A significant percentage of patients experiencing chronic cervical and/or low back pain may be secondary to facet joint (zygapophsial joints or z-joints) etiology. This percentage has been reported to be up to 52%. This mechanical low back pain may be caused by either degenerative changes or whiplash injuries, such as a MVA. This source of back/neck pain is often overlooked by many physicians.
read more...In a small retrospective trial conducted in 2009, did you know 68% of patients with tendonopathies reported improvement in pain when administered with PRP and 97% of those patients reported functional improvement
read more...Herniation, protrusion, bulge or tear. Hearing any of these words in reference to a lumbar back injury can be devastating to any athlete, but in particular to the avid multisport devotee who may equate those words to surgery, rest and a temporary change of lifestyle. Treatment options for disc injuries have been mostly limited to medications, physical therapy, spinal corticosteroid injections and decompression tables. But when these treatments do not provide longterm benefits, patients often face the grim prospect of surgery.
read more...Using your own blood for anything other than a donation might cause concerns in the endurance sports community. However, recent medical advances in the treatment of chronic injury are creating a viable and legal option for using an athlete’s own blood to promote healing, especially in soft tissue (muscles, ligaments and tendons). One of the most promising new procedures for treating soft tissue injuries is platelet rich plasma therapy, or simply, PRP.
read more...A study recently published Arthritis and Rheumatism clearly demonstrates that using ultrasound to guide an injection is not only more accurate but patients who received these injections had better outcomes in function than those patients who were given these injections…
read more...Dr. Wolff, I just wanted to take a few minutes to thank you and your staff for what may be a very routine procedure for you, but for me it is something that has given me the ability to recapture my life. Before coming to your office, I had previously had three operations and numerous injections on my lower back. I was in constant and chronic pain and been out of work for the last eight months due to taking fairly large amounts of medication daily. I was angry at the world, my doctors and my place of employment. I did not know if I would ever be able to return to my career of law enforcement of fourteen years. I sat in my home, wanting to do things with my four boys and my wife, but knowing that I would not be able to enjoy myself due to the excruciating pain that was just a part of my life. So I sat in my chair, watching the world go by, becoming more depressed every day. When I came to your office on the very first day of my evaluation, I was met by possibly the kindest medical staff I have ever had the privilege to meet. They were professional yet understanding. I was listened to and felt like I mattered. After my final treatment, the very next day I felt such a difference in the level of pain that it was unbelievable! I didn't dare believe that this could be a lasting treatment as so many in the past would work for a week or two at the most. When I flew home to Florida, and after two weeks had passed, I woke up on a Saturday morning and I looked at my wife as we were getting ready to go somewhere, and I began to cry. She asked what was wrong and I said to her "it's like waking up from a ten year nightmare" I just couldn't believe that I was still one hundred percent pain free. It has been over a month now since you and your staff performed what I deem a miracle for me. I am still pain free, I am back to my duties as detective with the sheriff's department, I am enjoying watching my youngest sons football practices, and am spending more quality time with my wife. I am not a religious man normally; I have seen things that make one question such a thing. But I do thank God for you and what you have give back to me sir. I can never repay what you have given me, but thank you so much. David P. P.S. I'm going to enjoy the gator hunt.