Ramapo Joint and Spine

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Treatment Options

Ultrasound Imaging Of Joints-Sonograms

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Recent advances in high-resolution ultrasound imaging present unique opportunities for improving the diagnosis and treatments available for joint pain. Diagnostic ultrasound Imaging: Unlike an x-ray, which emits radiation and shows only bone, diagnostic ultrasound is non-invasive and allows us to view the causes of your joint pain with great accuracy. With musculoskeletal ultrasound imaging (MSUS), the muscles, tendons, ligaments, cartilage, nerves and joints can be accurately examined at the time of your visit. This provides immediate information...Read More

Medical Pain Management

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How can we control pain? There are a variety of ways to deal with pain which include specialized focused injections, medical treatments to help arthritic joints, nerve blocks for spinal pain, medical procedures to fix damaged tissue, the administration of drugs, or psychological ways to manage coping with pain. Meditation and guided imagery (concentration of the mind on a relaxing image) are methods of relaxation therapy that can help with pain management. Additionally, for those who...Read More

Physical Therapy

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A Different Approach Other Than Routine Painful Exercises: We see many patients who come to us in chronic pain. Many have also had experience with physical therapy where they spent much of their sessions doing exercises and it hasn’t helped. Think of being in pain, having joint stiffness, loss of range of motion or chronic inflammation and then doing exercises to get rid of it. In most cases, you’ll feel worse not better. Exercise is critical to...Read More

Chiropractic Care

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Doctors of Chiropractic are experts in detecting areas in the spine where there is a loss of movement and local inflammation that causes irritation to delicate spinal nerves, muscles, ligaments and tendons. Dr. Striano is an expert in gentle manipulation techniques to ease pressure in the joints of your spine. By gently stretching the muscles, using pressure applied in areas of spasm and tenderness and mobilizing the vertebra or spinal bones, painful inflammation and irritation is...Read More

Ultrasound Guided Joint Injections

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Why are ultrasound-guided injections better and more accurate? When using an injection to deliver treatment into painful joints, it is necessary to be exact and precise. Dr. Isidro and his team are highly trained in ultrasound-guided injections. These procedures are performed in the office, at the time of your visit. Some of the common structures involved in joint pain may be as little as 2-3mm wide and therefore require a high level of precision to be accurate....Read More

Hyalgan Lubricating Injections for Osteoarthritis

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Arthritis is among the most common causes of joint pain.  When the smooth cartilage in a joint wears thin, the joint begins to “dry-out” resulting in pain, reduced range of motion and restricted activities. At Ramapo Joint and Spine, we offer a long-lasting, naturally derived, FDA approved, safe and effective treatment injectable lubricant called Hyalgan. How do “lubricating” treatments work? Hyalgan is present in normal joint fluid and responsible for its lubricating properties, which allows for the...Read More

Platelet Rich Plasma Therapy

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Platelet Rich Plasma Therapy (PRP): Jump starting the healing signals: Why use PRP? When there is damage, tissue tears or arthritis, this exciting new procedure (made popular by professional athletes) that heals damaged structures in a joint such as the labrum, tendons, muscle, ligament or cartilage is showing exciting results! How does PRP work? When you cut your skin and it bleeds, platelets collect and gather at the wound site. Once there, platelets act like a conductor in an...Read More

Trigger Point Injections

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                What are trigger points? Also known as trigger sites or muscle knots, trigger points are hyperirritable spots in muscles that are associated with palpable nodules—lump-like knots in tight tender bands of muscle fibers. Unexplained pain frequently radiates from these points of local tenderness to broader areas, which are sometimes distant from the trigger point itself. There are reliable referred pain patterns which associate pain in one location with trigger points elsewhere. For example a trigger point in...Read More

Fluoroscopic Guided Injections

Epidural Pain Management: Using local anesthetics Patients with known diagnoses of herniated discs or pinched nerves in their neck have complaints that include numbness and tingling, as well as weakness in the arms or hands. Patient may feel weakness in the grip, holding or squeezing objects. What is the epidural space? The membrane that covers the spine and nerve roots in the neck is called the dura membrane. The space surrounding the dura is the epidural space. Nerves...Read More

Nerve Blocks

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When a group of nerves is causing pain to a specific organ or body region, the pain can be blocked with injection of a local anesthetic. That's a nerve block....Read More