We're thrilled to have Mike Nielson as part of our medical team here at In2it Medical. In this video you'll hear more about his background and you'll also hear why we love his approach to patient care!
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
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
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!
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:
Big news at In2It Medical this month! Dr. Craig Chappell and the In2It Medical team just completed their 100th Micro-Invasive Carpel Tunnel Release with the SX-One MicroKnife. Dr. Chappell is only the second doctor in the country to reach this milestone and the only doctor in Utah that performs this specialized carpel tunnel release designed to decrease recovery time. It’s an ultrasound-guided procedure that allows the In2It Medical team accuracy and insights to diagnose and perform the procedure. If you’d like to learn more about this type of Carpel Tunnel Release, go to:
When it comes to using imaging to diagnose your pain, bigger is always better . . . right? According to that logic, an MRI—with its bulky equipment, lengthy scan time, and sizeable price tag—is your best bet for receiving the most comprehensive answers about your health. However, MRIs have their limitations, and, especially in the field of musculoskeletal injuries and conditions, may not be giving you the whole picture. Keep reading to discover three things your MRI is not telling you, and how a musculoskeletal ultrasound may be able to fill in the blanks.
But first, let’s identify the basic differences between MRI and ultrasound technology:
Magnetic resonance imaging (MRI) scanners use radio waves and powerful magnets to align water cells in the body in such a way that a computer can produce an image of both hard and soft tissue and organs. Although MRIs do not use radiation, due to the magnets, they are contraindicated for patients with metal embedded in their bodies.
Ultrasound (or sonography) sends high-frequency sound waves through a transducer (applied directly to the body) and the returning echo is captured by the transducer and translated into an image by the computer. Ultrasounds also do not use radiation and are less physically restrictive for patients.
Now, let’s get back to our discussion of MRIs and ultrasounds, which has been divided into three categories here: movement, timing and totality.
Movement: How movement is affecting your pain and diagnosis
Have you ever had recurrent pain in a joint that only manifested when you were actually using it? Like going to the doctor for a persistent cough only to have the cough disappear two minutes before the doctor comes in, having pain that is only present in certain conditions can be frustrating to properly diagnose and treat if those conditions can’t be replicated. MRI is considered a static imaging technique, meaning it is a still image. In fact, patient movement during an MRI may invalidate the findings. An ultrasound, however, can capture movement as it is happening. This can help your doctor understand if the pain is caused by the movement itself or by another issue, which may be invaluable for determining a correct diagnosis.
Timing: What your injury looks like at the time of your examination or procedure
Although an MRI is a powerful tool, it is also a snapshot of your body. As with any type of snapshot, the moment an image is captured, it starts to become outdated: our bodies continue to age and change with every minute that goes by (whether we like it or not). Logistically, it’s not practical to have MRI machines in exam rooms to be used at a moment’s notice or for care providers to be scanning while simultaneously administering injections. However, when performing in-office procedures or targeted treatments, bedside imaging is incredibly useful. Rather than providers working from dated images and using anatomic landmarks to locate approximate treatment points, ultrasound imaging allows them to ascertain the most current state of the injuries being treated and can guide providers in delivering the most accurate subdermal treatments.
Totality: The whole picture of your condition
So, can bigger ever be better when it comes to imaging? In many cases, the answer will be “Yes.” However, due to the nature of the large MRI scanners and how they capture images, musculoskeletal ultrasounds have actually been found to be more effective at capturing the entire length of longer structures like tendons,1 nerves and muscles. The ultrasounds’ agile transducer wands can also be maneuvered into more awkward angles to capture views that the larger scanners cannot, giving your provider even more insight into your condition.
At the end of the day, ultrasounds are not here to completely replace MRIs. In fact, ultrasounds can’t penetrate bone and they can’t accurately visualize gas- or air-filled organs such as the lungs or bowels. But when it comes to understanding and capturing aches and pains related to the musculoskeletal system, ultrasounds are uniquely suited to the task, not to mention they are more affordable, more convenient and more comfortable for patients.
Want to see a musculoskeletal ultrasound in action? Click here to watch Dr. Chappell demonstrate an ultrasound’s ability to capture movement and guide a procedure.
