Which type of injection is best for my arthritic knee?

Patients and even some non-patients often ask me: “What type of injection is best for my arthritic knee?” There are several options available to the patient. They may receive a corticosteroid injection, platelet rich plasma (PRP), hyaluronic acid (HA) or stem cell injection. The dilemma is determining which one of those is the best for relieving symptoms from osteoarthritis. A …

Dr. Kevin Wilk

Dr. Kevin Wilk

PT, DPT, FAPTA

Tack and Floss with Dr. Kelly Starrett

Dr. Kelly Starrett discusses how to use a Tack and Floss technique to address and adjust sensitivity and specificity while using the TimTam high-power, high-velocity percussion massager, in attempts to restore blood flow, improve tissue movement and increase range of motion. Delivering over 2,000 strokes per minute, the TimTam Power Massager™ helps break down knots, increase blood flow, and release …

Fun Early Phase ACL and Total Knee Rehab Progressions

Early Phase ACL and TKE Progressions Utilizing the Motion Guidance™ Laser Pointer Visual Feedback Tool This quick blog post will discuss some options for early rehab utilizing visual feedback with a knee patient. This may apply to post-operative ACL rehab or Total Knee rehab, or any patient needing to lock in some early-on skills such as terminal knee extension range of motion or …

Multimodal Therapy for Multimechanistic Pain

To a patient, pain is pain. But to clinicians, it is important to understand the underlying pain mechanisms in order to find the appropriate modalities for pain control.1 Pain can be divided into two broad categories: physiological (nociception, inflammation) and pathological (neuropathic). Nociceptive pain occurs when there is an injury at the periphery (for example, hitting your thumb with a …

Pain Specialists Awareness of Topical Analgesics and Their Use in Pain Control

Joseph V. Pergolizzi1,2*, Robert B. Raffa3, Robert Taylor4, Charles Fleischer4, Gianpietro Zampogna4, Lynn Nopper5, Frank DiLorenzo5, Clay M. Duval4, Alana N. Edun4, Jasmine Salamara5 1Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA 2Department of Pharmacology, Temple University School of Medicine, Philadelphia, PA, USA 3Department of Pharmaceutical Sciences, Temple University School of Pharmacy, Philadelphia, PA, USA 4NEMA …

Introduction to OxyRub PRO

Pain is one of the most frequent reasons that people seek out a healthcare professional,1 but finding an optimal and effective solution to painful conditions still remains a challenge. Joseph V. Pergolizzi, Jr., a world-renowned pain specialist based in Florida, understands the limitations of current analgesic products. Even relatively mild analgesic products available over the counter carry with them serious …

When it comes to Tendonitis, Inflammation Deserves a Second Thought

Back in the 1990s there was a major shift in thinking regarding chronic tendinopathies. Histologic data pointed to a lack of acute inflammatory cells in the load-bearing regions of tendons, and some studies noted collagen separation and thinning without inflammatory cell infiltrates1,2,3,4. As the thinking changed to ‘chronic tendinopathies are caused by an unknown degenerative process without inflammation,’ treatment strategies …

Dr. Stuart Tomares

Doctor of Medicine, Founder and CEO of übertherm LLC

Exacerbation of Inflammation by Aggressive Cold Therapy: Preventing Microcellular Ice Crystal Injury

Exacerbation of Inflammation by Aggressive Cold Therapy: Preventing Microcellular Ice Crystal Injury. An Alternative to Conventional R.I.C.E. Therapy Stuart Tomares, M.D. Abstract Exposure to sub-0°C temperatures has long been known to cause mammalian tissue damage and cell death (frostbite). The biological mechanisms of such injury were elucidated in the 1970s and 1980s in research into the viability of cold storage …

Dr. Stuart Tomares

Doctor of Medicine, Founder and CEO of übertherm LLC