At Arizona Sports Medicine Center, we use the most advanced diagnostic technology and procedures, including

Musculoskeletal Ultrasound

Non-invasive, painless ultrasound technology can often help diagnose many musculoskeletal issues. Ultrasound technology allows us to see numerous tendon, muscle, and soft-tissue injury problems. We are also able to utilize ultrasound with cortisone injections, Platelet Rich Plasma (PRP) injections, and percutaneous tenotomy/FAST procedure for injuries, pain, and overuse of tendons and ligaments.

Orthotripsy

This non-invasive technology uses high-energy shock waves on chronic plantar fasciitis (heel spurs) and lateral epicondylitis (tennis elbow). Orthotripsy allows for fewer complications and a quicker healing time. Dr. Peterson is certified and experienced with orthotripsy, using OssaTron® technology. The OssaTron® is the first and only FDA-approved Extracorporeal Shock Wave Technology (ESWT) system for treating chronic heel pain and tennis elbow that don’t respond to conservative treatment.

Platelet Rich Plasma (PRP) Therapy

A treatment option for various orthopedic injuries and conditions traditionally requiring surgery or treatments. Concentrated platelets found in PRP contain bioactive proteins, including growth factors and signaling proteins crucial to starting and speeding tissue repair and regeneration. These bioactive proteins start connective tissue healing in tissues, bone, and articular cartilage regeneration and repair.

Wrist Sprains/Tendonitis

A sprain is a ligament (a tissue band connecting bones) injury. The wrist has many ligaments, and spraining occurs when the wrist is bent forcefully. Tendonitis is inflammation in a tendon or tendon covering, caused by a series of small stresses repeatedly aggravating the tendon.

Hand/Finger Sprains/Dislocations:

Sprains are injuries to the soft hand or finger tissues. Dislocations occur when adjoining bones in the hand or finger are displaced and no longer touch each other. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Maecenas posuere sem sem.

Hand/Finger Sprains/Dislocations:

Sprains are injuries to the soft hand or finger tissues. Dislocations occur when adjoining bones in the hand or finger are displaced and no longer touch each other. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Maecenas posuere sem sem.


Chronic Tendonitis Treatment Options


Extracorporeal Shock Wave Therapy

  • Also called Orthotripsy or ESWT, developed from technology used to treat kidney stones with Lithotripsy.
  • Can be an option in treating acute and chronic pain
  • Treatment entails sending rapid mechanical (not electrical) cavitation forces targeted towards an area of pain to simulate an injury without causing injury. This stimulates a repairing response by recruiting healing factors.
  • The mechanical forces also can break or interrupt the pain pathway, effectively decreasing pain.
  • No restrictions of physical activity or sports performance, but listen to your body.
  • Preceding treatment and following treatment, do not take NSAIDS or ice area being treated.
  • Treatments are done once or twice a week, for a total of three treatments.
  • Not covered by Insurance ($)

Platelet Rich Plasma

  • PRP is an Investigational treatment injection that consists of platelets and plasma, components concentrated from your own blood, prepared by kits to standardize concentrations.
  • Very low risk of allergy to injection.
  • Tendons and areas of chronic injury can have low blood flow that can make the healing process slower. PRP injections that contain healing factors such as Platelet Derived Growth Factor (PDGF) and Vascular Endothelial Growth Factor (VEGF) can bypass this “failed delivery” by injecting directly to the area of injury.
  • Platelets release cytokines that recruit other cells to promote healing.
  • Preceding and following treatment, please do not take NSAIDS or ice the area being treated.
  • Restrictions: No use of the area for the first 24 hours. In the following 1-2 weeks activities should be limited and modified. Normal activity may usually be resumed 1 month after treatment.
  • Not covered by Insurance ($$)

Amino

  • Investigational treatment injection that consists of concentrated growth factors that are cultured and separated from amniotic tissue, used to treat chronic pain.
  • There is no blood draw necessary
  • The healing and growth factors can be deposited in a concentrated injection to tendons or joints where the lower blood flow limits its ability to heal.
  • Preceding and following treatment, please do not take NSAIDS or ice the area being treated.
  • Restrictions: In the following 1-2 weeks activities should be modified. Normal activity may usually be resumed 1 month after treatment.
  • Not covered by Insurance ($$$)

Percutaneous Tenotomy

  • Also called Tenex, it is a fairly new minimally-invasive procedure that is developed from the harmonic resonance technology used in cataract surgery.
  • Procedure done awake with local anesthetic only.
  • Ultrasound is used to guide a needle to damaged or injured tendon.
  • Inserted needle can micro-debride damaged tissue or calcifications 1 millimeter at a time while healthy elastic tissue is left undamaged.
  • No incision, a tiny scar, less risk for infection, and faster recovery time when compared to more invasive procedures.
  • No limitations for NSAID use.
  • Restrictions: Limit activity for 2 weeks. In the following 4 weeks, perform formal physical therapy and modify activities to protect treated site.
  • Full effect of procedure and tendon remodeling usually seen around 3 months after treatment.
  • Covered by most insurance


Initial Treatment Options Conservative


The options mentioned in this panel are often used in the initial 1-3 months, during the conservative phase of treatment, before other treatments mentioned in this pamphlet are done, except ESWT that can also be done.

Cortisone

  • A strong anti-inflammatory agent often used to treat acute exacerbations of musculoskeletal pain and inflammation.
  • Often used in conjunction with Physical Therapy

Dry Needling

  • Insertion of a sterile needle into muscles or tendons to increase localized blood flow and try to stimulate growth factors to the area. This is called Prolotherapy when an irritant such as dextrose is also injected.

Hand/Finger Sprains/Dislocations:

  • Referral to musculoskeletal professionals that supervise, train, and facilitate strengthening and stretching of specific muscle groups to optimize biomechanics of the body to, promote healing, reduce pain, injury, and risk of reinjury.


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