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Latest Treatment Technologies at Onto Orthopedics

Platelet Rich Plasma (PRP) Treatments at Onto Orthopedics

What is PRP?

PRP treatments have been featured in the news recently as a regenerative medicine and a potential solution to help repair many chronic injuries. Some professional atheletes claim that PRP has helped them get back in the game sooner. What is PRP though and how can a PRP treatment help with your orthopedic injury? Platelet Rich Plasma injections are a relatively new solution for many injuries and afflictions. The minimally-invasive process is relatively simple and can typically be performed in-office. Within a few weeks of the procedure, patients often see improvement to their injury.1

The Treatment Process

While blood contains white and red blood cells, a small percentage of your blood is comprised of platelets. Platelets are known for their clotting abilities, however they also appear to assist with the healing process. The exact mechanism of action is unknown however in higher concentrations, platelets appear to "jump start" healing.  First some of the patient's blood is drawn and spun down in a centrifuge to increase the concrentration of platelets. The concrentration of platelets in a PRP solution may become 5-10x greater than in normal blood. The solution is then carefully injected into the injured area. Pain in the area may increase temporarily, however patients often begin to feel a beneficial effect within a few weeks.

Endoscopic Spinal Decompression

spine pictureThe camera has been a staple of family gatherings and reunions for generations. This isn’t the only way to use a digital camera anymore however. The lens not only gives you a perfect picture of your external features but can also capture any disharmony within you. High-resolution fiber optic cameras have completely revolutionised the surgical world by allowing us to view the insides of joints. From taking the pressure off a nerve trapped in the carpal tunnel on the wrist, to relieving the painful tingling numbness radiating from the spine, endoscopic decompression procedures have a lot to offer.

A common example of nerve compression is carpal tunnel syndrome. Here, the median nerve is compressed under the wrist ligaments causing painful tingling and/or numbness in the hands. Sports like cricket, weight lifting and games involving a racquet require excessive use of the wrists. Carpal tunnel syndrome is common in their players. When a trial of conservative medical therapy fails, surgery remains the only option. Two incisions are taken over the palm and wrist where the surgeon, using an endoscope, will dissect the transverse carpal ligament to release the compressed median nerve. With the bandages coming off in a couple of days and complete recovery within two to three weeks, the player finds himself having a firm grip on his equipment as well as his game.

Digital Pain Management

digital pain managementChronic pain can be extremely debilitating for long-term pain sufferers. In such patients, when all varieties of treatment, from oral medicines such as NSAIDS (pain killers) and steroid injections to physiotherapy and surgical treatment fail, the role of digital pain management comes into play. The patients in whom pain persists even after a surgery are those who can benefit immensely by digital pain management. Digital pain management is one of the latest innovations in surgical technologies to treat chronic pain. Conditions which might benefit from digital pain management can include failed back surgery, neuropathies, radiculopathy, phantom limb, and other chronic pains.

Digital pain management consists of installing a small spinal stimulation device known as a Dorsal Column Stimulator or Spinal Column Stimulator into the epidural space which surrounds the spinal cord. Spinal cord stimulators deliver low voltage electrical currents to stimulate the spinal cord and block the sensation of pain. Electrical stimulation is delivered through an implanted lead in the epidural space superficial to the spinal cord; this lead is connected to the receiver that receives energy through an external source.

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