Colorado PRP, Platelet Rich Plasma, Prolotherapy | Denver, Boulder, Broomfield and the Front Range » Patient Case Studies

Pulse Stimulation Treatment Reduces Patient’s Pain and Medications

Shannon Bock, PA-C, MMS, CMT, IMS-P — Thu, 26 May 2011 15:09:46 +0000

M.S. is a 51 year old female with a several year history of low back pain and numbness and tingling into the legs following multiple car accidents. Her MRI showed disc bulges, degenerative disc changes and facet arthropathy. She underwent various treatments including trigger point injections, SI joint injections, transforaminal steroid injections, radiofrequency rhizotomy, as well as physical therapy. She would get benefit of different aspects of her pain from each of these and overall had reduction in pain but remained frustrated when she seemed to plateau. She was anxious to try to decrease her narcotic pain medication and try to get more active but each time she attempted to do so, she would flare. She underwent a series of 9 pulsed stimulation treatments (PSTIM) over a 3 month period from March through June 2010 resulting in improved pain and a decrease in medication need. She was in the office last week, and one year out, reports she is still having benefit. Specifically, she still had improved low back pain, with average pain score a 1-2/10 from average of 5-6/10 prior to PSTIM. She has no leg symptoms the last year. She’d been able to decrease medications by about 60% right after PSTIM treatment was completed and has continued to maintain that dosing and, increase her activity level with regular walking exercise and home program from her PT. She felt pulsed stimulation treatments got her over the plateau, with about a 50% improvement and she’s held on to the benefits from it for over a year now.

Pulse stimulation treatment is a microchip-controlled pulse nerve stimulation device that provides a continuous flow of intermittent, low frequency electrical pulses to specific nerve endings in the ear relieving many types of acute and chronic pain. It is easily applied, light weight and small, allowing patient to wear it over a 4 day period and continue normal daily activities during treatment. It assists in resetting the autonomic nervous system which in turn can improve pain, mood, sleep and anxiety, allowing for better quality of life. A patient’s type of pain & symptoms will determine number of treatments, with up to nine sessions (3 rounds of 3 sessions each) being performed with the goal of achieving a cumulative, residual pain relief benefit. Centeno Schultz Clinic is one of two providers in Colorado currently offering this treatment.

Patient chooses non-surgical option and now looks forward to great cycling season!

admin — Tue, 17 May 2011 16:37:49 +0000

Dr. Schultz and Hanson made me a believer in non-surgical knee repair. I had a snow mobile accident that resulted in a torn medial meniscus and a torn MCL. Having never had knee problems and living a very active lifestyle I was devastated when my ortho quickly suggested surgery and wanted to schedule me immediately. I researched non-surgical techniques and contacted The Centeno-Schultz Clinic about PRP. His team was highly skilled in the processing of my blood and the injections were successful- I’m back on the road bike logging lots of base miles and looking forward to a great cycling season! Thanks Doc! NO SURGERY NEEDED! You made me a believer!! Best-John S. (Broomfield)

Case: 47 y/o athletic patient s/p snowmobile injury on boy’s weekend presented to Centeno-Schultz Clinic with 5 week history of right knee pain. The pain was intermittent in frequency, progressive in nature and localized on anteromedial aspect without radiations.

Traveling at 30mph on his snowmobile JS attempt to achieve glory. Unfortunately he was cut short as the snowmobile started to tip over. In an effort to prevent a rollover, JS flung his right leg out which was subsequently torqued inward with onset of severe right knee pain and swelling.

Aggravating factors include: prolonged standing, transitioning from lying to standing position. Alleviating factors included: rest and NSAID.

MRI was significant for partial tear of MCL, complex tear of the posterior horn and minor tear in anterior horn of medial meniscus.

Meniscus tears are often treated surgically where the torn meniscus is ‘cut out”. JS declined this option recognizing that such a procedure was not guaranteed to improve his pain and may actually accelerate the degenerative process.

Treatment involved ultrasound guided pre-injection of prolotherapy followed by ultrasound guided injection of Regenexx SCP into the meniscus tears and torn MCL. Both injections were performed at Centeno-Schultz clinic and did not require any sedation.

Two months post injection JS is reaching for glory again. He is riding hard, performing interval training mixed with sprints…

Centeno-Schultz Clinic Featured on ABC News / Good Morning America Site

admin — Tue, 10 May 2011 18:34:52 +0000

ABC News / Health has posted a story of Patricia Beals, a patient that we recently highlighted on the Regenexx Blog.

Story: Last year, Patricia Beals was told she’d need a double knee replacement to repair her severely arthritic knees or she’d probably spend the rest of her life in a wheelchair.

Hoping to avoid surgery, Beals, 72, opted instead for an experimental treatment that involved harvesting stem cells from her hip, concentrating the cells in a centrifuge and injecting them back into her damaged joints.

Read the rest of the ABC News Story Here.

Patient Shoulder Pain Relief

admin — Wed, 23 Feb 2011 16:53:39 +0000

Patient suffered from radiating shoulder pain. The pain began insidiously and it was a crampy achy type of pain starting in the shoulder and radiating along the radial aspect of the arm to the thumb.

Result: Resolved in two months.

