REQUEST AN APPOINTMENT!

Get Result Online

Satisfied Patients
Call Us Now : 844-566-2723

Posts classified under: Treatments

Lower Extremity Orthopedic Care

Lower Extremity Orthopedic Care

Lower extremity orthopedics (orthopedic leg pain) is a branch of orthopedics that focuses on the diagnosis and treatment of conditions affecting the bones, joints, muscles, tendons, and ligaments of the lower extremity, which includes the hip, knee, leg, ankle, and foot. Some common conditions treated by lower extremity orthopedics include osteoarthritis, tendonitis, bursitis, ACL/MCL tears, meniscal injuries, fractures, microfractures, as well as other mobility issues and sports and traumatic injuries.

Orthopedic Leg Pain Care

Here at Wellness and Pain, we treat lower extremity conditions with a range of services that address both acute and chronic orthopedic pain. We work with our patients to develop holistic care plans across several modalities from conservative treatments to minimally invasive, quick recovery procedures and surgical options.  These services include medical massage therapy, acupuncture, radiofrequency vein ablation, hip and knee injections, arthroscopy, platelet-rich plasma injections, anesthetic injections and viscosupplementation injections.

Wellness and Pain – Your orthopedic leg pain specialist

 

 

 

Our patient care plans are personalized and developed with the patient’s input and in consideration of everyone’s individualized conditions and unique circumstances.  Our treatment goals are always to alleviate pain, improve mobility and prevent further injury.  A combination of treatments may be used depending on the severity of the condition.

 

Trigger Point Injections

Trigger point injections

TPI are used to treat painful and tender areas of muscle. They are intramuscular and subcutaneous injections often performed to decrease pain swelling and inflammation. The procedure consists of a medication injected into the skin and muscle. A small needle is inserted into the trigger point. A local anesthetic (lidocaine, procaine, bupivacaine) along with an anti-inflammatory (Kenolog) is injected into the muscle. This procedure can activate the trigger point to alleviate pain. This is a quick, precise 2 minute in-office procedure that provides immediate relief to improve the patient’s range of motion.

 

Conditions Related To Trigger point injections

Chronic pain

Chronic pain

...

Shoulder/ joint pain

Shoulder/ joint pain

...

Myofascial pain

Myofascial pain

...

Muscle contractions

Muscle contractions

...

Chronic musculoskeletal pain disorder

Chronic musculoskeletal pain disorder

...

Muscle overuse

Muscle overuse

...

Repetitive Straining

Repetitive Straining

...

Back Pain Specialists

Back Pain Specialists

Back pain specialists alike understand how common back pain and discomfort are. It’s important to ...

Read More

Blood Circulation & Flow

Wellness Ultrasound focuses on Blood Flow and Circulation and Gives you the Answers You’ve Been Looking For

Move Beyond the Mystery & Get Some Answers

1 out of every 10 Americans reports being in pain regularly. Even more people have health concerns that they just can’t explain – things like feeling fatigued, experiencing heavy or tired legs, or an overall sense that something’s just not right. People who are actively trying to improve their fitness often run into frustrating plateaus when unexplained aches and pains limit their ability to move freely and exercise effectively.

When You Know What the Problem Is, You Can Find A Solution

If you’ve had a hard time discovering what’s causing you to feel less than your best, know that you’re not alone. Nearly 60% of people who have chronic pain report that they’ve seen five or more doctors in an attempt to discover what’s going on.

Wellness Ultrasound is a completely safe, absolutely non-invasive diagnostic procedure that can be used to identify some of the most common causes of unexplained pains and performance-impacting physical symptoms. Blood circulation issues are often the most common culprit. Luckily, once these have been identified, a clear and direct resolution is generally possible with a minimally invasive 20-minute surgical procedure.

Eliminate the Mystery & Move Forward Confidently

One of the worst aspects of having unexplained aches and pains is the very human tendency to imagine the worst-case scenario. This can cause levels of stress and anxiety that are completely unwarranted, which is bad for your physical and emotional well-being.

Having a Wellness Ultrasound can provide the answers you’ve been desperately seeking. Knowledge truly is power. Here at Wellness and Pain, we’ve seen time and time again the sheer relief people experience when they finally know what’s been causing them so much distress. By eliminating the uncertainty, fear and frustration, A Wellness Ultrasound makes it possible for patients to make informed treatment choices that dramatically improve their health and happiness.

