How can I relieve my joint pain?

How can I relieve my joint pain?

Have you been experiencing pain in your joints that never seems to go away, or it’s actually getting worse? Have you tried nearly every type of medical treatment, to no avail? Then you might be an ideal candidate for Concentrated Growth Factors!

Patients who aren’t responding well to other forms of joint pain relief and treatment may benefit from Concentrated Growth Factors, which is a type of regenerative medicine that unlocks the healing power of your body through the regenerative healing products that are administered.

What is it made of and what does it do?

Concentrated Growth Factors are great for reducing inflammation in joints and tissue, reducing scar tissue, and enhancing healing. It’s used in healing many conditions including degenerative disc disease, arthritic joints, as well as tendon and ligament injuries.

These growth factors are derived from delivery placentas, some of which include stem cells from amniotic fluid. Growth factors promote regeneration and healing in the areas of your body that the therapy is administered into by stimulating your body’s healing power. Concentrated Growth Factors are a type of regenerative medicine that is different from Platelet Rich Plasma, but they can both be combined together to increase patient outcomes and treatment effectiveness.

Are these growth factors safe?

All growth factors are declared safe and disease-free according to FDA governmental regulations. They can be diluted with saline solution or combined with a PRP solution before being injected into your body.

Is it right for me?

If you have been struggling with joint pain for a long time without any positive results from treatment, Concentrated Growth Factors may be the ideal treatment solution for you. As an effective form of regenerative healing, Concentrated Growth Factors are able to provide a powerful recovery option where other treatment options have proven ineffective.

Come visit us at our clinic at PM&R Associates to learn more about our regenerative healing options and book a consultation to see if it’s right for you. Don’t delay in putting an end to your pain!

Growth Factor Injections For Disc and Joint Pain

Growth Factor Injections For Disc and Joint Pain

Do you have painful joints such as a knee, or painful degenerative spinal discs, and traditional methods have not provided relief? PM&R Associates offers a new feature for those patients who are looking for better results or for those who don’t respond to platelet-rich plasma therapy. The new treatment option is the injection of concentrated growth factors.

These concentrated growth factors are processed from the lining of a placenta and they can help to signal or recruit your own stem cells to help in healing a variety of tissues such as tendons, ligaments and muscles. These growth factors have been sterilized from all disease including hepatitis and aids and are FDA approved for injection into humans. They work better than PRP therapy.

Benefits Include:

  • Reduction of scar tissue formation
  • Reduces inflammation
  • Enhances healing

If you would like more information about concentrated growth factors for a treatment option, book your consultation with Dr. Robert Silbert, of PM&R Associates at (317)794-2759

Platelet Rich Plasma For Treatment of Degenerative Disc Disease 

Platelet Rich Plasma For Treatment of Degenerative Disc Disease 

Platelet Rich Plasma For Treatment of Degenerative Disc Disease 

Millions of Americans suffer from back pain, and in many instances, the root of the pain is degenerative disc disease (DDD). DDD is a condition where your spinal discs degenerate. Spinal discs are made up of soft, compressible material that separates each spinal vertebrae. You can think of them as shock absorbers, which are needed to allow your spine to flex and bend.

The wearing of the discs causes inflammation and a loss of structural integrity, which can put pressure on the spinal nerves, causing pain. This pain can be debilitating for some people. Although DDD is caused by a combination of genetic factors and normal aging of the spine, it can be brought on in young and middle-aged adults by sudden or repetitive injury to the back.

Platelet Rich Plasma Therapy

Platelet-rich plasma (PRP) therapy is a treatment option that utilizes the body’s natural healing mechanism to promote healing. PRP is blood plasma with concentrated platelets. The concentrated platelets found in PRP contain huge reservoirs of bioactive proteins, including growth factors that are vital to initiate and accelerate tissue repair and regeneration. These bioactive proteins imitate connective tissue healing, bone regeneration and repair, promote the development of new blood vessels, and stimulate the wound healing process.