Peck J, Gustafson KE, Bahner DP. Diagnosis of Achilles tendon rupture with ultrasound in the emergency department setting. Int J Acad Med [serial online] 2017 [cited 2019 Jan 30];3, Suppl S1:205-7. Available from: http://www.ijam-web.org/text.asp?2017/3/3/205/204947
The aggressive marketing approach currently used by practitioners and clinics regarding various birth tissue products as safe and effective "stem cell therapy" is not supported by the existing scientific literature.
As practicing physicians, scientists, and regulatory experts we have increasingly observed aggressive advertising and sales tactics being used by alternative health clinics (chiropractors, naturopaths, and acupuncturists) as well as physicians and mid-level providers to market “stem cell” treatments derived from birth tissues. The products used are derived from birth tissues such as umbilical cord blood and/or Wharton’s Jelly or amniotic fluid/membrane. Many patients spend thousands of dollars on these therapies to treat orthopedic problems and/or a myriad of other incurable diseases.
Research has found that these amniotic and cord blood products did not contain live or functional stem cells. In addition, research groups found that many of the growth factor levels in these products were significantly lower than those found in common autologous orthobiologic products like platelet-rich plasma.
Here at In2it Medical we only use autologous (or patient-derived) orthobiologic products such as bone-marrow aspirate and platelet-rich plasma to ensure we are providing our patients with the best possible outcomes.
Here is the link to the full Consensus Statement,
One of our patients, Norm, had wrist pain and had seen a number of different doctors to find relief. Once he found Dr. Chappell and heard about the carpal tunnel procedure using the Sonex SX-One Microknife. Hear what he has to say about the procedure and his quick recovery.
Our patient, Sandy, tells us about her success with Platelet Rich Plasma Injections (PRP).
Regenerative injections are not a band aid or a “quick fix” but rather a long-lasting and potentially permanent reparative process. In this video Dr. Craig Chappell shares how we use a variety of regenerative treatments to help with chronic pain and healing. Treatments include Prolotherapy, Platelet Rich Plasma, Stem Cells and more. With Dr. Chappell's expertise in regenerative medicine and the use of ultrasound technology, In2it Medical can diagnose and treat a variety of ailments and pain including osteoarthritis, tendinosis, instability, sports injuries and more.
Learn how we diagnose and treat carpal tunnel syndrome with an innovative and proven procedure.
One of the most common pain we treat in our clinic is SI Joint Instability which is more common in women than men, but can be equally painful and debilitating. Also commonly called sacroiliac joint instability, there is pain relief without invasive surgery. In this video Dr. Craig Chappell from in2it medical talks about why pain may exist, how he diagnoses this pain and common treatments available in the clinic. If you have lower back pain of any kind, call our office at 801-610-7321 for more information.
We know that you have a number of choices when it comes to getting treatment for your pains and ailments. At In2it Medical, we specialize in non-invasive treatments that help you get treated and back into your favorite activities. Dr. Chappell is triple board certified, and his team of medical professionals are educated, experienced and committed to your well being. We also use state of the art ultrasound and imaging to get a good look at what you're experiencing. If you have a pain that hasn't been diagnosed, or you've tried a number of treatments without resolution, call us and come see for yourself. 801-610-7321
In this blog we discuss 8 key considerations when you are considering stem cell treatment for your condition.
10 Red Flags to Look For When Considering Stem Cell Treatments.
Find out why Carpal Tunnel Release is the best procedure for you!
Dr. Chappell is proud to announce that he is the ONLY physician in Utah performing this procedure.
•15 minute in office procedure VS invasive surgery with anesthesia
•4-6 days recovery VS 2 plus weeks recovery
•4-5 mm incision VS 2 plus inches
To find out more information regarding this innovative procedure please contact us at 801-610-7321
How big is America’s opioid problem?
Data from DrugAbuse.org, suggests that approximately 2.1 million Americans suffer from opioid addiction.
Are you currently combating a physical ailment or sports injury that’s preventing you from staying as active as you would like?
Are you utilizing prescription painkillers in an effort to fight back?
