Elbow supportive therapy services offered in Buffalo, NY

elbow supportive therapy

The elbow joint is commonly affected by sports and work-related overuse. Tennis and golfer’s elbow are the most common conditions arising from such overuse. In the tennis elbow condition, the tendons on the outside of the elbow generally tear with forceful repetitive pulling and gripping actions that involve wrist and finger extension. Repetitive fine motions of the wrist and fingers with keyboarding and mouse use are also risk factors. Golfer’s elbow tendon injury is seen on the inside of the elbow and is a product of repetitive swinging, gripping, and pushing motions that involve wrist and finger flexion. Weakness of the core and larger arm and leg muscles are often at the root of elbow overuse. The pain can come from osteoarthritis, overused tendons, and nerves that run through the elbow and are susceptible to chronic stress. 

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elbow supportive therapy

Experience

Dr. Kaplan conducts a thorough examination on every client to identify structural deficits, restrictions and muscle weakness and imbalances. X-rays and state of the art ultrasound-guided technology are used and, if necessary, advanced imaging such as MRI may be used for further assessment. To ensure accurate placement, all injection techniques are ultrasound-guided.

Treatment

Prolozone  - A mixture of ozone and natural anti-inflammatory solutions are injected into the joint for pain and inflammation control.

Dextrose and biocellular prolotherapy – Concentrated dextrose solution is the first line of our regenerative treatments. When injected into tendons and joints, it promotes ligament regeneration and mild cartilage repair. 

IOT (intraosseous therapy) bone marrow decompression. This cutting-edge technique was invented in Russia. It uses a simple needle insertion to stimulate bone marrow circulation and reduction of congestion. This process improves cartilage health from the inside.

TENEX tenotomy is commonly used for tennis elbow. It is a great alternative to surgery. It offers a higher success rate with no complications and fast recovery time.

Interstitial low level laser therapy. New cutting technology allows for placement of healing and anti-inflammatory laser lights directly into the injured tendons, ligaments and joint. This treatment is also used to activate PRP growth factors, making a PRP therapy more efficacious.

PRP (platelet-rich plasma) is a stronger cellular treatment. It promotes torn tendon regeneration and repair of worn ligaments. PRP Prolotherapy technique is used in more advanced tendon and ligament tears. It directly delivers growth factors in the damaged tissue and activates a signaling mechanism that stimulates the body’s stem cell production and recruitment to the site of injury. Repair and new tissue growth occur quickly and naturally.  

Self-renewal cellular therapy is the most advanced regenerative technique available. Stem cells are extracted from either the bone marrow or fat and are immediately reinjected into the injured areas. Direct delivery of mesenchymal stem cells into the affected area allows for repair by the growth of new healthy tissue.  

Peptide Therapy. Dr. Kaplan’s in-depth knowledge of peptide therapy allows him to stimulate repair and regeneration with specifically selected peptides. Tissue-repairing peptides BPC and Thymosin beta 4 are used in the injection solutions and CJC/ Ipamorellin is often used to stimulate stem cell activity before the procedure. These peptides stimulate and enhance, Dextrose prolotherapy, PRP, and Stem cell regenerative potential. 

Benefits
  • Golfer’s Elbow
  • Tennis Elbow
  • Calcific tendinosis
  • Elbow arthritis
  • Elbow ligament tears
  • UCL (ulnar collateral ligament) sports related tears

Diagnostic Tools

manual exam

Manual Exam

x-ray

X-Ray

ultrasound

Ultrasound

mri

MRI

What to know before you go

Frequently, the injured area of the elbow is a victim of underlying instability. Dr. Kaplan utilizes the Hacket and Hamwell Method to treat the entire elbow ligament-tendon complex to promote joint stabilization and tendon repair. Unlike a more commonly used target-specific approach where just the tendon that hurts is injected, our technique restores stability to the areas around the injury. This not only allows for better healing of painful areas but prevents the recurrence of the breakdown of the area in the future. Concentrated dextrose solution is the first line of our regenerative treatments. When injected around the ligaments and tendons of the elbow, it promotes ligament regeneration and small tendon tear repair.  

Safety

The ultrasound-guided approach ensures the accurate and safe placement of regenerative solutions directly into the shoulder joint and surrounding injured tissues. Dr. Kaplan uses solutions that are natural and extremely well-tolerated. 

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Services We Offer

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