FAQ

Click on any of the categories below to access their most frequently asked questions. For more information how we can help you alleviate your pain through comprehensive pain relief techniques, call us at (717) 652-5550 or book an appointment online.

Restorative Cellular Therapy

Where is the engraftment of cells taken from?

We obtain stem cells carefully from a donor (from umbilical cord blood, which contains a far greater quantity). No one is harmed, and the mesenchymal stem cells are extremely effective at regenerating (recreating) new, healthy tissues. Once the cells are sent to us, we simply inject them into the affected area. The cells go to work rebuilding cartilage, nerve, and muscle cells that you’ve worn away, and before you know it, you’re experiencing pain relief.

Can regenerative cellular therapy alleviate shoulder pain?

Yes, restorative cellular therapy/stem cell therapy can improve shoulder pain. Some shoulder conditions it helps alleviate include:

  • Shoulder arthritis
  • Degeneration to the Labral
  • Thoracic Outlet Syndrome
  • Recurrent Shoulder Dislocations
  • Mild/Moderate Osteoarthritis
  • Tear to the Labral
  • Separation in the AC Joint
Can regenerative cellular therapy alleviate hip pain?

Restorative cellular therapy can help relieve hip pain by addressing hip conditions like:

  • Osteonecrosis
  • Avascular Necrosis
  • Bursitis
  • Tendinopathy
What is the recovery time?

Restorative cellular therapy is a minimally invasive procedure with long-term results and practically no recovery time.

Can regenerative cellular therapy alleviate back pain?

Regenerative cellular therapy can treat back injuries and conditions, including.

  • Degenerative disc disease
  • Lumbar disc herniation
  • Osteoarthritis
  • Spinal Stenosis
  • Arthritis

Hormone Therapy

What is testosterone?

Testosterone is the primary male sex hormone mainly produced in the testicles. It plays a role in sperm production, sex drive, red blood cell production, body and facial hair, fat distribution, and bone density.

What are the benefits of high testosterone Levels?

Some benefits of high testosterone levels include reduced fat mass, increased libido, a reduction in weight loss, reduced inflammation in the body, increased bone health and muscle mass, reduced joint pain, less anxiety, and no mood swings and depression.

What happens when testosterone levels decrease?

Low testosterone levels affect mood, sex drives, and a change in fat and muscle.

Do testosterone levels change with age?

According to research, testosterone reduces with age. The total testosterone levels decrease at an average rate of 1.6% annually, while bioavailable and free levels drop by 2 or 3 percent each year.

How is testosterone replacement therapy administered?

Testosterone replacement hormones can be administered through injections, testosterone pellets, patches, and gels. However, we’ve determined injections are the most effective, with fewer risks and side effects.

What are the risks of testosterone replacement therapy?

Like with any medical procedure, there’s a degree of risk with TRT. Some possible but uncommon risks include sleep apnea, acne, enlarged breasts, limited sperm production, shrinking testicles, and higher red blood cell count, which increases the risk of clotting.

What are the benefits of hormone replacement therapy?

The main benefit of hormone replacement therapy is relieving symptoms of menopause and perimenopause hot flashes, vaginal dryness, sleep problems, low mood, and anxiety.

What are bioidentical hormones?

These are artificial hormones chemically similar to natural hormones made by the body. They are made in labs from plant steroids in wild yams and soy.

When should I start hormone replacement therapy?

HRT should start when menopausal symptoms start to manifest, and you’ll not need tests done first. However, blood tests are necessary to measure hormone levels if you’re between 40 and 45 years old.

Is hormone replacement therapy safe?

The risks associated with HRT include blood clots, cancer, and stroke. Your risk level depends on your medical history and age. At age 50, it’s safe, and also, if you are at age 60, only if you started it when you were at age 50.

Is bio-hormone replacement therapy effective?

According to the FDA, there’s no evidence to support that bioidentical hormones are more effective than conventional hormone therapy. But generally, bioidentical hormone therapy has few or no risks.

I want to start feeling good again. How do I get started?

It’s easy! Call us at (717) 652-5550 or book an appointment online to schedule a time with our expert care professionals to discuss the options to get started on hormone replacement therapy. Your first visit will include a medical examination and blood tests that will help us determine if you’re a good candidate for the treatment.

Back Pain

What are the causes of back pain?

The causes of lower back pain are varied, but the most common include:

  • Herniated disk
  • Osteoporosis
  • Osteoarthritis
  • Sciatica
  • Spinal stenosis
  • Scoliosis
  • Tumors
  • Muscle strains
  • Bad posture
  • Inflammation
  • Kidney infection
Should I use or avoid painkillers for back pain?

Painkillers should only be used alongside active treatments like therapy and exercises. For instance, you can use painkillers to help relieve back pain and allow you to move more often. But because of the potential risks of painkillers, they shouldn’t be used in the long term.

What should I do if my back pain lasts for months?

If you wait until your back pain is debilitating and limits movement, you’ve been waiting for a long time. Most back pain goes away in one or two weeks. But if your pain has lasted for several weeks or months, you should consult a specialist for evaluation.

Can ultrasound-guided needle injections alleviate back pain?

