Non-Operative Services | The Orthopedic Institute of NJ

A doctor and patient discuss non-operative services to ease shoulder pain.

At The Orthopedic Institute of New Jersey, we firmly believe in exploring and exhausting all non-operative treatment options before considering surgery.

In most cases, surgery isn’t a necessary option for relieving symptoms of orthopedic conditions. Our experienced physicians work closely with our patients to develop a customized course of non-surgical treatment that works best for them to alleviate pain and discomfort caused by acute and chronic orthopedic injuries and illness.

What We Offer

In addition to injections and oral medications as treatment options, OINJ specializes in regenerative medicine. These options include: platelet rich plasma therapy, viscosupplementation treatment and percutaneous ultrasonic tenotomy such as the Tenex Procedure.

If you’ve seen a doctor for knee, hip or shoulder pain — and you’re frustrated by the fact that you’re still in pain — regenerative medicine might be the right option for you. Regenerative medicine focuses on non-surgical methods (used by Olympic athletes and sports stars) that harness your own body’s healing power.

When you’re looking at options for pain relief, here are a few things to remember about regenerative medicine:

  • It’s a purely natural process
  • There’s little to no risk for allergic reaction or side effects
  • It accelerates the natural healing process
  • No intensive rehabilitation is necessary (unlike surgery)
  • Many patients feel relief within 6-12 weeks

With regenerative medicine, you get the chance to live without pain — and also without surgery or pain medication. This field of medicine has been popular in Europe for several years and is becoming more mainstream in the United States.

Platelet Rich Plasma (PRP) Therapy

Platelet Rich Plasma (PRP) therapy is treatment designed especially for healing your body’s tendons and ligaments. It can also have pain-relieving effects for arthritic joints and functions as an alternative to a cortisone injection. It’s ideal for patients who aren’t ready for surgery or not even surgery candidates. PRP has been scientifically proven to help heal your body.

PRP is created from your own blood, which contains healing factors (growth factors and stem cell markers). These cells are important for tissue repair and regeneration. Platelets, which were once thought only to be responsible for clotting, have been scientifically proven to signal a healing response within your body. Now, scientists understand that platelets are rich in connective tissue growth and healing factors. For example, after you’re injured, your body’s natural and first response is to deliver platelets to the area. These platelets help restore the injured part of your body.

During your appointment, we’ll start with an orthopedic evaluation and standard blood draw. Then, we’ll put your blood into a machine that separates the platelets (growth and healing factors) needed for tissue healing. PRP is the bright layer of fluid with concentrated platelets and growth factors. This layer is purified and concentrated with a state-of-the-art centrifugation filtration machine. . This sophisticated centrifugation and filtration process concentrates platelets and growth factors to create the optimal environment for healing within an injured region of the body. Then, it’s injected into the area of injury. Several studies have shown that the amplified concentration of growth factors and stem cell markers in PRP could speed up the body’s natural healing process.

Viscosupplementation Treatment

This type of treatment is ideal if you have osteoarthritis of the knee, one of the leading causes of disability in the United States. Viscosupplementation treatment was approved by the FDA in 1997 and has been perfected over the last two decades to provide longer-lasting relief of arthritic pain.

There is no cure for osteoarthritis. You might have tried the following: weight loss, physical therapy, pain relievers and corticosteroid injections to help manage pain. But if that’s not working, viscosupplementation might be the next step for pain relief.

A viscosupplementation treatment is an injection of hyaluronic acid (a gel-like lubricating fluid) in the knee joint. It’s a more natural alternative than a corticosteroid injection because everyone has an amount of hyaluronic acid in their knees already. However, patients with osteoarthritis have low amounts of hyaluronic acid in their joints. The extra hyaluronic acid from the injection is given to bring the levels back to normal.

The goal of the treatment is to supplement the natural lubrication of the fluid in the joint to help heal injured cartilage, reduce pain, and stimulate the growth of healthy tissue. This type of treatment is offered twice a year. Some patients opt for this treatment as a form of maintenance therapy. It’s an ideal way to minimize the overall wear and tear of the body.