Venous Mapping Ultrasound

A Venous Mapping Ultrasound is a non-invasive imaging modality performed in the office. The ultrasound looks inside your blood vessels to see if there are stretched out or dilated veins in the legs that are a source of pain and many other symptoms. This test creates a “map” of your blood vessels to look for medical conditions and to guide treatment options.

Our specially trained licensed Registered Vascular Technologists perform the test in 10 minutes. Our licensed Radiologist then read the images and generates the report that interprets the results.

The Ultrasound works by sending sound waves through the blood vessels in your legs and transforming them into pictures that can tell the physician if your veins are stretched or dilated. It evaluates reflux, which is the blood flowing in the wrong direction, and the width of the veins. It can also evaluate the valves in the veins which are the key mechanism to returning blood to the heart and avoiding trapped blood in the legs and feet.

If the veins are seen to be stretched and the valves are no longer functioning appropriately, the physician can discuss the treatment options available.

There are no side effects to a Vein Mapping Ultrasound. It is painless, harmless and does not use any radiation.

Vein Ablation

NY &  NJ Vein Ablation for Varicose Veins & Vessel Insufficiency

Vessel ablation – formally known as radiofrequency ablation (RFA) – is a minimally invasive and highly effective procedure that uses image-guided radiofrequency or laser energy to recirculate blood flow to reduce pressure and stress away from abnormal vessels. Once faulty vessels are ablated, healthy vessels are then able to function in their place.

Endovenous ablation treatment boasts a 98% success rate in treating varicose vessels and vessel insufficiency (VI), and does not require general anesthesia or hospital stay.

Treatment results in improved circulation in the legs and helps alleviate common symptoms associated with varicose vessels and vessel insufficiency, such as:

Vein Ablation Conditions

Endovenous Radiofrequency Ablation (RFA) is a minimally invasive treatment which takes less than eight minutes perform. It is done as an outpatient basis and is used to help treat the conditions that lead to chronic venous insufficiency. Symptoms of these include but are not limited to restless legs, tired heavy legs, cramping, Charley horses, skin discoloration and hair loss, numbness and tingling and many other symptoms. During the procedure an ultrasound is performed and the dilated stretched vein which is the cause of the problem is seen. A catheter is placed into the problem vein under vision with ultrasound guidance. The catheter is then used to heat the inside of the diseased vein allowing it to shrink in size. Once the procedure is complete, the catheter is fully removed and nothing is left in the body. The leg is wrapped with an ace bandage and the patient is explained to walk immediately after the procedure. The following day, the ACE wrap is removed and the patient can resume full activities the following day without restriction. The patient can return to work, go back to the gym, return to physical therapy etc without any issues.

The treatment allows the blood that was trapped in the lower extremities because of the stretched out veins to be diverted to the healthy veins which have functional valves. This allows the blood to now be circulated back to the heart like it used to be and this allows the symptoms to resolve.

The procedure can be done under light sedation or local anesthesia at the preference of the patient. Transportation is provided for the procedure both to and from the facility. The procedure takes less than eight minutes to perform, is minimally invasive, is pain-free, requires no recovery afterwards and is a permanent fix to the problem. The procedure is also fully covered by insurance.

What is Vessel Insufficiency (VI)?

Vessel insufficiency (VI) is a condition where your vessels struggle to return blood from your limbs back to your heart. This causes blood to collect or pool in the vessels of your legs, and can be caused by several factors, including:

  • Obesity
  • Diabetes
  • High blood pressure
  • Any history of smoking
  • Age over 50
  • Age
  • Prolonged standing
  • Family history of varicose vessels
  • Pregnancy
  • Age over 50

Treating Vessel Insufficiency (VI) with Endovenous Radiofrequency Vessel Ablation (RFA)

All RFA treatments treat vessel insufficiency in the legs. However, there are a few specific vessels that require treatment more frequently than others.

One of the most popular targets for endovenous vessel ablation is the great saphenous vessel (GSV), which is located on the inside of the thigh and reaches from the groin all the way down to the ankle. The great saphenous vessels are usually associated with varicose veins, which are a form of vessel insufficiency (VI).

