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