Non-Narcotic Pain Management


Synvisc Viscosupplement Knee Injections

Knee pain affects millions of Americans each year, preventing them from living their most fulfilling life. When the protective cartilage in the knee wears away and joint fluid breaks down Osteoarthritis will develop, causing extreme discomfort and pain. Osteoarthritis can occur in any joint, but it is most common in the knee.

At Advanced Physical Medicine we offer relief from the pain and suffering of Osteoarthritis. Our dedicated team of multidisciplinary physicians will help you to understand your symptoms, evaluate the underlying cause of your pain, and provide you with the necessary treatment to help you on the way to a pain-free life.

Symptoms of Osteoarthritis Tenderness
Joint Pain Swelling Around the Joint
Stiffness Grating Sensation
Loss of Flexibility Bone Spurs

Supplementing the fluid in your knee to help lubricate and cushion the joint, Synvisc injections can provide up to 6 months of relief from the pain and discomfort of osteoarthritis.


Trigger Point Injections

Trigger Points form when there is a tight area within a muscle that cannot relax. These areas can be felt as lump-like “knots” in the bands of muscle fibers. The Trigger Point can irritate nerves around the muscles and this can cause pain that is felt in other regions of the body. This is known as referred pain. Trigger Points commonly affect the neck, shoulders, arms, buttocks, and legs, but any muscle is susceptible.

Trigger Points can be managed with rehabilitation, chiropractic care, massage therapy, and Trigger Point Injections.
Trigger Point Injections are administered by a licensed healthcare professional. A small needle containing a local anesthetic is injected into the Trigger Point, and this helps to relax the knotted muscle, providing pain relief.

Causes of Trigger Points:
• Repetitive Actions
• Sustained Lifting
• Trauma (Car Accidents, Falls, etc.)
• Poor Posture
• Vitamin Deficiencies
• Sleep Disturbances
• Stress
• Joint Problems
• Inactivity (Bed Rest or Prolonged Sitting)
Symptoms Include:
• Pain
• Stiffness
• Weakness
• Distortions of Posture


In combination with Chiropractic Adjustments and Rehabilitation, Trigger Point Injections help the patient to heal. The injections loosen the muscles and help Chiropractors make adjustments more easily. Once Trigger Points are released, the muscle needs to be moved throughout its full range. Simple exercises are done by the patient to retrain the muscle and ensure that the Trigger Point does not return. It is generally recommended that the patient receives injections twice a week for four weeks or until the patient is feeling better.

Diagnostic Ultrasound Guided Injections

High-resolution ultrasound technology allows for greater accuracy and precision in the application of joint injections physical medicine. The live imaging of muscles, tendons, cartilage, ligaments, nerves, and joints, allows the doctor to evaluate the health of the area and identify the source of the pain or problem.

Doctors no longer have to depend solely on feel and resistance to determine the correct location to administer a medicine or treatment. Difficult locations, such as the hip or deep tendons, are easier to access as the ultrasound allows you to see inside the body as the injection is being given.

Help to Relieve Pain from:
• Arthritis
• Tendonitis
• Bursitis


• Gout
• Injury or strain

Treatment Areas
• Knee
• Ankle
• Hip
• Shoulder
• Elbow
• Wrist
• Hand
• Feet


Call us today at 1-304-225-9356 for your Complimentary Consultation.

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