FAQ   |   
Lenchig Spine & Pain Institute

Shoulder, Arm, Hand, Hip, Knee, and/or Foot Pain

Do you feel pain in a joint as you move it? Does it get worse as the day advances? Do you feel you cannot move it anymore?

You could be suffering of Degenerative Joint Disease (DJD), or degenerative osteoarthritis. DJD, is basically a group of mechanical abnormalities involving degradation of the joints by erosion of the articular cartilage.

» TREATMENT:

Intra-Articular Joint Steroid Injection
A hypodermic needle is driven usually under the guidance of ultrasound into the joint in order to remove inflammatory fluid causing distention of the joint capsule, followed by injection of anti-inflammatory medication to lower the inflammatory reaction caused by degeneration of cartilage.
Intra-Articular Joint Hyaluronic Acid Injection
A hypodermic needle is driven usually under the guidance of ultrasound into the joint in order to inject hyaluronic acid (Synvisc®) medication to increase the viscosity lost by the reaction caused by degeneration of cartilage.
Intra-Articular Joint Plasma Rich Platelets (PRP) Injection
A hypodermic needle is driven usually under the guidance of ultrasound into the joint in order to inject Platelet-rich plasma (PRP) taken from the own patient 15 minutes prior. PRP contains and releases several growth factors that stimulate healing of bone and soft tissue, as well as increase precursor cells from tissue that is injured. Since the plasma used is from the same patient, there are no allergic or rejection reactions. Several professional athletes like pro golfer Tiger Woods, NFL Hines Ward, NBL Alex Rodriguez, NBA Kobe Bryant, and pro tennis player Rafael Nadal among others that have had several treatments of PRP and swear by it.

Do you have constant pain on either side of your elbow? Worse when stretching your hand?

You may be suffering from either tennis or golfers elbow disorder. And you don’t have to specifically be a player of either sport. The disorder is caused by an epicondylitis, exactly at the proximal insertion point of a tendon.

» TREATMENT:

Tendon Sheath Injection
A hypodermic needle is driven usually under the guidance of ultrasound into the tendon sheath in order to remove inflammatory fluid causing distention of it, followed by injection of anti-inflammatory medication to lower the inflammatory reaction that is causing your pain.
Tendon Sheath Plasma Rich Platelets (PRP) Injection
A hypodermic needle is driven usually under the guidance of ultrasound into the tendon sheath in order to inject Platelet-rich plasma (PRP) taken from the own patient 15 minutes prior. PRP contains and releases several growth factors that stimulate healing of bone and soft tissue, as well as increase precursor cells from tissue that is injured. Since the plasma used is from the same patient, there are no allergic or rejection reactions. Several professional athletes like pro golfer Tiger Woods, NFL Hines Ward, NBL Alex Rodriguez, NBA Kobe Bryant, and pro tennis player Rafael Nadal among others that have had several treatments of PRP and swear by it.

Are you experiencing numbness, tingling, or burning sensations in the thumb and index, and middle fingers in particular? Do you wake up in the morning shaking your hands in order to make wake them up also?

You may be suffering of the common disorder known as Carpal Tunnel Syndrome (CTS). This is what medically is known as an entrapment neuropathy of the median nerve in your wrist. The causes and risks are multiple, but even though the diagnosis is mainly clinical, performing an electromyography and nerve conduction study does the confirmation. At FLPM we perform such test in order to accurately confirm such diagnosis and plan a treatment. Even though there is a minimally invasive surgery for this disease, conservative measures are attempted first, and many times with great success avoiding this way any risks that surgery may bring.

» TREATMENT:

Carpal Tunnel Injection
A hypodermic needle is driven usually under the guidance of ultrasound under the carpal tunnel in order to inject an anti-inflammatory medication to lower the inflammatory reaction that is causing your pain.
Carpal Tunnel Injection
A hypodermic needle is driven usually under the guidance of ultrasound under the carpal tunnel in order to inject Platelet-rich plasma (PRP) taken from the own patient 15 minutes prior. PRP contains and releases several growth factors that stimulate healing of bone and soft tissue, as well as increase precursor cells from tissue that is injured. Since the plasma used is from the same patient, there are no allergic or rejection reactions. Several professional athletes like pro golfer Tiger Woods, NFL Hines Ward, NBL Alex Rodriguez, NBA Kobe Bryant, and pro tennis player Rafael Nadal among others that have had several treatments of PRP and swear by it.

Do you feel pain on your foot upon weight bearing? Are you feeling like having a pebble in your shoe all the time? Pain when you squeeze your foot?

This could be a Morton’s neuroma. This is a benign tumor formation of one of your nerves, the intermetatarsal nerve. Even though there are surgical measures to extract this neuroma. A more conservative approach can be done first, avoiding this way any risks related to surgery.

» TREATMENT:

Morton’s Neuroma Block and/or Radiofrequency Ablation
By doing a series of blocks, both for diagnostic as treatment purposes, eventually this neuroma can be eliminated by radiofrequency ablation, creating a longer lasting relief of that aching foot pain you have suffered for so long.