Yes, ultrasound-guided needle injections can relieve back pain. The process can be performed safely without harming sensitive nerves. These needles are ideal for those who are not responsive or cannot tolerate oral medications and are not appropriate candidates for surgery.

The procedure provides pain relief that lasts 3 weeks to 3 months; the maximum duration of pain relief after a single injection has been 8 months.

Sciatica

What is sciatica?

Sciatica is a medical condition that affects nerves in your lower back. When the nerves are damaged or inflamed, they result in weakness and pain which transfers to the buttocks, down your leg to the foot. 

Is sciatica similar to back pain?

Lower back pain and sciatica are similar since they are classified as back pain. They are often confused for one another because of their overlapping symptoms. However, sciatica is nerve pain that radiates to the legs, while back pain is localized to the back.

What are the symptoms of sciatic pain?

The symptoms of sciatica include:

  • Lower back pain radiating to your buttocks and down the thigh
  • Weakness
  • Numbness
  • Tingling sensation
  • Fecal or urinary incontinence
What causes sciatica?

Some of the main causes of sciatica include:

  • Herniated or slipped disk
  • Spinal stenosis
  • Tumors
  • Pelvic fracture or injury
  • Spondylolisthesis
How to treat sciatica?

Sciatic pain is difficult to bear. Fortunately, electrotherapy and adjustments can get back your alignment, reduce inflammation and foster faster healing. Ultrasound-guided needle injections also help to cure sore nerves and tissues. You could also get near-infrared light therapy for the numbness and tingling sensations.

Shoulder Pain

What causes shoulder pain?

Bad sitting and sleeping positions, weak muscles, arthritis in your shoulder joint, bone spurs, broken shoulder bone, dislocation, and frozen shoulder can cause shoulder pain.

What is a frozen shoulder?

A frozen shoulder develops when your shoulder muscles, tendons, and ligaments turn stiff, causing pain and restricting movement. The restricted movement leads to problems such as strains, sprains, inflammation, bursitis, and tendonitis. Diabetes and thyroid disease can also trigger frozen shoulder.

What is a shoulder impingement?

Shoulder impingement is a compression and movement irritation of the rotator cuff between the top outer edge of the shoulder and the humerus. The most common symptom of impingement syndrome is difficulty reaching up and behind the back. This condition is common among string musicians, such as violinists and violists.

What are the treatments for shoulder pain?

Treatment for shoulder pain includes NSAIDs (Nonsteroidal anti-inflammatory drugs), physical therapy, and surgery if the other treatments don’t ease the pain.

Arm Pain

What are the common causes of arm pain?

The most common sources of arm pain involve overuse, injury, wear and tear, pinched nerve, Fibromyalgia, and rheumatoid arthritis. Depending on the underlying cause, arm pain may develop gradually or suddenly.

Is arm pain a sign of heart problems?

The most common symptom of heart attack is chest pain. You’ll feel heaviness, tightness, pressure, and squeezing across your chest. You’ll also experience pain in other body parts and feel like the pain is radiating from the chest to your arm (usually the left), tummy, back, neck, and jaw.  

When to seek our help if you have pain in your arms?

You should seek our help if:

  • You have shoulder, back, and arm pain that worsens with activity and lessens when you rest. This could be a sign of heart disease or reduced flow of blood to the heart muscle.  
  • You have a sudden injury to your arm. This could be when you hear a cracking or snapping sound. 
  • You have severe swelling or pain in your arm.
  • you’re having difficulty moving your arm or turning it from palm up to palm down and vice versa. 

Hip Pain

What are the signs of hip pain?

Hip pain is normally experienced in the front or groin area, which may cause a prominent limp, called a Trendelenburg gait. You may also experience stiffness more than pain, which can make it difficult to put on shoes or socks.

What are the causes of hip pain?

Pain medication use, symptoms of depression, and skeletal muscle weakness of the fractured leg can all cause moderate to severe hip pain. A pinched Sciatica nerve can also lead to hip pain.

When the sciatic nerve is compressed or irritated, the pain radiates along the path of the sciatic nerve, which branches from your lower back through your hips and buttocks and down each leg. Additionally, rheumatoid arthritis affects the lining of your joints, causing swelling that can eventually result in deformity and hip pain.

Who is at risk of developing hip pain?
  • Athletes are at higher risk of hip injury, since they are prone to long hours of muscle tearing. Bursitis is a common injury among athletes caused by unusually intense exercise.
  • Elderly individuals are also at risk due to their weaker and fragile bones.
  • Further, children with cerebral palsy are more prone to the development of hip problems because of abnormal mechanical forces in the hip and growth
Can workouts cause hip pain?

Researchers from the University of British Columbia reported that physical activity is a risk factor for hip pain in young and middle-aged persons. High-intensity interval workouts such as weightlifting and crossfit can put more stress on the soft tissues and joints, resulting in hip impingement (increased friction during hip movements).

What are the treatments for hip pain?

Early treatment is important and involves an exercise program to maintain range of motion, hip muscle strength, and a healthy body weight. For some, treatment for hip pain involves hip surgery to repair a fracture or to resurface or replace the hip joint.

