With over 20 years of experience, we’ve seen and treated a wide variety of injuries and medical conditions. Dr. Fiel is recognized as a leader in clinical research, currently serving as Principle Investigator for Cognitive Clinic Trials, Inc. Additionally, our family practice serves as a leader in providing regenerative therapy treatment.
Injuries and conditions we treat
- Physical examinations (male and female)
- Hormone replacement therapy (male & female) – testosterone & estrogen checks
- Minor surgical procedures including Removal of skin cancers, in-grown toenails, toenail removals
- Sun-damaged areas of the skin
- Sports injuries
- Muscle tears
- Rotator cuff injuries
- Tennis elbow
- Shoulder Pain
- Hip Pain
- Meniscus tears
- Ligament strains/sprains
- Concussion treatment
- Post-surgery recovery (eg, removal of scar tissue, advancing rehabilitation and recovery, etc.)
How we treat these conditions
We care about our patients and believe strongly that there are often times safe and convenient alternatives to surgery. As such, our practice has been a pioneer in providing regenerative therapy treatments. We use state-of-the-art technology, including diagnostic ultrasounds to isolate the source of pain and ensure accuracy via a needle guidance system.
We believe so strongly in this form of regenerative therapy that our clinic has become an MSK Center of Excellence, training doctors and nurse practitioners on how best to apply this treatment.
At Fiel Family and Sports Medicine we conduct thorough physical examinations and personally review X-rays and MRIs. We utilize state-of-the-art Musculoskeletal Ultrasound with a Certified MSK Ultrasound technician to assure your diagnosis. Recent studies have shown by utilizing MSK Ultrasound guidance during injections you can improve accuracy of the injected site to nearly 100% and avoid neurovascular structures and damage to surrounding tissue.
Types of Regenerative Therapy
PRP, also known as Platelet Rich Plasma is blood taken via a blood draw from your own body and spun down in a centrifuge to separate your red blood cells from the platelets. Then the platelet rich plasma is then injected into the injured tendon, muscle, ligament or joint. It creates an inflammatory reaction and releases growth factors that recruit and increase the proliferation of healing cells.
Side effects are very minimal since we are using your own blood. The most common complaint is pain at the injection site secondary to the inflammatory response. This usually resolves in less than 24 hours.
Alternative stem cell activators that are utilized, (ie Amniofix which derives from the placenta after a C-section), help recruit your own stem cells and release growth factors to help proliferate the healing cells, much like PRP.
Viscosupplementation is a medical procedure during which lubricating fluid is injected into a joint. Also called hyaluronic acid injections or hyaluronan injections, viscosupplementation is most commonly used to treat symptoms of symptoms of knee osteoarthritis.
Hyaluronic acid is a key component of the joint fluid in healthy joints, but is found in lower concentrations in osteoarthritic joints.
By adding hyaluronic acid to the existing joint fluid of an osteoarthritic knee, the goal is to:
- Facilitate better knee movement
- Reduce pain
- Slow osteoarthritis progression
Typical candidates for viscosupplementation are people with knee osteoarthritis who have failed to improve with other non-surgical treatments.
Ready to get back in the game?
Contact our office to schedule an appointment.