Other popular targets for vessel ablation include the small saphenous vessels (SSV), which lie in the back of the leg near the calf muscles, and accessory vessels, which are located throughout the legs.

Vessel Ablation

How Does Vessel Ablation Work?

Endovenous vessel ablation works by viewing a vessel via ultrasound and then directing microwave radiofrequencies to that vessel through a catheter (a thin tube) that has been inserted into the vessel via a small poke akin to an IV or epidural. Heat generated by the radiofrequency energy allows the blood to be recirculated through healthy vessels. Eventually, the damaged vessel shrinks—thereby eliminating the problem vessel and allowing blood flow to redirect towards healthier vessels.

This radiofrequency ablation procedure takes only 10 minutes to treat 2 vessels and completely eliminates problem vessels using just a relatively simple needle puncture covered by a bandage. When treating multiple vessels, several sessions may be required.

What Can I Expect After Vessel Ablation Treatment?

Compared to the weeks of recovery time associated with more traditional vessel removal procedures, radiofrequency ablation treatment requires no recovery time. You’ll have full mobility the very next day! Patients are able to return home the same day as treatment by walking right out the front door.

Here are a few other things to expect post-treatment:

  • You are encouraged to walk after the procedure, and you won’t have any trouble doing it! You’ll have full mobility mere hours after the procedure.
  • You will be instructed to wear a compression sock for a period of time during your recovery.
  • You may drive a car as soon as one day after your procedure.

Who is A Candidate for Vessel Ablation?

Endovenous ablation is for those with vessel insufficiency or varicose vessels. It is meant to alleviate the following symptoms:

  • Tired, Heavy, or Swollen Legs
  • Restless Legs
  • Leg Cramps or Charley Horses
  • Back Pain
  • Hip or Knee Pain
  • Leg or Calf Pain
  • Foot Pain
  • Sciatica
  • Varicose or Spider Veins
  • Difficulty Walking or Climbing Stairs
  • Pain When Bending Down
  • A Longer Recovery Time After Exercising

Wellness & Pain: Your Destination for Vessel Health

Approximately 150,000 cases of vessel insufficiency are diagnosed each year. Chronic vessel insufficiency is often underdiagnosed and undertreated. Early diagnosis is important as vessel insufficiency can result in various conditions such as varicose vessels. Undiagnosed vessel insufficiency can also result in serious consequences.

In addition to reviewing symptoms and conducting a physical examination, Dr. Arad and Dr. Molina of Wellness & Pain can determine if you have vessel insufficiency using a fast and non-invasive diagnostic Wellness Ultrasound.

We can also help keep you free of vessel insufficiency and other vessel problems by providing lifestyle education and home care advice to help you avoid and manage problems, and quickly relieve any vessel conditions using state-of-the-art treatments, including vessel ablation.

It’s important to note that you do not have to see vessels in your legs in order to seek treatment. Vessel insufficiency is commonly based on symptoms and is often misdiagnosed. Our wellness ultrasound can help determine whether you have underlying vessel issues and can help guide your treatment options.

Quick, Minimally Invasive Procedures

Covered by insurance

No recovery

Minimal pain

Transportation Provided

Can be done Awake or Asleep

Takes than less 10-minutes for the procedure

Provides Permanent Relief

Conditions Related To Vein Ablation

Hip Pain

Hip Pain

Whether we are walking up and down the stairs or long distances, running on the treadmill, or chasin...

Read More

Chronic venous insufficiency

Chronic venous insufficiency

...

Diabetic Neuropathy

Diabetic Neuropathy

...

Muscle cramps

Muscle cramps

...

Leg heaviness

Leg heaviness

...

Venous Ulcers

Venous Ulcers

...

Venous stasis disease

Venous stasis disease

...

Hair loss and skin discoloration on lower extremity

Hair loss and skin discoloration on lower extremity

...

Knee Pain

Knee Pain

Knee pain is a common complaint among adults and most often related to the general wear and tear fro...

Read More

Leg Pain

Leg Pain

Have you ever experienced sharp, shooting pain in your legs while walking? Standing too long? Or sim...

Read More

Back Pain Specialists

Back Pain Specialists

Back pain specialists alike understand how common back pain and discomfort are. It’s important to ...

