We provide a wide range of testing, including:

  Knee injuries
  Plantar Fasciitis
  Foot and ankle pain
  Rotator cuff tendonitis
  Sports injuries
  TMJ dysfunction
  Osteoarthritis
  Pre- or post-orthopedic surgery
  Alternative treatment for chronic pain

  All required forms will be sent via your Charm patient portal or provided in-office to complete.
  Obtain basic lab results within 6 months of your procedure and upload them, along with any relevant imaging, for your doctor to review.
  Inform your doctor of any allergies, medications, and supplements you are currently taking.
 Stop taking any NSAIDs (non-steroidal anti-inflammatory drugs) 3-5 days before your procedure.
  Ensure you eat and stay hydrated on the day of your procedure.

1. Review and Questions: Your doctor will review your medical history, lab results, and imaging, and explain the procedure, including risks and benefits. You’ll have the chance to ask questions.
2. Preparation: You’ll be made comfortable on the treatment table, and the necessary supplies will be prepared. The injection sites will be thoroughly cleaned using aseptic techniques.
3. Numbing and Injection: A mild topical numbing agent may be applied for your comfort. The treatment will be injected at the targeted sites, often with ultrasound guidance for accuracy.
4. During the Procedure: Your doctor will be with you throughout the procedure. Please inform the team if you experience discomfort or any concerning reactions.

Post-Treatment: The injection sites will be cleaned and covered.

You’ll be asked to stay in the office for 10-20 minutes post-procedure to ensure you feel stable and comfortable before leaving.
  Avoid NSAIDs (e.g., Aleve, Advil, Motrin, Naprosyn, Aspirin) after your treatment. Tylenol is acceptable for pain relief.  You can resume any daily supplements after the procedure.
  Avoid submerging the treated area or joint in water for 24-48 hours post-procedure.
  Mild bruising near the injection sites is normal. Applying Arnica or Traumeel every 4-6 hours can help with recovery.
  If bruising doesn’t improve or if you have any concerns, contact your doctor. Regenerative Injection Therapy is designed to provide long-lasting pain relief. While pain relief isn’t always guaranteed, many patients experience significant improvement after 3-4 treatments spaced 4-6 weeks apart. For more severe conditions, additional treatments may be necessary. Remember, each session builds on the previous one, so timely follow-up is key to continued progress.

If you experience tenderness, pain, or discomfort at the injection site:
  Apply ice for 1-2 minutes, no more than 20 minutes, every 2-3 hours.
  Heat (e.g., heating pad, hot compress, or red light therapy) can help with soreness.
  Pain at the injection site can last for up to 7 days or longer.
  You may take Tylenol, CBD, Traumeel, arnica, fish oil, or other approved pain relief options.

Cautions:
Contact our office or visit urgent care or the emergency room if you experience:

  Drainage, redness, swelling, or heat at the injection site (with or without a fever).
  Inability to move or flex the joint due to pain.
  Severe or persistent pain.
  Shortness of breath, hives, itching, severe headaches, nausea, or severe neck pain.
  Any unexpected or unusual side effects.

  Avoid intense activity for 2-4 weeks or until cleared by your doctor at your follow-up appointment.
  Gentle movement and exercise are encouraged! Once tolerated, you can resume normal activities.
  Avoid high-impact or strenuous exercise on the treated areas until cleared by your doctor.
  Hydrate well following your treatment to enhance tissue flexibility and nourish cells.
  If receiving manipulation treatments (e.g., by a D.O. or Chiropractor), avoid forceful manipulation until fully recovered.
  If areas of weakness are found, a physical therapy or exercise program may be prescribed to strengthen the area.