Here at In2It Medical, we provide pain management services that will help your body recover in all-natural ways without the assistance of any chemicals.
Here’s a look at three of the treatment options that we offer:
Platelet Rich Plasma. 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, utilizing ultrasound guidance, ensures positive outcomes.”
Stem Cell Treatment. “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.”
Prolotherapy. “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.”
Are you tired of suffering from chronic pain? We’ll help you take action, and get feeling back to normal in no time. Let’s get to work
As anyone with “a bad back” can attest, it’s not just a matter of gritting your teeth and getting on with life. Everything changes when you suffer back pain. You might be unable to do the simplest thing — lift the milk jug from the refrigerator, for instance — without excruciating pain.
Unfortunately, you’re not alone in this. One in five American adults suffers lower back pain in any given year, according to National Health Statistics Reports. It’s hard to estimate the losses from such pain — jobs lost, relationships damaged, lives diminished.
Did you know, though, that there are treatments beyond the conventional ones of surgery, steroids and physical therapy? Perhaps it’s time to consider the potential for regenerative medicine to get you back into life — back in2it!
We offer several kinds of injections — platelet rich plasma, stem cells and prolotherapy — that induce natural healing. These treatments create an inflammatory environment in specific parts of the body, triggering your body’s healing cascade and ultimately leading to a stronger and more resilient structure.
To determine if regenerative injections are right for you, we will take a complete medical history, perform a physical exam, perhaps run lab tests, and evaluate ultrasounds, X-rays, CT scans, and MRIs. We will evaluate your joints, tendons and ligaments and determine where your damage or degeneration lies.
Interested in an end to your pain? Please call us at 801-610-7321 or email us at firstname.lastname@example.org.
Bursitis is inflammation of a fluid-filled sack, called a bursa, near the knee joint. There are bursas near all joints in the body, and 11 near the knee. Their job is to cushion the knee joint, reduce friction and reduce pressure between the bones and tendons near joints. Causes of bursitis can include frequent kneeling, a blow to the knee from a fall, bacterial infection or complications from osteoarthritis, rheumatoid arthritis or gout. Treatment includes physiotherapy, steroid injections and drainage of the sacks. Surgery can also be prescribed in some cases.
Housemaid’s knee, despite its name, is more common in men than in women. Medically called prepatellar The knee is the largest joint in the body, which is probably why knee pain is such a common complaint to doctors among all age groups. Yet though it’s common, there are many different types of knee pain, as well as a range of causes. Treating knees successfully requires good communication between doctors and patients.
There are two main categories of knee pain: acute and chronic.
· Acute knee pain develops suddenly, usually from a sports injury, fall or accident. Sprains, strains and tears in the soft tissues in the knee—tendons, ligaments and cartilage or menisci—can be caused by a single twist or blow, or overuse for a long time, which causes repeated minor injuries. Bone fractures are less common than soft-tissue injuries but are more common in young children, who have more delicate bones, or in people with osteoporosis.
· Chronic knee pain forms over time. It is caused by misalignments such as knee dislocation or by underlying issues such as osteoarthritis or rheumatoid arthritis, bursitis, tendinitis, gout, damaged cartilage, torn ligaments and even bone tumors. Osteosarcoma is the second-most prevalent bone cancer and most commonly occurs in knees.
Learn more about key forms of knee pain
Here are some common reasons patients visit knee doctors. You might find some of the symptoms familiar:
Runner’s knee is known in medical books as patellofemoral pain syndrome. Symptoms include grinding or popping sensations in the knee, pain behind or around the kneecap, pain while bending at the knee, swelling and pain that gets worse when walking down stairs or down a slope. It can be caused by overuse or repetitive bending, high-stress exercises, direct trauma such as a fall, misalignment of the kneecap with leg bones, or weakness or imbalance in muscle strength.
Chrondromalacia patella is the softening and breakdown of cartilage under the kneecap. Caused by misalignment of the kneecap as it moves over the thighbone, it’s especially common in women. The most common symptom is a dull ache behind the kneecap. Prolonged sitting makes it worse. Treatment with rest, ice and anti-inflammatory medication usually leads to recovery.
