TREATMENTS & PROCEDURES
Treat inflammation and pain associated with arthritis with joint injections
Conservative care for mechanical and /or repetitive use injuries benefits from a variety of therapies including: physical /occupational therapy, chiropractic, acupuncture, yoga, pilates.
Degenerative processes may respond to injections of Stem cells or PRP which reduce pain and may promote regeneration. We avoid the repetitive intra-articular injection of steroids.
Type of Injections:
Corticosteroid injection - These are used to treat inflammation and decrease pain.
Hyaluronic acid joint injections - These are used to replace lost synovial joint fluid, to increase mobility and range of motion.
Platelet-rich plasma (PRP) injection - These are used to treat pain and injuries of the tendons and ligaments.
Can my pain be controlled without injections or pain medicine?
Yes, there are many options depending on if it’s musculoskeletal or nerve pain.
If I need an injection, is it dangerous?
There are risks of inserting a needle into the body. These include bleeding, infection and lack of benefit. These risks are minimal and the vast majority of patients see enormous benefits because we select the treatment modality carefully. The benefits of performing pain intervention are carefully calculated and discussed against risks before we proceed with any treatment
What do you inject?
There are different medications/compounds that may be offered. The goal is to reduce or eliminate pain and improve function. The medication and compounds may include steroids, platelet rich plasma(PRP), A2M(alpha 2 macro globulin ), Stem cells.
How long will the benefits of an injection last?
It’s not possible to accurately predict the level and duration of benefit. Many of our patients have improvement or elimination of their pain with a single injection. We reevaluate every patient after each intervention. All decisions on further treatment are discussed as a team.
When it comes to medication mgt, do you provide medication management?
Dr. Graf uses many medications for pain. Many of these medications are habit forming and require careful monitoring . When appropriate patients will receive opioid medications under Dr. Graf’s supervision. Dr. Graf is recognized for his expertise as an addiction management physician in assisting patients in withdrawing from habit forming medications."