Welcome to the Physical Medicine Clinic, your one stop center for the treatment of chronic musculoskeletal problems in South Florida.Dr. Tang is a highly trained and board certified specialist committed to providing the best possible care for your unique condition. Whether you were recently injured, or suffered with pain for a long period of time, Physical Medicine Clinic has many options and solutions for your individual needs.
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Q: Can I take normal medications before and after PRP injection? A: Do not take anti-inflammatory medication such as Advil, Aleve, Motrin, Ibuprofen, Mobic, Naproxen, Nabumetone, or Diclofenac for 7 days prior to the injection and 6 weeks after the last injection. Pain medication will be prescribed the day of the procedure to be taken as needed. A regular aspirin regimen (81mg/day) is ok. Tylenol/Acetaminophen is allowed.
Q: Can I drive home after PRP injection? A: If the injection is in your right knee or ankle, you will not be allowed to drive home. If the injection is located in any other body part, you may drive yourself home after the injection.
Q: How long do I have to wait to return to my normal activities? A: It depends on the condition and body part being treated. -Injections in the elbow or shoulder are placed in a sling for 48 hours to 1 week or more and then as needed for comfort. -For the ankle (Achilles tendon, peroneal tendon, plantar fascia), you will be required to wear a walking boot for up to two weeks or more. (If the injection is on the right side, you will not be able to drive with the boot on.) -If you have an injection in your knee for osteoarthritis, you only need to rest for 24 hours and then you can return to your normal activities.If the injection is in your patellar tendon or quadriceps tendon, your knee will be placed in a knee immobilizer for 1-2 days. -All procedures, except for possibly knee osteoarthritis, will begin therapy 1 week after the injection.
Q: what is the cost of the PRP treatment? A: The cost of PRP treatment varies based on number of injections you receive. A single injection costs $800 with subsequent injections in the same area for $600 each. Bilateral procedures are offered at a reduced rate if paid together. Insurance companies for the most part won’t pay for PRP therapy. My office provide discount at this time, you also can discuss with out financial staff for the payment plan.
Q: Does the treatment consists with one injection or multiple injections? A: This is ultimately decided on a case-by-case basis. The physician will use the MRI or Ultrasound results to determine the number of injections. Typically the physician will suggest between 1 to 3 injections.
Q: who is not a candidate for PRP? A: Any one with a blood borne Cancer (such as lymphoma or leukemia), not in remission for at least 5 years -Certain other malignancies or blood borne diseases that you are being treated for -Any current infection -Patients using a high dosage of Coumadin -Patients with cerebral palsy or Parkinson’s Disease -General procedural contraindication -Patients with multiple medical issues may not be good candidates
Q: How do I know if I am a candidate for PRP? A: PRP therapy is advised for patients with moderate osteoarthritis in the hip, knee or shoulder or chronic tendonitis in the elbow or ankle. Typically the patient has failed conservative treatment options such as rest, medication, and physical therapy.
Q: Why do athletes and active individuals are interested in PRP therapy? Athletes and active individuals who endure chronic pain from tendon injuries or osteoarthritis may finally get relief from a safe, non-surgical procedure. It's called Platelet-Rich Plasma (PRP) Therapy, and it utilizes platelets from the athletes' own blood to rebuild a damaged tendon or cartilage. It has been successful in not only relieving the pain, but also in jumpstarting the healing process. Platelet-Rich Plasma Therapy is done in an exam room and takes about an hour. The patient's blood is drawn and processed to separate out the platelets. The platelet-rich plasma is then injected into the damaged portion of the tendon or cartilage with the guidance of an ultrasound machine. Patients are put on a program of relative rest followed by physical therapy for the first 6 weeks. After about 6 to 12 weeks, patients are re-evaluated for improvement. Some patients with more difficult injuries may require more than one injection to achieve successful outcomes. The majority of PRP patients find that within 3 months they can return to most or all of the activities they were doing before the pain started.
Q: Can you use platelet rich plasma to treat spinal herniated disc or degenerative changes of the disc condition? A: Yes, we have very successful experiences to use platelet rich plasma to treat patients who were suffering from above conditions, the outcomes were significant. After platelet rich plasma treatment patients had progressively improved pain and function.
Q: Why elderly does not respond well to the steroid injection for their back pain and joint pain? A: Most of the time, elderly has little inflammation but degenerative changes or deteriorate condition in the spine and joints, steroid is not used for the deteriorate condition but anti-inflammation. If you failed steroid injection then we can discuss further for the regenerative medicine/therapy that speeds healing process and helps your function back.
Q: what is the complications of Transverse myelitis? A: Similar to the spinal cord injury SCI, however lower incidence of secondary medical complications including spasticity, orthostasis, deep vein thrombosis (DVT), pressure ulcers, autonomic dysreflexia, and wound infections.
Q: What is transverse myelitis? A: This is medical emergency. It is an inflammation disorder of the spinal cord, more in female, the rate is 4:1, peaks in 20-40s; you may have severe spine pain that shooting to arms and legs or around abdomen; numbness, tingling, coldness or burning in affected area, you may feel sensitive to touch, feel tightness wrapping up your chest or abdomen; weakness in arms, trunk or legs; you may have bladder and bowel problems, difficulty in urination and constipation, even bladder incontinence. Call your doctor to get emergency medical care when you experience symptoms. Most patients show good recovery however most remain with residual impairments. A small percentage may have a recurrence. Q: What is the cause? A: the exact reason is not known, however there are numbers of conditions that apparently to cause the disorder: certain virus and bacterial infection, multiple sclerosis, autoimmune disease, certain vaccination, e.g. Hepertitis B, MMR, DT, Neuromyelitis optica (Devic's disease) associated with transverse myelitis,
Q: What can I eat for weight control? A: Not complicated, life style is very important, active living, sleep no later than 10pm. Dinner at 6pm, not food after 7pm, recommend simple dinner but good lunch, eat proper portion of the meat half of your palm size no more than 2/3 of your palm size, any meat you like together with big portion of low carb but rich fiber food. This combination with good life style will not make you obese but healthy.