Osteoarthritis affects more than 33 percent of people over 65 years in the U.S., according to the Centers for Disease Control and Prevention. This degenerative disease is characterized by deterioration of cartilage, overgrowth of bones at the edges and increased bone density. Symptoms include pain that gets worse with use, stiffness that can improve after 30 minutes of activity, swelling and a grating sound or sensation that accompanies movement. It affects women more than men. Obesity, age and previous knee injuries are risk factors. Treatment includes topical creams and pain medications.
bursitis, it is the inflammation of the bursa in front of the kneecap. It affects people who spend a lot of time kneeling, and can be caused by a sudden fall or blow to the knee, as well as repetitive pressure, infection, gout and rheumatoid arthritis.Treatment includes rest, ice, elevation of the knee and anti-inflammatory medications. Doctors often ask patients with this condition to kneel less.
Baker’s cyst, which doctors call a popliteal cyst, is caused by the build-up of fluid in one bursa, the popliteal bursa behind the knee. Symptoms include pain, swelling or a lump behind the knee, pain in the knee or calf, and clicking or locking of the knee.These symptoms usually mean there is an underlying condition such as gout, hemophilia, lupus, osteoarthritis, rheumatoid arthritis or an injury. Treatment of the underlying cause usually resolves the cyst, but rest, ice, anti-inflammatory medications and compression bandages are also often used.
Jumper’s knee, or Patellar tendonitis, is an overuse injury to the patellar tendon, which connects the kneecap to the shinbone. It’s caused by frequent jumping and landing, and it commonly affects athletes who play sports such as basketball, volleyball, tennis, skiing, football, soccer and even tennis.Symptoms include pain and tenderness over the tendon, thickening of the tendon, stiffness and pain that gets worse from jumping or running. Treatment includes rest, ice, anti-inflammatories, physical therapy, stretching and strengthening exercises.
Iliotibial band syndrome is inflammation or tightness in the iliotibial band, the ligament that runs from the hip to the shin on the outside of the thigh. It’s usually associated with cycling, hiking or weightlifting and is one of the most common overuse injuries for runners. Rest, ice, anti-inflammatories, stretching, strengthening exercises and massage are common treatments.
If you experience sudden acute pain or have chronic knee pain after activity, talk to your doctor about sports injury knee pain for proper diagnosis and a recovery plan to get you back to yourself. In2it Medical can help
If one of the first things you do each morning is “shake out” your hands or wrists, that may be a sign that you suffer from carpal tunnel syndrome, which occurs when the median nerve leading from the forearm to the palm of the hand becomes compressed. Of course, a compulsion to shake your hands isn’t the worst of the symptoms. Carpal tunnel can cause burning, tingling, or itching numbness in the palm of the hand and the fingers, and you may no longer have the grip strength to grab hold of small objects.
Are we describing you or someone you know? If so, you’ll be happy to know that Dr. Craig Chappell has just been trained on an innovative new treatment for carpal tunnel. He’s the first Utah physician trained in the procedure!
The new procedure uses the SX-One MicroKnifeTM, an instrument developed by doctors at the Mayo Clinic that requires only a single micro-incision that is up to five times smaller than that required for traditional carpal tunnel release (CTR) surgeries. Because it’s less invasive than the traditional surgery, there’s less scarring and recovery times are significantly reduced.
“Technology has given us another extremely effective tool for reducing pain and improving quality of life—this time for people suffering from carpal tunnel syndrome,” said Dr. Chappell. “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.”
Carpal tunnel syndrome affects some 12 million Americans annually, resulting in more than 500,000 surgeries. Traditional open and endoscopic CTR procedures are generally effective, but typically require outpatient surgery in a surgical center or hospital, a possible lengthy recovery period, and sometimes painful scarring. CTR procedures using the SX-One MicroKnife can be performed in a doctor’s office under ultrasound guidance in less than one hour and require only an adhesive bandage to close the wound. The SX-One MicroKnife is designed to protect sensitive nerves, tendons and blood vessels as the transverse carpal ligament is bisected during the procedure. As with traditional CTR surgeries, this new procedure is covered by most insurance plans.