These surgeries require a time of recovery and rehabilitation for the best outcome. If pain relievers, rest, and ice or heat (depending on the nature of the injury) do not solve your pain, it is best to seek our help. We can diagnose and treat the specific source of the pain accordingly.

Knee Pain

What are the common symptoms of knee pain?

There are several warning signs of a serious knee condition. These include:

  • Swelling
  • Stiffness around the joint
  • Redness
  • A feeling of warmth when the knee is touched

Another indication of a serious problem is a reduction of movement or strength in the knee. If it feels that the knee is going to give way, or it is hard to straighten the knee fully, or you are experiencing a popping or crunching noise when moving, there is cause for more serious concern.

Who is at risk of knee pain?

Athletes, and especially runners, are prone to muscle tearing. Knee injuries and muscle tearing are also common injuries reported by obese patients. Further, the National Institutes of Health reported that frequent knee pain affects approximately twenty-five percent of adults with osteoarthritis, which is the most common cause of knee pain in people fifty years or older.

Is a standard pain reliever enough for knee pain?

Over-the-counter pain reliever typically only provides relief for a few weeks at a time. In severe cases, steroid medication is prescribed. However, according to the Journal of the American Medical Association (JAMA), it was found that the injection of a steroid for pain every three months over two years can weaken your knees.

It is best to see us if you can’t bear weight on your knee and to allow us to recommend the best treatment possible.

What are the treatments for knee pain?

Finding relief from knee pain differs from person to person. Treatments aren’t always complex or invasive. If knee discomfort persists, the exercises should be discontinued, and it is best that you seek our professional help.

One of the best treatments for a bum knee is physical therapy. It is found to be helpful in improving your posture and balance. Additionally, ultrasound-guided needle injections are a safe and effective solution that targets knee pain caused by nerve damage. With proper guidance, you can experience better knee strength and pain management.

Can regenerative cell therapy cure knee pain?

Regenerative cells can be used as a powerful anti-inflammatory treatment for knee problems. Regenerative cell therapy is helpful when treating knee injuries sustained during sports. These regenerative cells are injected directly into your knee, where they can encourage new cell growth and fight the inflammation causing the pain. Stem cell injections are relatively non-invasive, safe, and effective.

Fibromyalgia

What is the cause of fibromyalgia?

The cause of Fibromyalgia is currently unknown. But if you have rheumatoid arthritis, you are two to five times more likely to develop Fibromyalgia. Fibromyalgia is also often thought of as a women’s condition because women make up about 90 percent of the cases.

People with a lack of sleep, stress, bad eating habits, and not drinking enough water were found to be at a higher risk of developing this problem. The cause of Fibromyalgia is currently unknown.

What are the symptoms of fibromyalgia?

Symptoms frequently include:

  • Fatigue
  • muscle pain and weakness
  • memory problems
  • paresthesia (prickling sensation)
  • headaches
  • depression
  • insomnia
Which part of the body hurts as a result of fibromyalgia?

In addition to dull, widespread pain, you may also suffer from extremely sensitive and tender areas throughout the body, which are called trigger points. These trigger points include the back of the head, tops of the shoulders, hips, knees, upper chest, and outer elbows. Even lightly pressing on these areas may cause pain.

Can fibromyalgia be treated?

Unfortunately, fibromyalgia has no cure. As such, the treatment focuses on symptom relief. The treatment plan can include a combination of behavioral and psychological therapy, self-management (including yoga, tai chi, and physical exercises), and medication

Migraine Headaches

What are the different types of headaches?

There are many types of headaches, and no two headaches are the same. Tension headaches, sinus headaches, and migraine headaches are the most common types experienced by patients.

Tension headaches plague sufferers with a constant feeling of pressure. This is felt primarily in the back of the head or neck and in the temples. The cause of a tension headache can vary, but the common denominator is muscle contractions in the neck and head.

The pain level of a tension headache can be categorized as moderate, which means they don’t often impact your daily activities. You can go about your daily routine while experiencing a tension headache. This is due in part to the fact that there’s no change in pain level when you bend over or exert. Other causes of tension headaches include:

  • Stress
  • Certain foods
  • Activities
  • Extended periods of driving
  • Long hours on a computer

A sinus headache is associated with infection. When your sinuses become inflamed, it causes pain, pressure, and discomfort, most often near the bridge of the nose and the forehead area. This pain intensifies when you lean over or bend down, sending a rush of blood and pressure to the head.

A migraine is an extremely common form of headache. Most people misdiagnose their headaches as a migraine or don’t realize that what they’re experiencing is more serious than a tension headache. Some of the most common symptoms that accompany migraines are:

  • Impaired or blurred vision
  • Sensitivity to light
  • Nausea and vomiting
  • Sensitivity to sound
  • Irritability
Can an ultrasound-guided needle injection relieve headaches?

Ultrasound-guided needle injections are effective in relieving short and long-term pain in patients suffering from chronic headaches in the back of their heads.

Can physical therapy relieve headaches?

According to the National Headache Institute (NHI), physical therapy can relieve several types of headaches, including migraine episodes, tension-type headaches, and cervicogenic headaches.