- Sports injuries
- Muscukoskeletal problems
- Work related injuries
- Crash related injuries
- Back Pain
- Spine Care
MUSCULOSKELETAL PROCEDURES / DIAGNOSTICS
Ultrasound is a powerful technology for a functional physician like Dr. Babaria. It provides information that is instantaneous and dynamic, both critical for patient’s with sports, musculoskeletal, and chronic injuries. Many times surgeons will refer patient’s to Dr. Babaria to evaluate specific areas of concern prior to surgery.
It is also used to guide in the delivery of treatments and medications:
- PRP injections
- Joint injections
- Nerve injections
- Tendon treatments
- Tenotomy procedures
Orthobiologics Regenerative Medicine
Dr. Babaria is an expert in the delivery of orthobiologics and regenerative medicine. Orthobiologic treatments are forms of regenerative medicine that use biomaterials and cell-based therapies to engage the body in repairing its own bone and cartilage. By restoring function with regenerative therapy, the need for artificial replacement is greatly reduced.
Trigger Point Injections
Trigger points are painful “knots” that may occur in various muscle groups. Injecting small amounts of anesthetic into the trigger points may help alleviate the pain for extensive periods of time. Our goal is to use trigger points to maximize your function and responsiveness to physical therapy and conservative
Electromyography (EMG) and nerve conduction velocity (NCV) are tests that measure the electrical activity of muscles and nerves. This test can help determine if nerves are injured when you have complaints of numbness, tingling, muscle cramping, or weakness in an extremity (eg, one or both arms, legs). This test is considered an extension of the physical examination, and allows us to direct your care appropriately.
Osteopathic Manual Manipulation
Dr. Babaria is recognized as a national facutly member by the American Academy of PM&R in the area of Osteopathic manual medicine treatment for musculoskeletal injuries. These treatments include:
- myofascial treatment
- craniosacral treatments
- lumbar, thoracic, rib treatments
- muscle energy, facilitated positional release, strain/counterstrain, balance ligamentous tension, low velocity low amplitude techniques.
Epidural injections utilize anti-inflammatory medications to decrease swelling and inflammation along the nerves and discs in the cervical, thoracic and lumbar spine. By decreasing the inflammation and removing chemical mediators that cause back and sciatic pain symptoms resolve quickly. These are particularly helpful for mild to moderate disc protrusions.
EPIDURAL INJECTIONS (ESI)
Epidural steroid injections (ESIs) are a common treatment option for many forms of low back pain and leg pain. An epidural injection is an injection of medication into the space around the spinal cord, also known as the epidural space, to provide prolonged relief from pain or inflammation of the disc and/or adjacent nerve.
Nerve blocks are frequently used by pain management specialists to diagnose the exact level from which the pain originates. They can also decrease inflammation around the nerve which will then remove the radicular or sciatic pain patients’ experience.
SYMPATHETIC NERVE BLOCKS
A sympathetic block is an injection of a local anesthetic in the cervical or lumbar region that can help relieve chronic arm or leg pain caused by conditions such as complex regional pain syndrome (CRPS), reflex sympathetic dystrophy (RSD), vascular insufficiency, and shingles.
Radiofrequency Ablation is done to remove pain caused by facet joints in the cervical or lumbar spine. These small joints allow the spine to flex and extend. They can become inflamed or become arthritic. This causes the pain upon back motion. Radiofrequency is painless and allow the physician to burn the abnormal nerves which carry the painful signal from the damaged facets.
RADIOFREQUENCY ABLATION (RFA)
Radiofrequency ablation (RFA) is a procedure used to reduce pain coming from peripheral joints (knee, shoulder, hip) and the spinal facet joints.
During RFA an electrical current produced by a radio wave is used to heat up a small area of nerve tissue adjacent to the joint, thereby decreasing pain signals from that area.
Facet joint injection
These simple injections help confirm if the pain is emanating from the facet joints along the spine. If pain is temporarily alleviated the permanent radiofrequency procedure can then be performed.
Sacroiliac Joint Injection
This large joint supports the weight of the entire torso and upper body. When these ligaments are damaged the pain is sharp and debilitating. A small injection can remove pain and induce the healing process.
MINIMALLY INVASIVE PROCEDURES
Spinal Cord Stimulation
This technique is for the treatment of chronic low back and sciatic pain. A small implant is placed along the epidural region. Electrical impulses produce a pleasant sensation and the frequency blocks the low back or sciatic pain. This small device is controlled by the patient. In additional a simple trial can be done to ensure the implant will work.
Spinal cord stimulation (SCS) is a pain-relief technique that delivers a low-voltage electrical current continuously to the spinal cord to block the sensation of pain. SCS is the most commonly used implantable neurostimulation technology for management of pain syndromes. The advantage of SCS is that it can offer a treatment option that does not involve opioids. Dr. Lee is one of the few physicians trained for both conventional spinal cord stimulation and dorsal root ganglion (DRG) implantation which directs stimulation to individual nerve roots.
Intracept – Relievant
Modic Type 1 and Type 2 changes on MRI can indicate basovertebral nerve pain. This procedure has been develeoped to treat vertebrogenic pain.
PRP is plasma with many more platelets than what is typically found in blood. The concentration of platelets is typically 5-10 times greater than usual. PRP is harvested by drawing the patient’s own blood and then separating out the red blood cells and platelet poor plasma using a special kit. PRP is then injected into the injured region typically utilizing fluoroscopic or x-rays guidance. PRP may assist is healing tissues more rapidly in lieu of traditional corticosteroid injections. PRP is not typically covered by insurances, but is available on a cash-pay basis.
Kyphoplasty and vertebroplasty involves injecting special cement into your vertebrae when one has sustained a fracture in the spine. Typically an MRI is needed to diagnose whether a fracture is new or old, and whether one is a candidate for this procedure.