Degenerative disc disease pain can be alleviated temporarily through reduced activity, pain medication or steroid injections but the damage to the discs isn’t repaired and disc degeneration continues to progress over time. PRP therapy is a great option for patients who suffer from DDD who haven’t found relief from other treatments.

Benefits of PRP Therapy

  • Improvement In Symptoms
  • Less Pain Associated With the Procedure
  • Shorter Recovery Period
  • Avoid More Aggressive Treatments, like medication or surgery
  • Minimally-Invasive
  • Promotes Repair of Damaged Tissue

If you would like more information about platelet-rich plasma therapy or degenerative disc disease, book your consultation with Dr. Robert Silbert, of PM&R Associates at (317)794-2759

What is Regenerative Medicine for Orthopedic Pain?

What is Regenerative Medicine for Orthopedic Pain?

What is Regenerative Medicine for Orthopaedic Pain?

The musculoskeletal system is made up of the spine, joints, and muscles. These are the structures of the body that concern orthopedic care. So whether you have back pain, neck pain, shoulder pain, elbow pain, hip pain, knee pain or ankle pain, you will likely turn to an expert in the field of orthopedics to help you out. However, orthopedic care covers a variety of different pain management techniques, therapies and procedures. So to determine which avenue for recovery is best, a proper a thorough diagnosis is necessary. Every patient’s “pain case” is unique – depending on how or why the injury or damage occurred and what the patients past medical history is – and the physician in charge of care needs to know all the facts before recommending a suitable treatment.


Although treatment depends on the severity of the damage or injury, there are a number of traditional treatment approaches that have helped with orthopedic pain. These include:

  • Medication
  • Physical Therapy
  • Corticosteroid Injections
  • Spinal Injections
  • Orthopedic Massages
  • Surgery
  • Hot and Cold Therapy

An approach like hot and cold therapy is likely to withstand the test of time, and will always be a good option to turn to for relieving pain, but this is not a long-term solution. A patient in need of a permanent solution might turn to one of the other options listed above, however, even those options might not be as permanent as we once thought.

For instance, many would think that undergoing surgery would be the end of chronic pain – if any of the other options don’t work, then surely surgery could fix the problem, right? Unfortunately, this is not entirely true.

For some individuals, a knee replacement or spinal fusion surgery might not be the end of chronic pain. The surgery itself may fail in terms of the actual procedure or the surgery can cause a list of other complications, like increased risk of heart attack, infections, or allergic reactions. But once again, it all depends on the patient and the condition at hand. One treatment that we personally witnessed to be successful for a number of patients is Regenerative Medicine.


Regenerative medicine refers to the process of bio-engineering human tissue. With regenerative medicine treatments (like stem cell therapy) we can heal, repair, and regenerate damaged or injured cells, cartilage, tissue, ligaments and tendons using the patient’s own biological material. The goal is to utilize human biologics to restore proper function and relieve pain. There are a few reasons that so many people turn to regenerative medicine instead of medication and surgery. The benefits of regenerative medicine include:

  • Minimally-invasive procedures
  • Avoid surgery and its many complications and risks
  • Minimal post-procedural recovery time
  • No use of general anesthesia
  • No risk of rejection (we use biologics extracted from the patient)
  • No communicable disease transmission

If you’re currently experiencing chronic orthopedic pain, it’s worth looking into regenerative medicine. Even if other options have failed you before, speaking to one of our providers will give you a better understanding of why you’re suffering and what we can do to help. There are many benefits to gain from regenerative cellular therapy, and you owe it to yourself to find pain relief.

Contact Dr. Robert Silbert, of PM&R Associates for a consultation at (317)794-2759

Suffering from A Muscle Injury or Tear? Recover Fast with PRP

Suffering from A Muscle Injury or Tear? Recover Fast with PRP

 Muscle injuries and tears are common, not just for athletes, but for anyone. Imagine the level of discomfort and pain as you try and get dressed or brush your teeth with a non-fully functioning shoulder.

