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We offer a range of injection and myofascial techniques aimed at stimulating (or re-stimulating) the body to heal and recover from injury.  Particularly effective for chronic injuries and arthritis, Platelet Rich Plasma (PRP) and prolotherapy are common modalities used, with the advantage of ultrasound guidance to ensure safe and proper administration of solutions injected.  While providing effective musculoskeletal treatments, FoRM also offers comprehensive support to optimize healing time.  Beyond injections and localized therapies, we aim to identify and treat any underlying systemic problems that may be delaying recovery (i.e. hormones, nutrition, etc).

Platelet Rich Plasma

The goal of platelet rich plasma is essentially to stimulate healing by utilizing the patient’s own platelets.

Prolotherapy

Prolotherapy is a regenerative injection therapy used to strengthen joints weakened or damaged by over-use or chronic injury.

prolozone

Prolozone is similar to standard prolotherapy, combining an injection of nutrients and dextrose with oxygen-ozone.

Acupuncture & Dry Needling

Acupuncture and dry needling help relieve pain, modulate muscle and connective tissue/fascia tension, increase circulation, and support healing.

Ultrasound imaging & guidance

Ultrasound imaging allows for extremely safe and dynamic views of soft tissues, such as muscles, tendons, ligaments, and nerves. 

 

Testimonial

"In the spring of 2013 I suffered a severe rotator cuff injury while rehearsing for an acrobatics performance. I was unable to hold even something as light as a coffee mug with my arm extended. My estimated chance of recovery after surgery was [predicted to be] 50 percent.

I started PRP with Dr. Ryan Minarik in hopes of increasing my chances of a successful surgery. However, the treatments yielded such dramatic results that now, a year later, I don’t require surgery at all! I can do a 1-arm dead hang and multiple pull-ups easily. I can hold a free-standing handstand for 90 seconds and counting. I can do flips and handsprings without pain or instability. PRP helped me get my life, and career as an acrobat back! I am so very grateful."

- TZ, professional aerialist and acrobat


FAQs

CLICK ON QUESTIONS TO SEE ANSWERS.

Q: What is the difference between prolotherapy and PRP? Which one is better? How do I know which one I should get? +
A: While prolotherapy and PRP both can stimulate a healing, or regenerative, response there are some differences in how they work. PRP works when the platelets injected release signaling molecules (called cytokines) to initiate an immune response, the first stages of healing. Prolotherapy uses dextrose (most commonly) to cause irritation at the site of injection, stimulating inflammation and a subsequent immune response. Dextrose is also theorized to have an osmotic effect, tightening ligaments, as well as may help calm associated nerve damage/irritation at the site of injury.

Neither treatment is better, rather certain conditions may respond better to one or the other, and in some cases we may use a combination. In general, however, prolotherapy is used for ligamentous injuries, while PRP is increasingly being used for tendon and internal joint (arthritic) conditions. During your initial visit, a thorough exam and history will be performed to decide which therapy is most appropriate for your condition.
Q: Does Regenerative Injection Therapy, such as prolotherapy and PRP, hurt? +
A: Treatment pain and post-injection soreness varies greatly from case to case, depending on what type of tissue is injected, the joint or location, and the degree of injury or damage. Prior to treatment, a small amount of local anesthetic (usually lidocaine) is injected to help numb the area for needle insertion and reduce discomfort. Intra-articular (inside the joint) injections are typically well tolerated with little to no discomfort. For ligament, tendon and other soft tissue injection sites there can be 2 periods of mild to moderate discomfort:

DURING TREATMENT
There is often mild to moderate soreness when injecting sites surrounding joints and into soft tissues. Occasionally, particularly when injecting tendons with PRP, there can be an acute “crescendo” of pain for 5-10 minutes. This is a normal (and expected) inflammatory response caused by the PRP being injected and initiating the immune response at the injury. Advances in PRP preparation have greatly reduced this level of pain compared to many years ago, although these temporary flares may still occur.

FOLLOWING INJECTIONS
Since both prolo and PRP injections stimulate an immune response as part of the process to re-stimulate healing and repair, there is typically soreness around the injected tissues for 3-5 days on average. This is usually worst for the first 1-2 days after a treatment, and gradually diminishes. Movement of the joint may be sore and even restricted for the first couple days.
Q: What can I take for soreness or pain following injection therapy? +
A: Tylenol is recommended for post-treatment soreness. For certain injections, the doctor may prescribe a very short course of narcotics such as vicodin or tramadol. Part of the mechanism for how regenerative injections work involves an immune response, which begins with inflammation. As such, anti-inflammatory medications (NSAIDs) such as aspirin, ibuprofen, naproxen, and diclofenac should be avoided for at least 7 days prior to and following therapy.
Q: How often should I get prolotherapy or PRP injections? +
A: Prolotherapy treatments are typically done at 3 week intervals. PRP treatments are usually done at 4-6 week intervals. This may vary further on a case by case basis depending on what is being injected.