Published: Thursday, 26 May 2016 15:01
Please note our 2016 summer hoilday hours:
- We will be closed Memorial Day: Monday, May 30
- We will be closed Independence Day: Monday, July 4
- We will be closed Labor Day: Monday, September 4
Published: Saturday, 28 November 2015 15:35
It’s great seeing all the kids out on the fields playing sports again, now that the school year has begun. But we all know that along with the fun comes the risk of sports injuries.
We believe there is an important strategy that should be put into place immediately following an injury such as a knee or ankle sprain - one that can help relieve pain and swelling, and promote healing and flexibility. It’s called RICE - Rest, Ice, Compression, and Elevation.
Here are the steps to follow:
- Rest. Rest and protect the injured area. Take a break from the activity that caused your pain or soreness.
- Ice. Cold will reduce pain and swelling. Apply an ice or cold pack right away to prevent or minimize swelling. Apply the ice or cold pack for 10 to 20 minutes, 3 or more times a day. After 48 to 72 hours, if the swelling is gone, apply heat to the area that hurts. Do not apply ice or heat directly to the skin. Place a towel over the cold or heat pack before applying it to the skin.
- Compression. Compression, or wrapping the injured or sore area with an elastic bandage (such as an Ace wrap), will help decrease swelling. Make sure not to wrap it too tightly, because this can cause more swelling below the affected area. Loosen the bandage if it gets too tight. Signs that the bandage is too tight include numbness, tingling, increased pain, coolness, or swelling in the area below the bandage. Talk to your doctor if you think you need to use a wrap for longer than 48 to 72 hours because that could mean a more serious problem is present.
- Elevation. Elevate the injured or sore area on pillows while applying ice, and anytime you sit or lie down. Try to keep the area at or above the level of your heart to help minimize swelling.
Massaging the injured area can also be helpful. An easy form of massage that you or a trusted adult can try is effleurage, a French word meaning "to skim" or " touch lightly.” The technique involves making light stokes with your hands, in an upwards direction towards your heart, since this is the direction of blood flow. After completing the upward strokes, bring your hands lightly down without applying too much pressure. The whole movement should be repeated using gentle stroking techniques and covering as much of the affected area as possible. Repeat this technique for 5 minutes while slowly increasing pressure on the upwards strokes.
Once the soreness and pain are gone, it’s a good idea to begin stretching and strengthening exercises based on guidance from your doctor.
Published: Saturday, 28 November 2015 15:31
As you can see in this ABC newscast, some patients are finding tremendous relief from pain from platelet rich plasma (RPR) injections, a regenerative treatment for soft tissue, muscle, ligament or tendon injury. Platelet rich plasma treatment is an increasingly popular option for giving a biological boost to the healing process, and has received significant attention from the media. It has been used by several NFL players, including Victor Cruz, of the New York Giants, Heinz Ward, of the Pittsburgh Steelers, as well as elite athletes from other sports, including Tiger Woods and Maria Sharapova.
We offer PRP Therapy right in our offices in Belleville, Rumson, West Orange, Hackensack and the Bronx.
Here is an explanation you can provide to your patients as to how it works:
- PRP is produced from a person's own blood. It is a concentration of a certain type of cell known as platelets, which circulate through the blood and are critical for blood clotting. Platelets and the liquid plasma portion of the blood contain many factors that are essential for the cell recruitment, multiplication and specialization that are required for healing.
- After a blood sample is obtained from a patient, the blood is put into a centrifuge, which is a tool that separates blood into its many components. Platelet rich plasma is collected and treated and then delivered to an injured area of bone or soft tissue, such as a tendon or ligament. The blood platelets and white blood cells then work together to promote healing in a more natural way. The growth factors released by platelets help stimulate healing and tissue growth, allowing us to treat tissue damage without surgery.
Physicians from the Hospital for Special Surgery in New York say several basic science studies in animal models suggest that PRP treatment can improve healing in soft tissue and bone.
These favorable findings in animal models have led to the widespread use of PRP treatment for a variety of conditions, including acute and chronic tendon problems, as well as injuries to ligaments and muscles.
In a small study involving knee osteoarthritis, PRP treatment was shown to be more effective than hyaluronic acid treatment. PRP has also resulted in positive or similar results when used in the treatment of rotator cuff tears and medial collateral ligament (MCL) injuries in the knee.
We offer PRP Therapy in our Jersey Rehab Pain Management offices. If you have any questions, please don’t hesitate to call our main office at 973-844-9220.
