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Advance Therapy

Health & Fitness

Advanced Therapy

At Robert F. Mancuso, we provide different advanced therapies for pain management and healing. Dr. Robert Mancuso, the back and spine specialist, recognizes these conditions’ debilitating effects on daily life. We are committed to developing individualized treatment plans specifically designed to address your distinct health issues. Here, you explore how our approach and cutting-edge techniques redefine the definition of pain management and recovery.

SPINAL CORD STIMULATOR

For the treatment of chronic pain, spinal cord stimulators are devices that are surgically implanted under the skin of the back and deliver electrical impulses to the spinal cord to help alleviate pain Spinal cord stimulators are most commonly used to treat chronic pain conditions that have not responded well to other treatments, such as failed back surgery syndrome, complex regional pain syndrome, neuropathic pain, and chronic pain from degenerative spinal conditions. Learn More The treatment is very less invasive and includes placing small cables containing electrodes into the epidural region near your spinal cord. Your spine and pain management specialist adjusts the stimulation settings depending on your pain level and requirements. For SCS treatment to be successful, patient selection is crucial. Candidates are evaluated psychologically before the permanent device is implanted to rule out any problems that might impact treatment results. A trial stimulation is administered to ensure the patient feels substantial pain reduction.

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PRP

For the treatment of musculoskeletal injuries and pain, Platelet-Rich Plasma (PRP) therapy is a minimally invasive procedure where a patient’s own blood is drawn and spun at high speeds to separate the platelets from other blood components and then injected into the affected area using sonogram or floroscopic guided imaging. This process ensures precise delivery to the target tissues. The entire procedure usually takes about 30 to 60 minutes and requires little to no downtime for the patient. After the procedure, patients might experience mild pain, swelling, or bruising at the injection site. Avoiding strenuous activities for a short period is generally recommended to allow the injected PRP to start the healing process. PRP is most commonly used to treat:
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Tennis elbow
Golfer’s elbow
Achilles tendonitis
Patellar tendonitis
Acute muscle strains and sprains
Rotator cuff tears
Meniscal ligament tears
ArthritisLabral tears
Disc injuries in the spine
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The concentrated platelets in the PRP solution contain growth factors, which promote cell proliferation, collagen formation, and other proteins that can help stimulate the body’s natural healing response and promote tissue regeneration, including in damaged spinal discs.

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STEM CELL THERAPY (SCT)

For the treatment of musculoskeletal injuries and degenerative conditions, SCT is a regenerative medicine procedure that is used by spine specialists with access to fluoroscopic imaging equipment. Embryonic stem cells, adult stem cells, and induced pluripotent stem cells are some of the stem cell types used in Stem Cell Therapy. Each variant has unique benefits and uses. Adult stem cells, usually derived from the patient’s own bone marrow or adipose tissue, are harvested and then injected into the affected area under fluoroscopic guidance. These cells lower the risk of rejection or immunological reaction. Stem Cell Therapy is commonly used to treat conditions such as degenerative disc disease, spinal stenosis, and facet joint arthritis, among others. The stem cells can differentiate into various types of cells, including cartilage, bone, and muscle cells, which can help repair damaged tissue and reduce inflammation.

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FAQs

What are the potential benefits of Spinal Cord stimulators for chronic back pain and other conditions?

Spinal cord stimulators offer potential benefits for chronic back pain and related conditions by providing pain relief, improving function, reducing the need for medication, enhancing quality of life, and offering a non-surgical alternative for patients who have not responded well to other treatments.

How is Platelet-Rich Plasma (PRP) therapy administered, and what are the potential outcomes?

Platelet-rich plasma (PRP) therapy entails the extraction of blood from the patient, subsequent processing to concentrate platelets, and lastly, the injection of the enriched plasma into the site of concern. Potential consequences encompass enhanced functionality, decreased pain, and faster tissue regeneration due to growth factors inducing tissue repair.

What are the sources of stem cells used in Stem Cell Therapy?

Stem cells used in therapy can come from various sources, such as embryonic tissue, umbilical cord blood, bone marrow, adipose tissue (fat cells), and induced pluripotent stem cells (reprogrammed adult cells). Each source has unique properties and potential applications in regenerative medicine.

What are the recovery periods for Stem Cell Therapy patients?

Recovery periods for stem cell therapy patients vary widely depending on the type of treatment and the condition being addressed. Patients may generally experience initial improvements within weeks to months, with continued progress and healing over several months to a year.

How long does it take for a spinal stimulator to work?

A spinal stimulator typically takes a few weeks to show noticeable improvements in managing chronic pain. The exact timing can vary based on individual response, the treatment condition, and the adjustment period required for optimal settings and effectiveness.

What is the battery end-of-life of a spinal cord stimulator?

A spinal cord stimulator battery generally lasts 5 to 10 years, depending on use habits and device type. Regular monitoring and follow-ups are required to check battery status and arrange replacements to ensure optimum treatment effectiveness.