Read More

Radiating/Sciatica leg pain

Radiating/Sciatica leg pain

Symptoms of sciatic pain include burning pain from your lower back into your buttocks and can radiat...

Read More

Numbness or Tingling in Legs

Numbness or Tingling in Legs

Numbness and tingling of the legs and feet can be caused by many neurologic and vascular conditions....

Read More

Swollen Leg Treatment

Swollen Leg Treatment

Swollen leg treatment is possible, and it’s easier than you may think. First and foremost, the hum...

Read More

Restless Legs Syndrome (RLS)

Restless Legs Syndrome (RLS)

For most, restless legs syndrome (RLS) signals other issues. Often, people think you have to see vei...

Read More

Leg Cramps & Charley Horses

Leg Cramps & Charley Horses

If you’ve ever experienced leg cramps of any degree, you know just how painful and debilitating th...

Read More

Varicose & Spider Veins

Varicose & Spider Veins

Red, threadlike lines on your face, legs, or feet may be spider veins, which are like varicose veins...

Read More

Tired of dealing with varicose vessels and vessel insufficiency? We’re here to help. Schedule your consultation at Wellness & Pain today!

Pain Management

Endovenous Radiofrequency Ablation

Vessel ablation – formally known as radiofrequency ablation (RFA) – is a minimally invasive and highly effective procedure that uses image-guided radiofrequency or laser energy to recirculate blood flow to reduce pressure and stress away from abnormal vessels. Once faulty vessels are ablated, healthy vessels are then able to function in their place.

Nerve and Muscle Testing (NCV/EMG)

Nerve and Muscle Testing (NCV/EMG) diagnostic test to evaluate for any problems relating to nerves or muscles.  The diagnostic test help manage many common complaints including:

  • Sciatica
  • Back pain
  • Radiating pain
  • Numbness
  • Tingling
  • Cramping
  • Muscle Weakness or Atrophy
  • Localized muscle pain

Dr Molina is a Board Certified Neurologist trained to help in the recovery and relief of patients’ pain and pain management symptoms, helping them to return to work and daily activities.

 

Massage Conditions

  • Pain including muscle tension, back and shoulder pain
  • Repetitive stress injuries
  • Headaches
  • Neck pain
  • Anxiety, depression
  • Stress
  • Fatigue
  • Chronic pain
  • Sciatica
  • Shoulder/ joint pain

Acupuncture

For massage and acupuncture this is conservative, holistic approach for treating musculoskeletal causes of pain. By working with our licensed medical massage therapists are professional trained to target and treat the muscles causing pain and discomfort.

Trigger point injections

TPI are used to treat painful and tender areas of muscle. They are intramuscular and subcutaneous injections often performed to decrease pain swelling and inflammation. The procedure consists of a medication injected into the skin and muscle.

Massage Therapy

Massage Therapy

Massage therapy aims to help patients relieve stress, manage pain, overcome trauma and/or injury.

Each patient receives an integrated bodywork session. Modalities can include:

  • Swedish
  • Shiatsu
  • Sports
  • Medical
  • Stretch
  • Cranial Sacral Therapy
  • Aromatherapy Therapy

Successful treatments have included individuals who are coping with chronic pain, stress, sedentary lifestyles, and trauma, as well as, athletes.

Modality Descriptions

  • Medical Massage – a therapeutic treatment structured to address a joint and/or muscle, or joint and/or muscle group. Treatment integrates a variety of modalities.
  • Stretch (passive and active) (active -aid of the patient) a technique used to increase range of motion in a joint and/or muscle, or joint and/or muscle group.
  • Shiatsu – acupuncture without the needles, shiatsu is aimed at balancing the body
  • Cranial Sacral Therapy – a gentle and light manual therapy that tunes into the body’s own healing abilities to reset and restore. A perfect therapy for those desiring minimal touch and full dress.

Benefits of Massage

Massage can be beneficial at different times and stages of care for various life events: trauma recovery, pain management, weight-loss. Depending on the ailment and/or the desired change event, the combination of massage modality and frequency can aid in the return of optimal function.

Acute or Chronic pain

  • Reduce edema
  • Eases muscle spasm
  • Disrupts pain patterns.