Published: Saturday, 28 November 2015 15:01
Jersey Rehab & Pain Management, a community-based practice founded two decades ago, is adding a fifth location dedicated to delivering accurate diagnoses and innovative treatment for those suffering from acute or chronic pain. Scheduled to open in early autumn, the new office will be located at 87 Summit Avenue in Hackensack, NJ.
As a practice focused exclusively on the relief and management of acute and chronic pain, Jersey Rehab provides the sort of comprehensive diagnostic processes and solutions that only true field specialists can offer. Its team of physicians includes physiatrists Edwin M. Gangemi, M.D., Robert A. Marini, M.D., Shailendra Hajela, M.D. and Felix Almentero, M.D., each of whom are fellowship trained and board certified in Physical Medicine & Rehabilitation. Several practice members also hold additional board certifications in Pain Management, Sports Medicine and other related fields.
Jersey Rehab & Pain Management uses diagnostic procedures that include computed tomography (CT) scans, which are specialized x-rays; electromyography (EMG), which is used to evaluate the health of muscles and the nerves that control the muscles; nerve conduction studies (NCS), which measure how quickly nerves conduct electrical signals through the body; and stellate ganglion blocks, which can both diagnose and treat pain coming from the sympathetic nerves.
Through this level of expertise and state-of-the-art diagnostic tools, Jersey Rehab has developed a reputation for significantly improving the lifestyles of patients who have tried other pain interventions, medications, surgeries and physical therapy but found little relief. Jersey Rehab has a proven track record of helping even long-suffering patients determine the causes of their pain, relieve and/or manage it and regain strength and stamina in affected areas.
Examples of conditions treated by Jersey Rehab include chronic back pain, fibromyalgia, arthritis, carpal tunnel syndrome, work and sports-related injuries, as well as serious disorders of the musculoskeletal system that result in severe functional limitations, such as injuries from a car accident or a fall. Once a diagnosis is procured, patients have a variety of options available. These include both general body therapies and treatments for a wide variety of body parts, including the back, shoulder, elbow, head, neck, spine, hip, leg, knee, foot and hand.
“Pain management protocol is different for each patient, and we take care to tailor our treatments to the individual,” said Dr. Edwin Gangemi, M.D. “We want our patients to attain and maintain their highest possible level of physical and mental well-being.”
Published: Wednesday, 13 May 2015 20:17
Chronic or daily pain often becomes its own personal burden. Limited motion and decreased activity can lead to depression and overall malaise - a huge detriment in treating and eliminating pain. Not to mention the likelihood of a worsening condition.
Most patients consider surgery as a drastic measure; their final alternative to decreasing the pain at its source. But what if surgery is not the answer?
In many cases, physicians look to prolong surgery for a number of reasons. Age, for example: If a patient is young, s/he may not be a good candidate for a joint replacement, since many replacement parts have a short life span of their own and will need to be re-replaced.
Overall physical condition is another reason a doctor may not recommend surgery. Diabetes, heart disease, cancer, and obesity may all increase the risk of less than perfect outcomes and can actually outweigh the benefits.
As pain specialists, we must treat each individual case with a customized program developed as a result of the patient’s lifestyle, overall physical condition, level of pain, and radiological test results (MRIs, CT Scans, Xrays, etc.).
Some alternatives to surgical procedures would be as follows:
Epidural Steroid injections
This outpatient procedure is an injection of steroid-anesthetic medication. It helps to reduce swelling and inflammation of the irritated spinal nerves. It takes just a few minutes to perform, but many patients feel significant relief after one injection. Others may need multiple injections before they benefit from the medication.
Facet joint injections
The facet joins which are found along both sides of the back of the spine may be irritated or inflamed. Under a fluoroscope, or special x-ray device, a Pain Specialist can pinpoint the exact location of the inflammation and inject a soothing mixture of numbing anesthetic and anti-inflammatory medications. Relief is usually immediate and may last from several days to several months.
Platelet Rich Plasma injections are a newer form of therapy and is a regenerative treatment for soft tissue, muscle, ligament or tendon injury. Blood components are taken from a person’s own body and used to treat the damaged or injured tissue. The blood platelets and white blood cells work together to promote healing in a more natural way. The growth factors released by platelets help stimulate healing and tissue growth. PRP allows us to treat tissue damage in a less invasive method and often results in a less painful recovery.
Pulse Stimulation Treatment has shown success in alleviating chronic lower back pain. This process of electrical stimulation provides a continuous flow of intermittent, low frequency electrical pulses to specific peripheral nerves with end locations in the ear.
Of course, there are additional avenues of treatment which are of a multi-disciplinary nature: Physical Therapy, Chiropractic Treatments, Acupuncture and Medical Massage all help to relieve pain when performed in conjunction with Pain Management on a regular basis.