Steroid injections are an option to help relieve pain and inflammation in a particular area of the body like shoulder or knee. Also, depending on the severity of the injury or tear, surgery may be required.

However, before you result to surgery there is an alternative option available. Platelet-rich plasma (PRP) injections are a less invasive option than surgery to help treat both acute and chronic injuries. PRP has fewer side effects compared to steroid injections or surgery, is longer lasting, and speeds up the recovery process.

What is PRP Therapy? 

Platelet-rich plasma therapy involves withdrawing blood from your body, which is then spun to produce a high concentration of platelet cells. These platelets are then injected into the site of injury to help speed up the natural healing process. Platelets contain white blood cells and bioactive proteins called growth factors. Injecting growth factors into damaged ligaments, tendons, and joints can stimulate the natural healing and repair process.

What are some of the conditions for which PRP may be useful:

  • Osteoarthritis of any joint such as the knee, shoulder, hip, elbow, thumbs, and spine
  • Rotator cuff tears
  • Chronic plantar fasciitis/foot ankle pain/Achilles tendon
  • MCL sprain and meniscus tears of the knee
  • Labral tears of the hip and shoulder
  • Pelvic pain and instability
  • Ehlers-Danlos Syndrome (EDS)
  • Any tendonitis such as tennis elbow
  • Any sprain such as to the ankle or knee

If you would like more information about platelet-rich plasma therapy or other treatment options for muscle injuries and tears, book your consultation with Dr. Robert Silbert, of PM&R Associates at (317)794-2759

What is Spinal Stenosis?

What is Spinal Stenosis?

Spinal stenosis is a bone condition that affects vertebrae running from the top of the neck to the base of the spine. In most cases, spinal stenosis is a secondary condition caused by osteoarthritis. Many people will go through life with stenosis and not have a single symptom, whereas others will experience a sliding scale of intensity in symptoms.

The centers of the vertebrae are hollow, allowing the branches of the nervous system to connect to the brain to the rest of the body. The wear and tear that comes with aging can cause spaces within the vertebrae to narrow. When this happens, ligaments and other vertebral tissue can press against the nerves. The two most common areas of the spine that are affected by spinal stenosis are the neck and lower back.

Causes of Stenosis of the Spine 

Spinal stenosis is most commonly associated with osteoarthritis, but other medical conditions, injuries, and diseases can cause it, too. These can include:

  • Herniated spinal discs
  • Bone spurs forming on the spine
  • Being born with a smaller than average spinal canal
  • Overgrowth of Bone
  • Thickened spinal
  • Tumors
  • Injury to the Spine
  • Swelling of nearby tissues after back surgery

Cervical Spinal Stenosis vs. Lumbar Spinal Stenosis 

There are two primary kinds of spinal stenosis: cervical and lumbar. Cervical stenosis is the narrowing of the spinal canal in the neck. Lumbar stenosis involves the narrowing of the spinal canal in the lower back, usually happens when bone or tissue growth in the openings of the spinal bones. This growth can squeeze and irritate the nerves that branch out from the spinal cord.

Symptoms of Cervical Spinal Stenos 

  • Numbness or tingling (usually in one hand, arm, foot or leg)
  • Muscle weakness
  • Difficulty in walking and balancing
  • Neck Pain
  • Bowel or Bladder Problems

Symptoms of Lumbar Spinal Stenosis 

  • Numbness or tingling (usually in one foot or leg)
  • Weakness
  • Leg pain and/or cramping when standing for long durations or when walking
  • Lower Back Pain

Spinal stenosis usually doesn’t develop until later in age, however, some degenerative diseases and conditions that affect younger people can cause spinal stenosis. Certain conditions can also cause spinal stenosis in those under 50 including physical trauma, congenital spine deformity, or genetic disease that affect bone and muscle development.

To learn more about spinal stenosis or treatment options available to you, contact us at (317)794-2759 to book a consultation with Dr. Robert Silbert.