New Pain Treatments at the Raby Institute 

Naprapath Marc Margiotta, DN, DAAPM, is now offering three new treatments at the Raby Institute, aimed at reducing patients' chronic musculoskeletal pain. Read on for the details of each treatment, and find out if they may be right for you.

Hyaluronic Acid (better known as Synvisc): Currently used to treat arthritic joints to reduce pain and inflammation. Hyaluronic acid is a critical component of synovial fluid that, when broken down in patients with arthritis, can cause significant pain and inflammation. The Synvisc injection increases production of healthy synovial fluid and has been shown clinically to improve joint function and increase lubrication within the joints. It's a fantastic treatment option for patients who might be facing a joint replacement. BCBS covers this treatment at the Raby Institute. However, it's currently being covered for the knee only, but can also be used on other joints as well.

Prolotherapy: This exciting injectable treatment is currently used to treat soft tissue injuries such as sprains, strains, tendonitis, bursitis, and other soft tissue inflammation and joint-related problems. A dextrose solution and local anesthetic proliferate the inflammatory cascade within the soft tissue to stimulate new cellular growth as well as collagen production. It has been shown clinically to provide excellent repair for joint supporting tissues. This treatment is far superior to any steroidal approach by stimulating patients' own body to utilize its self-healing properties. Typical prolotherapy treatment requires a course of three to six treatments, and costs $400 per treatment.

Plasma Rich Protein (PRP): A more advanced version of prolotherapy, also known as cellular prolotherapy,  this technique uses patients' own blood for self-healing. The patient's blood is drawn and spun down, and the portion of the blood rich in the platelets is then injected into the damaged or inflamed soft tissue such as tendon, ligament, or muscle tissue, or into a joint to promote the same type of repair as prolotherapy. This more aggressive approach has been shown to work a bit faster than traditional prolotherapy. The main difference between the two treatments is primarily cost; although in many cases, prolotherapy and PRP are used together. Typical PRP cases require a course of two to four treatments.

Please note that prolotherapy and PRP are not covered by third-party insurance, and are therefore fee-for-service procedures.
Please call us at (312) 276-1212 for questions.
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