Post-Operative

  • Reduces soreness
  • Increases flexibility
  • Reduces scar tissue and adhesions
  • Improves tissue healing
  • Strengthens immune system

Pre-Operative Care

  • Reduces stress and anxiety
  • Reduces inflammation
  • Increases circulation

Weight Loss

  • Improves digestion
  • Boosts metabolism
  • Reduces constipation, bloating and flatulence
  • Reduces the production of cortisol, a hormone that is released in response to stress and has been shown to increase appetite

Conditions Related To Massage Therapy

Muscle Tension

Muscle Tension

...

Shoulder pain

Shoulder pain

...

Repetitive stress injuries

Repetitive stress injuries

...

Headaches

Headaches

...

Neck pain

Neck pain

...

Anxiety, depression

Anxiety, depression

...

Stress

Stress

...

Chronic pain

Chronic pain

...

Shoulder/ joint pain

Shoulder/ joint pain

...

Back Pain Specialists

Back Pain Specialists

Back pain specialists alike understand how common back pain and discomfort are. It’s important to ...

Read More

Radiating/Sciatica leg pain

Radiating/Sciatica leg pain

Symptoms of sciatic pain include burning pain from your lower back into your buttocks and can radiat...

Read More

Acupuncture Therapy

What is acupuncture?

Acupuncture is a treatment that uses very thin steel needles inserted into the skin to stimulate specific points in the body. The goal is to relieve a health condition or symptom, such as pain. The practice comes from traditional Chinese medicine. Scientific studies have confirmed its effectiveness for a multiple of conditions.

What conditions does acupuncture treat?

Acupuncture can treat many types of health issues. Most often, people use it to relieve chronic (long-term) pain, such as:

  • Arthritis
  • Back pain
  • Neck pain
  • Shoulder pain
  • Knee pain
  • Headaches
  • Migraines
  • Sports injuries
  • Jaw pain
  • Sinus congestion and facial pain
  • Neuropathy
  • Menstrual cramping

Other conditions acupuncture may help include:

  • It can help alleviate the side effects of chemotherapy treatments
  • It can reduce nausea during pregnancy
  • Infertility
  • Auto immune diseases
  • It can help reduce cold and flu symptoms
  • Irritable bowel syndrome
  • Menopausal hot flashes
  • Insomnia
  • Anxiety
  • Depression

Are there different types of acupuncture?

Acupuncturists who follow more traditional/ancient Chinese principles focus exclusively on directing the flow of qi (pronounced “chee”), or energy, through the body. Some practitioners apply other modalities in their treatment such as cupping, electrical stimulation, guasha and trigger point therapy to ease myofascial pain.

When muscles are stressed, strained or injured, they often form trigger points-tight, painful knots. A trigger point in one muscle can create pain in a different area of the body  known as referred pain.

How does acupuncture work?

Chinese medicine calls the energy that flows through the body qi. Chinese medicine practitioners believe qi disruptions create imbalances in the body’s energy that lead to illness.

Some forms of acupuncture aim to rebalance qi with sterile-needles that touch acupuncture points throughout the body. There are hundreds of acupoints in the body along 14 major meridians, also called energy-carrying channels.

The needles stimulate the body’s existing systems to:

  • React to an illness or symptom.
  • Rebalance the body.
  • Release natural chemicals, such as endorphins, the body’s natural painkillers, and neurotransmitters, chemicals that control nerve impulses.

What happens during an acupuncture treatment?

During the first appointment, the acupuncturist will talk to you about your condition. Then the provider will examine your body for areas that will react to acupuncture. The acupuncturist will tap the needles into points into your skin throughout the body.

The needles are sterile, disposable and as thin as a human hair. An acupuncturist inserts needles at various depths, from a fraction of an inch to a couple of inches. The needles stay in for a few minutes or as long as 30 minutes.

What does acupuncture feel like?

You may feel a small prick with each needle. It’s less painful than the feeling when you get a vaccine or blood draw. Acupuncture needles are much thinner than medical needles, and they are solid, not hollow.

The needles may cause some muscle sensations, such as dull ache or tingling. Your practitioner will ask you to report when you feel a deep heaviness or numbness. Those sensations usually mean the treatment is working.

