Whether you have a nagging injury, suffered a recent concussion, or face other physical challenges or chronic conditions, MaxHealth can help. We have a Primary Care Sports Medicine physician who has completed fellowship training in the field of Sports Medicine. This specialized training is focused on both the treatment and prevention of illness and injury.
Sports medicine care isn’t just for competitive athletes. It is appropriate for everyone with a body that moves. Our goal is to help all of our patients regain their desired activity level safely and through effective treatments that will help prevent re-injury.
Our Sports Medicine physician, Dr. Phelps, has extensive experience working with patients of all ages and activity levels.
Below is a brief overview of common Sports Medicine procedures we offer, along with patient resource documents that you can download, which provide more details. Dr. Allison Phelps is also happy to discuss any recommended treatment options with you.
Auricular Hematoma Management
Auricular hematoma is an acute condition of the ear that occurs typically after trauma causing bleeding (hematoma) in between the cartilage layers of the ear. If left untreated, this condition can lead to the ear deformity known as “cauliflower ear”. If treated within the first 7-10 days this deformity can be treated in the office by Dr. Phelps.
Allison Phelps, MD will perform a thorough history and physical examination to make her assessment. To create a “team environment” to help your athlete recover, Dr. Phelps will communicate with the school athletic trainers, nurse, teachers and any other individuals needed to provide a nurturing “student-centric” environment to heal your student-athlete’s concussion injury. She can also perform OMT to potentially help expedite the recovery from the injury.
EKG Interpretation for Athletes
Electrocardiogram (EKG) is a test that can be helpful in diagnosing potentially dangerous heart conditions. The athlete’s heart can have changes that may look abnormal on a routine EKG and can cause alerts, leading to unnecessary referrals and testing.
Fracture and Dislocation Management, Casting, Splinting, and Bracing
Dr. Phelps is able to manage most fractures. If the fracture is closed (not piercing the skin) and stable, then Dr. Phelps can splint, cast, and/or brace the injury to allow it to heal. Dr. Allison Phelps also has training to reduce and manage common acute dislocations.
Hydrodilatation with OMT
This is a safer alternative to manipulation under anesthesia (MUA) for patients with adhesive capsulitis (aka: frozen joint, most commonly frozen shoulder). In the clinic, Dr. Phelps numbs the area, dilates the joint with solution, then performs OMT to break up the scar tissue and restore your normal joint range of motion.
Joint & Soft Tissue Injections and Aspirations
Conditions such as arthritis and bursitis may require injections or aspirations. Ultrasound (US) guidance may be used to ensure proper placement of the injection if needed (which is often the difference between success and failure). Hip arthritis injections are always performed under US guidance to avoid accidentally hitting any blood vessels or nerves. Dr. Phelps regularly performs Corticosteroid injections, Viscosupplementation (ie: Synvisc-1 and Euflexxa) and Toradol (diclofenac).
Ligament and Tendon Insertion Injections
Often the source of chronic musculoskeletal pain stems from the attachments of the tendon (muscle to bone) or ligament (bone to bone). Ligament and/or tendon insertion injections look to use the injection needle to break up any scar tissue and stimulate the body’s natural healing mechanisms. Anesthetic solution is used to minimize the discomfort during the procedure.
Musculoskeletal / Sport Ultrasound (MSK US)
A newer innovation that many sports medicine physicians have been trained in over the past decade. MSK US can at times be more accurate to diagnose musculoskeletal condition than an MRI, and can be done at the point of care in our office for your convenience. MSK US can also be used to guide injections and other procedures to ensure safe delivery of the injection, avoid neurovascular structures, and increase the effectiveness of your treatment.
Nerve Blocks, Neural Therapy, and Nerve Hydrodissections
Nerve blocks can be used diagnostically to figure out if a nerve entrapment is the cause of your pain and therapeutically to treat the nerve pain. Neural therapy is a type of nerve block where the superficial pain fibers of the nerve are injected just under the skin to help “calm” the nerve down. Nerve hydrodissections uses a solution (hydro) to separate (dissect) the nerve away from any tissue that is entrapping it. This works for any “tunnel” syndrome including carpal tunnel, cubital tunnel, tarsal tunnel, as well as for nerve entrapments in many other areas.
Osteopathic Manipulative Treatment/Medicine (OMT or OMM)
A hands-on treatment taught to all Doctors of Osteopathic Medicine (DO) that involves the physician using their hands to diagnose and then treat dysfunctions of the body. This can include treating chronic musculoskeletal conditions, nerve entrapments, and various illnesses.
Percutaneous Needle Tenotomy (PNT)
A technique used to treat areas of chronic tendon degeneration (tendinosis), osteophytes (bone spurs), and calcific tendinosis.
Regenerative Injection Therapy (RIT)
Uses a solution to help the body heal itself when it has forgotten how. Injection of growth factors or growth factor stimulants results in growth of normal cells or tissues. Allison Phelps, MD employs three different types of RIT:
- Prolotherapy – injecting a solution to stimulate the body’s natural healing response. Commonly used for tendons, ligaments, and arthritic joints.
- Platelet Rich Plasma (PRP) – removing a small amount of your blood and spinning it down with a special centrifuge to concentrate the growth factors, then injecting those into the area of concern. Commonly used for tendons, ligaments, muscles, and arthritic joints (mild to moderate).
- Stem cell, adipose-derived (ADSC) – harvesting a small amount of adipose tissue (fat) from the lower abdomen, flank, or upper buttock and isolating the stem cells from this using a specialized centrifuge. The stem cells are then mixed with PRP to create a regenerative scaffold to heal and potentially regrow the tissue. Commonly used for severe tendon, ligament, and/or muscle tears as well as more pronounced arthritic joints (moderate to severe).
Tendon Sheath Injections
Used to treat acute and overuse injuries of the tendon sheath surrounding the tendon. Common conditions include trigger finger/thumb, bicipital tenosynovitis, DeQuervain’s tenosynovitis and Achilles tenosynovitis.
Trigger Point Injections
Tight areas, or “knots” within muscle tissue that can cause pain to radiate to other body parts. Normally, they occur within the muscle itself or within the surrounding fascia, and often are very painful. Trigger point injections use a small amount of anesthetic fluid to minimize the pain of these points while the needle helps to “unlock” the muscle from its triggered state.