Percutaneous Ultrasonic Tenotomy such as the Tenex Procedure

The Tenex Procedure was developed with Mayo Clinic and alleviates pain for patients with issues with their tendons or fascia. Our musculoskeletal ultrasound expert Dr. Shamim will examine and map the injured areas within the tendon that would benefit from a precisely guided treatment. Areas of the body that can be treated include:

  • the rotator cuff tendons
  • Flexor and extensor tendons of the elbow (tennis elbow or golfers elbow).
  • Gluteal tendons that produce trochanteric bursitis of the hips
  • Patellar tendons
  • Achilles tendon
  • Plantar fascia

This is a minimally invasive treatment, performed in a sterile environment, that aims to provide the body with a second chance to heal correctly from an injury. The goal of the treatment is to remove diseased tissue. Unhealthy tissue makes it harder for blood to flow, and thus harder for the injury to repair itself.

During the procedure, we use an ultrasound to pinpoint the exact area of the scar tissue. By using ultrasonic energy that targets and aspirates necrotic (scar) tissue, healthy tissues remain intact. The procedure takes about 15 minutes.. Afterward, we will put a bandage around the area of incision (no stitches) and most patients say they feel better within a month.

The Tenex Procedure is meant to help the body rejuvenate itself and promote the growth of healthy tissue.

Steroid Injections

Corticosteroid injections are used to help relieve pain and reduce inflammation in the joints of the body including:

  • Shoulder
  • Elbow
  • Wrist
  • Finger joints
  • Spine
  • Hip
  • Knee
  • Ankle
  • Toe joints

Using ultrasound, fluoroscopic or sonographic guidance to ensure accuracy, the corticosteroid medication combined with a local anesthetic is injected into the affected joint. The injection may relieve pain and discomfort resulting in everything from injury following an accident to chronic diseases such as arthritis.

Make an Appointment

If you’re ready to get back to things you love without surgery, call 908.684.3005 or email us.

View Our Other Specialties

Arthroscopic surgery is a minimally invasive procedure conducted to efficiently see, diagnose and treat conditions within the joints of the body.

Under the direction of Dr. Ferheen Shamim, MD, who is double board certified in internal medicine and sports medicine with a concentration in non-operative orthopedics, The Concussion Center at The Orthopedic Institute of New Jersey offers a second-to-none evaluation and treatment of concussions.

The elite surgeons at The Orthopedic Institute of New Jersey perform joint reconstruction for patients of all ages following injury or illness (such as arthritis) as a treatment option when all other conservative methods have been exhausted.

At The Orthopedic Institute of New Jersey, we firmly believe in exploring and exhausting all non-operative treatment options before considering surgery.

At The Orthopedic Institute of New Jersey, our licensed and certified therapists offer occupational hand therapy as a physical therapy subspecialty, providing comprehensive hand care.

Using the latest in diagnostic testing and minimally invasive techniques, our specialized surgeons will restore motion and function for adult, adolescent and pediatric patients of all activity levels with minimal downtime.

Designed exclusively for orthopedic emergencies, our urgent care has walk-in hours with no appointment required for immediate orthopedic needs that are non life-threatening.

At The Orthopedic Institute of New Jersey, we understand that both acute and chronic pain can keep you from doing the things you want and need to do. We provide complete care and management of your pain, so you can resume your daily activities.

At The Orthopedic Institute of New Jersey, our team of licensed and certified physical therapists and athletic trainers work with our dedicated physicians using the latest techniques to help our patients restore motion and function as quickly and efficiently as possible.

In our state-of-the-art facility, our experienced physicians utilize various testing methods and equipment to provide an effective diagnosis, allowing for the creation of a customized treatment plan to fit the individualized needs of you and your family.

 

Meet Our Specialist

Dr. Ferheen Shamim

Dr. Ferheen Shamim, MDOrthopedic Physician
Dr. Ferheen Shamim, MD is a sports medicine physician with The Orthopedic Institute of New Jersey. Board certified by the American Board of Physical Medicine and Rehabilitation.

Additional Reading

More Information

To learn more about our comprehensive services, contact us, or to make an appointment with one of our specialists, fill out the appointment form to the right.

The Orthopedic Institute of New Jersey is a premier multi-disciplinary center offering complete orthopedic care, rehabilitation and pain management services to patients of all ages and activity levels using a customized treatment plan to fit individual needs.

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