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Arthritis Treatment

Knee pain? Shoulder pain? Hip pain? We have non-surgical options to help you.

Aching joints are common. Many patients take—and sometime over-take—medications to help alleviate their pain. Sometimes an injection, or series of injections, can take away the pain and help rejuvenate the joint and damaged cartilage. Come in today to discuss what options are available to you to treat your knee or other joint pain. Non-surgical options include, hyaluronic acid, platelet rich plasma, stem cell and prolotherapy.


Prolotherapy is an injection based therapy used for treating injured joints and connective tissue. These injections contain natural substances like saline, dextrose and sarapin (an alternative to steroids). Lidocaine is also used to numb the area around the injection site to minimize discomfort. This injection helps trigger the body's natural healing response to help regrow healthy ligament and tendon fibers. This can lead to increased mobility and decreased pain. Multiple treatments of prolotherapy can increase it's effectiveness over time. The process takes less than 30 minutes with little to no downtime after the procedure.

Platelet Rich Plasma/


Trigger Point Injections

TPI's, or Trigger Point Injections are used as a method of pain management for tense and swollen muscles. Muscles often tense up and cause knots when they are strained for extended periods of time. These are called trigger points and can often cause pain that radiates to other areas of the body. TPI's are a series of minor injections that take no longer than 15 minutes. Your healthcare provider will identify where these trigger points are located and inject a local anesthetic or saline. This helps relieve pain in the area and relax the muscle again.

Hyaluronic Acid Injection/


Platelet Rich Plasma is used as a treatment for various problems including sprains, repetitive strain injuries and chronic tendon injuries. First, a member of our highly trained staff will draw your blood and spin it down to concentrate the level of platelets in your plasma. After the blood cells are removed, the remaining platelet rich plasma serum is injected into the affected area in order to stimulate the healing of the joint. This is effective because the platelets in our blood contain high levels of proteins called "growth factors". Injecting these concentrated growth factors into the injured area helps the body heal more rapidly using your own body's natural medicine!

Viscosupplementation is a procedure in which a thick fluid called hyaluronic acid is injected into the joint. The hyaluronic acid (HA) will improve the lubricating properties of the synovial fluid, reduce the pain from osteoarthritis of the knee, improve mobility, and provide a higher and more comfortable level of activity. HA has been used successfully at treating arthritis in any joint: knee, hip, shoulder, hand, ankle. The physician performs all injections under state-of-the-art fluoroscopic image-guidance, which reduces the pain of in the injection and ensures accuracy. "Blind" injections (where the doctor sticks the needle in without any guidance) has a high failure rate and the reason your injections may have not worked in the past.

Autologous Stem Cell Transplant

Doctors at NSWC offer a technique involving injections of stem cells. Stem cells are unique in that they can develop into any type of cell—for example, cells that help repair damaged tissue or new cartilage cells. When injected into an arthritic knee, stem cells may encourage the damaged cartilage to regrow and heal. Injections of stem cells can also reduce inflammation.

The exact way stems cells work is still being researched, but some people find that an injection of stem cells relieves pain and swelling and may help speed recovery.

Our doctors obtain these stem cells from your body, typically from bone marrow in your pelvic bone, using a syringe. The area is thoroughly numbed before the stem cells are extracted, but the procedure may cause mild discomfort. After the stem cells are separated from blood and other substances in the bone marrow, they are injected directly into the knee.

Stem cell therapy does not produce results right away. Over time, their regenerative effect may help damaged tissues to heal. Most people experience improved function and relief from pain after two to six weeks.