke, U.S. Department of Health and Human Services, 14 May 2019,

[2] CavoloRecommended, Lindsay, et al. “Is Carpal Tunnel Hereditary?” The Carpal Solution, 8 July 2019,

Understanding Stem Cell Therapy

Do you have pain in the knee, low back and/or joints. Stem Cell Therapy might be for you then. Stem Cells are multi-potent cells that we harvest from the patient's body. This means that they can differentiate into a variety of connective tissue cell types, including: bone, cartilage, ligament, tendon and muscle cells. For best results the mesenchymal stem cells (MSCs) need to be placed in the area of concern in order to correct, strengthen and heal the tissue of interest.

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Utah Doctor, Craig Chappell, is a leader in stem cell therapy and regenerative medicine. As an expert in his field he not only runs a thriving medical practice in Utah County, he’s invited all over the country to share his work and expertise. The staff at In2It Medical is ready to help you!

Utah Doctor, Craig Chappell, Performs Live Carpal Tunnel Release

We are excited that we got to do this procedure live. If you are interested in watching Dr. Chappell perform the Carpal Tunnel Release procedure with minimal incisions head over to our Facebook to watch the live video here.


Dr. Craig Chappell has been trained with an ingenious new instrument created by physicians from the Mayo Clinic, to relieve pain from carpal tunnel syndrome. With Dr. Chappell’s expertise and advanced training in sonography (ultrasound), this new procedure is now available in Utah. 

4 Tips to Prevent Running Injuries

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Beating a record. The runner’s high. Exercise. Proving you can. Community. The next race. There are a lot of reasons that people participate in the sport of running, but whether you are training to beat your PR or simply hoping to cross the finish line, the last thing you want to deal with on race day is an injury. Although we offer multiple options for treating sports-related injuries at In2it Medical, such as regenerative injections, physical therapy, osteopathic manipulation, and lifestyle recommendations, we would rather see you pushing toward your performance goals than recuperating from an injury. That’s why we’ve put together a list of 4 tips for preventing running injuries:



Train properly There’s a lot that can be said about training for different types of races, terrain, and experience levels, but here are the general rules:

  • Don’t overdo it—Don’t expect to go from little or no running to conquering that half marathon in 2 weeks. Set realistic goals that will allow you to work up to your desired performance. The quickest way to get hurt is to push yourself too quickly when you are unprepared. There are many online resources available to help you design a training plan that will get you safely to your goal.           

  • Increase mileage gradually—As a rule of thumb, only increase your mileage 5% to 10% each week. While this won’t make you 100% injury-proof, it will decrease the likelihood of you pushing yourself too far and causing injury.          

  • Warm up—Be sure to spend at least 10 minutes performing warm-up exercises before a big run. This will get your blood flowing and will flush lactic acid build-up from your muscles. Once you’re warm, stretch out each muscle group for at least 30 seconds. Warm muscles will stretch under pressure rather than tear or spasm.

  • Cross train—Your body absorbs a lot of shock while running, so strengthening other areas of the body will not only help keep you fit, but it will help counter the overall toll that running takes on your body. Building core strength can improve your balance, which can reduce the likelihood of ankle and foot injuries, while alternating training tactics can prevent overuse injuries.


Give your body the fuel it needs A car without gas or even the right kind of gas cannot run. The same goes for our bodies: without the right fuel, your muscles will be under more strain to deliver their usual performance and you may end up pushing yourself too far, resulting in injury. Despite your high calorie expenditure, don’t fill up on sugary, deep fried, or processed foods. Eating a healthy, balanced diet will give your body the fuel it needs to take you safely to the finish line. Staying hydrated with water it also very important, but over-drinking during a race can dilute your electrolytes, so talk with your trainer or doctor to find the right amount of water you should be taking in. Being properly hydrated can also stave off heat exhaustion.


Don’t forget the right gear Your shoes can make or break you (literally). Without properly fitted shoes, the shock absorbed during running can damage the structure of your feet and put strain on your ankles, knees, and hips. You can also bruise your toes and lose your toenails with too snug shoes. Specialized running stores can typically guide you in selecting the right shoes. Always race with shoes that have been sufficiently broken in but aren’t worn out, and replace shoes every 300-500 miles.


Give yourself time to recover Whether you are recovering after each training run or recovering from a minor injury, taking time to rest is crucial to avoid injuring tired muscles and tendons. Including rest days in your training schedule—a prime time for cross training—will allow your body to bounce back after each run. If you experience pain during a run that causes you to alter your gait, do not push through it. Take a break from training and start again after the pain has resolved. Following the RICE method of rest, ice, compression, and elevation when you experience minor soft tissue injuries and easing back into your training schedule beginning at 50% can prevent more severe damage.

If you do get hurt, don't delay in getting seen and treated! The longer you wait, the longer it may take you to heal, and we're committed to getting you back on your feet and running again.

Dr. Chappell is a Utah Doctor of Osteopathic Medicine that prides himself on listening and being able to precisely determine your main pain generator. After obtaining a diagnosis, Dr. Chappell will share with you, possible treatment options and allow you to guide the treatment process. Given the correct diagnosis, and with a little well-directed intention, healing can occur, pain will diminish, and function will improve.