Is acupuncture safe?

When a qualified professional performs acupuncture, it has very few complications or side effects.

The U.S. Food and Drug Administration (FDA) regulates acupuncture needles. The agency requires that all needles be steel, solid, sterile, nontoxic and properly labeled. Only qualified professionals may use acupuncture needles. After one use, practitioners discards them in a sharp’s container.

What happens after an acupuncture treatment?

Acupuncture has a calming effect, so you may want to get a ride home from your appointments, especially the first one. If that’s not possible, try to rest for five to 10 minutes before you drive. Your practitioner may suggest that you take it easy for a day or two after each session.

How often should I get treatments?

The number of treatments depends on your condition, its severity and how your body responds. Most patients have an appointment once a week. Others get treatment more or less often, depending on how long the effects last. Your acupuncturist will recommend a schedule that is right for you.

Will I need any other treatments besides acupuncture?

Do not use acupuncture to delay seeing a medical healthcare provider about a health problem. In most cases, people use acupuncture along with other treatments. For example, someone with chronic pain will likely take prescribed medications and also get acupuncture.

You should continue taking your prescribed medications unless the medical practitioner who prescribed them says otherwise.

Will my insurance policy cover acupuncture treatment?

Some insurance companies cover acupuncture, but others do not. And there may be limits on the number of treatments that are covered.  Talk to our billing specialists to obtain details on what your insurance company covers.

Conditions Related To Acupuncture

Muscle Tension

Muscle Tension

...

Shoulder pain

Shoulder pain

...

Repetitive stress injuries

Repetitive stress injuries

...

Headaches

Headaches

...

Neck pain

Neck pain

...

Anxiety, depression

Anxiety, depression

...

Stress

Stress

...

Chronic pain

Chronic pain

...

Shoulder/ joint pain

Shoulder/ joint pain

...

Back Pain Specialists

Back Pain Specialists

Back pain specialists alike understand how common back pain and discomfort are. It’s important to ...

Read More

Radiating/Sciatica leg pain

Radiating/Sciatica leg pain

Symptoms of sciatic pain include burning pain from your lower back into your buttocks and can radiat...

Read More

IV Hydration

Feel Great, Look Even Better

IV hydration for Health & Wellness

Are you constantly on the go? Is your schedule packed with professional obligations, family chores, and an endless to-do list? That’s the case for most of us – and most of us also don’t drink nearly enough water or eat the way we should.

IV Rehydration is the answer. Safe effective rejuvenation for athletes, busy parents, teachers, and anyone else who could use a little extra energy, better nutrition, and a radiant complexion.

288741

How’s Your Nutrition?

The typical American diet doesn’t provide the vitamins and nutrients you need to look and feel your best. Everyone’s different, but most people could use more Magnesium, Vitamin B – especially B12! – Vitamin C, and Zinc. The advantage of IV Rehydration is you get these vitamins into your system quickly and efficiently. There’s no need to wait the hours and hours it takes your body to digest and benefit from vitamin pills. With IV Rehydration, you feel the impact immediately.

Worried About Staying Healthy?

Flu season happens every year, and there are lots of other infectious diseases and viruses that it’s absolutely legitimate to worry about. People who want their immune system to be ready for anything often choose IV hydration. Coupled with hand washing and other common-sense preventative measures, proper nutrition can help you stay healthy.

288742
IV Hydration

Is IV Rehydration right for you?

Schedule your consultation now. Dr. Arad will be happy to answer all of your questions and help you determine if IV Rehydration will help you achieve your personal wellness goals.

IV Therapy Conditions

Leg Cramps & Charley Horses

Leg Cramps & Charley Horses

If you’ve ever experienced leg cramps of any degree, you know just how painful and debilitating th...

Read More

Dehydration

Dehydration

......

Read More

Daytime Tiredness

Daytime Tiredness

......

Read More

Lack of Energy

Lack of Energy

......

Read More

Vitamin Deficiency

Vitamin Deficiency

......

Read More

Fatigue

Fatigue

......

Read More

Covered by Most Insurances and Most Unions

Wellness and Pain accepts most major insurance plans. Here is a list of some of the major insurance plans we accept. If you do not see your insurance plan listed, please call our office to confirm.

Call Us Appointment Locations