Ask the Doctor


3/6/2014 Sadaf

What is neuropathy and what are the treatment options?

Neuropathy occurs as a disease or dysfunction of peripheral nerves that causes feelings of weakness or numbness. It is caused by many factors such as nutritional deficiencies, alcoholism, and genetics, however the most common cause is diabetes. Diabetic neuropathy is characterized with pain and tingling in the feet, sensations of heat and numbness, bowel, bladder, and sexual disturbances, and muscle weakness. Diabetic neuropathy can also lead to the formation of foot ulcers and deformities such as Charcot foot. Treatment options include medications such as capsaicin topical cream, amitriptyline, carbamazepine, phenytoin, and gabapentin (Neurontin). Often times patients are advised to undergo physical therapy modalities, laser, anodyne, and Micro-Vas. Micro-Vas is often recommended as the best result-yielding treatment. It is a non-invasive and pain free treatment that increases sensation in the affected areas and decreases pain. Micro-Vas is operated by creating extended pumping action through eight pairs of pads. The pumping action increases circulation and healing while inducing neuromuscular stimulation. It also increases the oxygen flow in the blood which leads to creation of new blood vessels and nerve tissue. Repeated treatments results in restoration of the damaged nerves. Our office is equipped with Micro-Vas, come in for a consultation and treatment that are guaranteed to yield results.


3/4/2014 Lolo

Can you elaborate on PRP? How exactly does one treatment work for such a wide array of injuries?

Please refer to the previous question for some general information on PRP. The exact reason why PRP is hugely successful is not yet known, however many credit the platelets’ rich bank of proteins and growth hormones as the main reason for speedy recoveries. The platelet contains thousands of proteins and hormones that aid in the growth and repair of cells. Each of these chemicals has healing capabilities and pain relieving factors and when flooded together, they are thought to have synergistic effects that explain the treatment’s immense power. Different PRP also contains different amounts of white blood cells, cells that prevent infection, eliminate damaged tissue, and cause inflammation at the site of injury. Some may argue that inflammation impedes healing and therefore PRP should have as few WBC as possible. Others argue that the crucial role WBC play in repair far outweigh the inflammation. All in all, it comes down to the type of injury that is being treated. Tendon injuries with scarring and degeneration often lack inflamed tissue, therefore a mixture that initiates inflammation may elicit healing. White blood cell rich PRP is often used as treatment of such cases. Other injuries like arthritis, in which cartilage is already inflamed, utilize the use of PRP with few WBC. In conclusion, PRP is proven to be the most effective method to heal difficult orthopedic injuries but the exact reason why it is successful is still under study.


2/14/2014 Kiana

What is platelet-rich plasma and what is it used for?

Platelet-rich plasma (PRP) is a treatment used by doctors to treat injured tissue in a patient. The PRP process includes collecting a portion of the patient’s own blood, centrifuging it in order to separate the platelets, and injecting the platelets into the sight of injury. Precise location can be discovered by ultrasound. Platelets are crucial agents in the process of clotting and are found in red and white blood cells. Centrifugation concentrates the platelets into the liquid part of the blood, also known as the plasma. The platelet count in the plasma is increased two to twenty times more after the process, depending on the centrifuge used. The substance is injected into the sight of injury. The most common sights of injection include ligaments, tendons, and arthritic joints since, like bones, these areas don’t receive much blood. Studies show that PRP works best with tendon injuries. The side effects are also relatively minimal, including stiffness, soreness, and swelling from the injection.


2/11/2014 Sanam

Hello. Can you please explain the laser process? How exactly does laser work?

Thank you for your question. Laser is a quick, safe, and painless way to get rid of the fungus on your toe nails. The number of treatments a patient receives depends on how progressed the fungus is; usually two sessions satisfy the needs of most patients. The laser penetrates the nail, going under the nail to kill the fungus that resides there. Laser rays pass through the nail, therefore causing no damage to the nail or the surrounding skin. Results are not immediate, meaning the nail will not become clear instantly. Results show as your nail grows out.

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The information contained above is intended for general reference purposes only. It is not a substitute for professional medical advice or a medical exam. Always seek the advice of your physician or other qualified health professional before starting any new treatment. Health information on this website MUST NOT be used to diagnose, treat, cure or prevent any disease without the supervision of your doctor.