5 Foods to Avoid When Reducing Inflammation

It is estimated that 5 to 7 percent of people in the Western world suffer from some type of chronic inflammatory disease.[1] According to a study conducted by the Rand Corporation in 2014, 3 out of 5 people die due to chronic diseases associated with inflammation.[2] Inflammation related diseases have become one of the greatest health risks society faces today.


While many medications and treatments exist to reduce inflammation, there are everyday ways to avoid the occurrence of inflammation. One of the biggest sources of inflammation is found in the foods that we eat. Many foods have been found to increase inflammation in the body. Here are five such foods to avoid.

Sugar and High-Fructose Corn Syrup

There are more reasons to cut sugar from your diet than just losing a few inches around the waist. Sugar and high-fructose corn syrup have been linked to many chronic diseases, but they are also associated with increased inflammation.[3]

Studies show an increased risk of developing rheumatoid arthritis in women who consume sugar-sweetened soda.[4] Sucrose, the chief component of sugar, was also shown to counteract the health effects of fish oil in decreasing inflammation. [5] In other words, eating sugar is not only a cause of inflammation, but it cancels out the health benefits that come with your efforts at eating well.



Artificial Trans Fats

Who doesn’t like french fries or potato chips? But before you take that bite, beware—those fried delectables are saturated in trans fats. Trans fats are oils that have undergone the process of hydrogenation either to preserve shelf life or due to exposure to high temperatures as in the case of fried food. While they taste great, studies have shown they significantly contribute to vascular inflammation.[6]


Processed Meat

While tasty and high in protein, meat carries with it advanced glycation end products (AGE). These are harmful compounds that are formed when protein or fat undergo a process called glycation, where they combine with sugar in the bloodstream. AGEs have also been found to accumulate in meats that have been exposed to high temperatures like those that have been grilled. As good as that BBQ tastes, the AGE found in the meat may be causing inflammation according to studies.[7]


Refined Carbohydrates

All you pasta lovers out there may want to think twice before getting that second helping of noodles. According to research out of Queen’s University, Ontario, processed carbohydrates like those found in refined flours may create an inflammatory microbiota in the upper gastrointestinal tract.[8] This insight came about while studying the diets of ancestral hominids, who maintained a relatively low carbohydrate diet, consisting mainly of potatoes and fruits. The carbohydrates in our ancestors diets also tended to be less processed, than those found in our foods today.


Vegetable and Seed Oils

Surprising to some, vegetables sources can also contribute to inflammation. However, before you toss out those carrot sticks, note that this is only referring to oils derived from vegetables and seeds such as corn, soy, or sunflower oil. These oils are referred to as poly-unsaturated fats and until recently were considered a heart healthy alternative to traditional fats derived from milk and animal products. This is due to their ability to reduce cholesterol. However, recent research has shown that cholesterol can be beneficial if sugar intake is curbed. Vegetable seed oils are high in Omega-6 fatty acids, not the healthier Omega-3 fatty acids found in other oils such as olive oil. Research suggests that high intake of Omega-6  fatty acids can actually increase chronic inflammation.[9]

Dr. Craig Chappell is a triple board-certified physician, located in Utah. With all this extra training Dr. Chappell has a breadth and depth of experience that many other doctors do not.

[1]El-Gabalawy, H., Guenther, Lyn C., and Bernstein, Charles, N. (2010). Epidemiology of Immune-Mediated Inflammatory Diseases: Incidence, Prevalence, Natural History, and Comorbidities. The Journal of Rheumatology Supplement. May 2010, 85 2-10.

[2] Pahwa, Roma, and Ishwarlal Jialal. “Chronic Inflammation.” StatPearls [Internet]., U.S. National Library of Medicine, 4 June 2019,

[3] Ma, Tao, et al. “Sucrose Counteracts the Anti-Inflammatory Effect of Fish Oil in Adipose Tissue and Increases Obesity Development in Mice.” PloS One, Public Library of Science, May 20AD,

[4] Hu, Yang, et al. “Sugar-Sweetened Soda Consumption and Risk of Developing Rheumatoid Arthritis in Women.” The American Journal of Clinical Nutrition, American Society for Nutrition, Sept. 2014,

[5] Ma, Tao, et al. “Sucrose Counteracts the Anti-Inflammatory Effect of Fish Oil in Adipose Tissue and Increases Obesity Development in Mice.” PloS One, Public Library of Science, June 2011,

[6] Iwata, Naomi G, et al. “Trans Fatty Acids Induce Vascular Inflammation and Reduce Vascular Nitric Oxide Production in Endothelial Cells.” PloS One, Public Library of Science, Dec. 2011,

[7] Basta, Giuseppina, et al. “Advanced Glycation End Products and Vascular Inflammation: Implications for Accelerated Atherosclerosis in Diabetes.” Cardiovascular Research, U.S. National Library of Medicine, 1 Sept. 2004,

[8] Spreadbury, Ian. “Comparison with Ancestral Diets Suggests Dense Acellular Carbohydrates Promote an Inflammatory Microbiota, and May Be the Primary Dietary Cause of Leptin Resistance and Obesity.” Diabetes, Metabolic Syndrome and Obesity : Targets and Therapy, Dove Medical Press, July 2012,

[9] Johnson, Guy H, and Kevin Fritsche. “Effect of Dietary Linoleic Acid on Markers of Inflammation in Healthy Persons: a Systematic Review of Randomized Controlled Trials.” Journal of the Academy of Nutrition and Dietetics, Centre for Reviews and Dissemination (UK), July 2012,



The Danger of “Wait and See”: 4 Reasons You Shouldn’t Wait to See a Doctor About Your Pain

“It’s not that bad.”