What did the Centeno Clinic do to help this patient?:

A series if IMS (Intramuscular Stimulation): IMS (Intramuscular Stimulation) and a course of MCU (Multiple Cervical Unit): MCU (Multiple Cervical Unit) He was also sent to physical therapy for postural dysfunction with the focus of a home program. Cervical MRI was performed to rule out herniation or foraminal stenosis.

Duration of pain:

Pain started about one year ago.

Severity of pain:

8/10 at worst.

Brief summary of the patients pain and history, and subjective description:

Patient has been seeing a chiropractor about one time a week. Massage did help for a short time as well as taking anti inflammatories. He had never had scans of his neck.

Description of the Centeno Clinic findings:

Rule out cervical radiculopathy. Possible cervical facet syndrome. Cervical myofascial pain. Left upper extremity myofascial pain.

Previous Diagnosis(es):

cervical subluxations and fascial pain treated with massage and chiropractic care.

Centeno Clinic Treatments:

A course of IMS dry needling and the MCU unit. Patient was sent for physical therapy to address the scapular stabilization problem and his postural dysfunction.

Prolotherapy delivers relief from low back and hip pain

admin — Wed, 23 Feb 2011 16:48:14 +0000

SI Instability

What did the Centeno Clinic do to help this patient?:
Provided 3 sessions of Prolo Therapy, under x-ray guidance.

Duration of pain:
5 years

Severity of pain:
7/10

Brief summary of the patients pain and history, and subjective description:
Years of pain in left SI joint made life tough. Went to chiropracters, did acupuncture, osteopathy and physical therapy, they were no help and a waste of money.

Description of the Centeno Clinic findings:
After an evaluation it was clear that SI instability was the cause of the pain. Dr. Cetneno decided to do Prolo Therapy. By injecting hypertonic dextrose solution into the joint, the body was prompted to heal itself without surgery. After the procedure, John was able to function in everyday life. His pain was reduced from a constant 7/10 pain, to a 2/10. John is now back to doing the things he loves thanks to this innovative treatment provided by Dr. Centeno.

Previous Diagnosis(es):
Low back pain, unable to find the cause.

Centeno Clinic Treatments:
Prolotherapy

Centeno Clinic Diagnosis(es):
SI instability

Pain relief after pedestrian vs. auto accident

admin — Wed, 23 Feb 2011 16:34:22 +0000

In August of 2004, this patient was involved in a pedestrian versus auto accident. He was the pedestrian and a truck ran over his chest.

Result:
Finally able to breath easy

Duration of pain:
It has been 13 months since the date of the accident

Severity of pain:

Varying from 8-10/10 when he came to the Centeno Clinic

Previous Diagnosis(es):
Never saw another provider, he came straight to the Centeno Clinic

Centeno Clinic Treatments:
6 IMS treatments, manual physical therapy rib work with Shannon

Centeno Clinic Diagnosis(es):
Neuromyofascial pain, myogenic/postural TOS, sternocostal injury/instability

Pain relief and complete reduction in medications

admin — Wed, 23 Feb 2011 16:31:44 +0000

A 30 something year old mother was diagnosed with a rare tumor (Chondrosarcoma). She had the tumor removed, andl hardware was implanted through a spine surgeon. Her pain was so severe post-operatively, that she was on two anti-convulsant drugs, two pain pills, and two muscle relaxers as well as a Lidocaine patch. All of this medication cost $1,200 per month. Even with all of this, her pain was still an 8-9/10. She was treated with 8 IMS visits (IMS (Intramuscular Stimulation)).

Results: her pain is now down to a 1-2/10 and she is off of all medications after only 8 treaments.

Prolotherapy brings additional relief from thoracic pain

admin — Wed, 23 Feb 2011 16:27:24 +0000

WP came to us with mid thoracic pain and radiation burning. He had tried epidurals and facets procedures prior to coming to the Centeno-Schultz Clinic. After evaluation, we decided to continue with the facet procedures and also include some prolotherapy. As a result of his treatments, WP was able to discontinue medication use and his radiating pain subsided. He also had a decrease in thoracic pain and increase in range of motion.

Relief from “near suicidal” thoracic pain

admin — Wed, 23 Feb 2011 16:26:12 +0000

JW is a 50 year old paraplegic who had severe thoracic pain. His previous doctors saw a cyst on his spinal cord. They thought this was causing pain and subsequently removed it with major neurosurgery. Unfortunately, there was no relief of pain. He was sent to The Centeno-Schultz Clinic by his doctor. We diagnosed a thoracic muscle enthesopathy at the rib insertions of multiple muscles (these are the only thing left holding his ribcage up). We performed IMS and prolotherapy under x-ray for the ribs. Since his treatments at The Centeno-Schultz Clinic, his pain has gone from near suicidal to minimal.

Relief from lower back and buttock pain

admin — Wed, 23 Feb 2011 16:24:10 +0000

LD is a 36 year old female with 8 years of lower back and buttock pain. Prior to seeing us, she had a lumbar fusion, months of physical therapy, and several epidural steroid injections. When she came to The Centeno-Schultz Clinic, we injected both sacroiliac joints and did some trigger point injections as well. She reported significant pain relief. We then started prolotherapy. Today she had a major reduction in pain and has regained full range of motion.