“It only hurts if I stand for too long.”

“I don’t have the time or money right now.”

“I’ll wait and see if it gets any worse.”

Do any of these statements sound familiar? According to the National Institutes of Health, 80% of adults experience back pain at some point in their lives (that doesn’t even include neck, knee, hip, shoulder, or any other common pain sites). It’s safe to say that almost all of us will be hurting at one time or another. But not all of us will seek out the proper care and rehabilitation for that pain. Whether it’s due to cost, fear of doctors and bad news, or just busy lives in general, many people are inclined to live with pain that still allows them to function on some level. However, here are 4 compelling reasons to not wait too long before seeking help for your pain:

Young man with back pain on dark background

1.       You will likely experience better outcomes with early intervention: Seeing a doctor earlier rather than later can increase your chances of a full recovery. Continuing to live with your pain can result in a worse injury and could even lead to surgery that was not originally needed. If your injury results in scar tissue, a doctor can also recommend ways to make sure the scar tissue builds properly and does not create stiffness and discomfort.

2.       Your quality of life is impacted longer than necessary when you wait: Living with pain also means living with limitations such as standing on the sidelines rather than participating, leaving events early, or adjusting your usual routine because your pain causes you to have less stamina. You can also cause additional problems when you compensate for the painful area by shifting weight and pressure to other body parts, leaving them at risk for overuse and strain injuries as well.

3.       You may have more treatment options than you think: Does the fear of surgery, a lengthy recovery, or pharmaceutical pain management keep you out of the doctor’s office? There are actually a wide variety of pain treatment options available now, ranging from physical therapy and bracing to regenerative medicine delivered via injection. At In2it Medical, patients are regularly assessed using ultrasound technology to ensure the correct diagnoses and treatment plans are being made, getting patients back to normal activity as soon as possible with the least invasive solution possible.

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4.       Your ability to heal can diminish with age: When pain is limiting but not debilitating, it can be easy to push it aside and focus on your other responsibilities. However, as months and even years go by, our bodies change: inflammation increases, hormones change, and cells responsible for repairing our anatomical structures slow down. If you wait too long to seek treatment, you could find that your body doesn’t heal quite as well as it used to. Instead, you may need additional treatments and could potentially never reach the same level of recovery that you would have if you had sought treatment at the time of injury.

Don’t let your pain become a problem for your future self. Seeing a doctor as soon as you suspect your pain isn’t going away on its own will ensure that you are making informed decisions about your health and paving the way for a better and faster recovery.

Dr. Chappell has extensive experience and expertise in taking care of professional, elite and amateur athletes.  Prior to coming home to Utah, Dr. Chappell was the team physician for Ohio University where he provided care to all athletes and performing artists on campus. At In2it Medical we integrate the science of sports and the performing arts for the mutual benefit of both.

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.

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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.



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.

 Utah Doctor, Craig Chappell is a triple board-certified DO. He provides stem cell therapy to relieve pain in the knee, low back and joints affected by osteoarthritis. This is a natural, non-surgical pain relief.



Stem cell-based therapies for osteoarthritis: Challenges and opportunities 

Bone marrow aspiration

Stem cells: What they are and what they do

Arthritis By The Numbers



Using Ultrasounds to Diagnose and Treat Nerve Problems

Dr. Craig Chappell shows us some of the uses for ultrasounds when it comes to nerve complaints. A lot of people don't know that ultrasounds can be used to diagnose these problems. He shows us exactly what he can see.

Dr. Chappell is triple board-certified physician in Pleasant Grove, Utah. He is skilled in his technique at delivering the Platelet Rich Plasma (PRP) by utilizing ultrasound guidance to ensures positive outcomes. This is just one treatment Dr. Chappell uses the body’s natural healing ability.

5 Symptoms of Carpal Tunnel Syndrome

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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.

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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.

 Dr. Craig Chappell is a Utah based physician that specializes in pain management without prescription drugs or surgery.  He's triple board certified with an emphasis on sports injuries and helping athletes get back to activity as quick as possible.


Video Link 

Carpal Tunnel Syndrome Fact Sheet 

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

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.


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. 


Dr. Craig Chappell is a Utah based DO. Which is a Doctor of Osteopathic Medicine, DO’s treat you as a whole person. One of the ways DO's treat patients is with healing touch such as Osteopathic Manipulative Treatment, or OMT. It involves using the hands to diagnose, treat, and prevent illness or injury.

American Association for Orthopedic Medicine.