SpineForce

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The SpineForce equipment is available Tuesdays and Thursdays from 9-4 and Wednesdays 9-11. Using the list below, find an open day for the SpineForce equipment and click on DETAILS to reveal what appointments are available to choose from. You can conveniently book multiple days and times by selecting ADD TO CART for each day you want to book and when done, select VIEW CART to select the times for each day. Call (716) 626-6301 or email us here to ask us about discounts for 10 and 50 session purchases.

Due to machine maintenance, Spine Force appointment scheduling will resume on November 16, 2015. Sorry for any inconvenience.
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Body Parts Treated

Hand & Wrist

Elbow

TMJD

Migrane & Face

Shoulder

Neck & Upper Back

Low Back & Sacroiliac

Hip

Knee

Foot & Ankle

Featured Articles

Prolotherapy for cartilege growth in severe knee osteoarthritis December 4, 2016 - Chondrogenic Effect of Intra-articular Hypertonic-Dextrose (Prolotherapy) in Severe Knee Osteoarthritis Gasto´n Andre´s Topol, MD, Leandro Ariel Podesta, MD, Kenneth Dean Reeves, MD, FAAPM&R, Marcia Mallma Giraldo, MD, Lanny L. Johnson, MD, AAOS, Raul Grasso, MD, Alexis Jamı´n, MD, Tom Clark, DC, RVT, RMSK, David Rabago, MD Abstract Background: Dextrose injection is reported to improve knee…
The Dormant Butt Syndrome June 6, 2016 - http://www.cbsnews.com/news/dormant-butt-syndrome-a-cause-of-common-aches-and-pains/ Multiple news sources last week have reported on a physical phenomenon labeled as a “dormant butt syndrome”. This is a condition where postural muscles become deconditioned from too much siting and cause problems in the lower back, knees and hips. Although it sounds like it is something that has been newly discovered, medical, sports…
Soft Tissue – Why Is It Important April 28, 2015 - The soft connective tissue, located just under the skin, is a white membrane that wraps and connects the muscles, bones and blood vessels of the body. Soft tissue is also called fascia. This of it like the white fuzz inside an orange peel, connecting the "skin" and the "meat" of the orange. Learn More
Spring Clean the Diet April 22, 2015 - Spring is a time of regrowth and renewal. As the sun begins to shine and the temperature rises, we begin to open windows or clean the yard in order to prepare for a new season. Tis’ also the perfect time to “spring clean” your diet, transitioning from common comfort foods of winter to nutrient dense…
Physical Therapy Outdoor Walking Season April 13, 2015 - Spring marks the opening of “outdoor walking season” in western New York. Like any other activity, walking has its own specific injury profile often involving the foot and ankle. Learn More
Prolotherapy Prolotherapy Stimulates Tissue Repair March 23, 2015 - Prolotherapy is injection of any substance that promotes growth of normal cells, tissues, or organs. Studies have shown that it stimulates tissue repair.
Lumbar Spinal Stenosis: Understand it and Beat it! February 23, 2015 - The typical lumbar spinal stenosis patient has difficulty with walking, standing and occasionally reaching overhead. You are not doomed to a life of leg pain and weakness. We can guide you through a progression of non-surgical options.
What exactly is the practice of Yoga? February 23, 2015 - The practice of yoga is for keeping in shape, but it creates fitness in more then just the physical sense. Learn more about what the practice of yoga is.
Hypoglycemic Index helps determine what kind of foods are good for you! February 13, 2015 - The Glycemic Index is a way to categorize carbohydrate rich foods and classifies foods from 0 to 100, based on how quickly glucose is absorbed after foods are consumed. Learn more...
PRP Platelet Rich Plasma (PRP) Treatment for Knee Osteoarthritis: Study shows significant pain reduction and improvement in function December 14, 2014 - The purpose of this study was to investigate whether platelet-rich plasma therapy for early knee osteoarthritis is associated with good clinical outcomes and a change in magnetic resonance imaging (MRI) structural appearances.

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Platelet Rich Plasma Therapy (PRP)

Back on the tennis court!

I have been playing tennis since I was about 8 years old. Unfortunately I suffered a severe elbow injury, which damaged tendons and ligaments in my inner, lower right elbow. At the time, the only real option to treat such an injury was with surgery that involved a long recovery period. I visited a renown elbow specialist in NYC at the Hospital for Special Surgery, who told me to treat it conservatively and get more PT before even considering the surgical route. At that point I decided I would not have the surgery, and resigned to the fact that I would probably never play tennis again.

Fast forward almost 15 years where I start my treatment regimen for my elbow with Dr. Kaplan. I first had the Tenex procedure done, followed by PRP therapy, and finally a few treatments of prolotherapy. I combined those treatments with about 12 sessions of physical therapy, and I am thrilled to say that I am back on the tennis court playing about 3 hours/week at a solid 4.0 level, all while being pain free for the first time in 16 years!   Granted, I am about 15 lbs. heavier, and 16 years older, so I don’t quite move as well as I did back in 1999, but the important thing is I am back out there thanks to the successful treatment I received from Dr. Kaplan!

Guy Sadkin, Williamsville

2015-10-15T23:15:53+00:00

Guy Sadkin, Williamsville

I have been playing tennis since I was about 8 years old. Unfortunately I suffered a severe elbow injury, which damaged tendons and ligaments in my inner, lower right elbow. At the time, the only real option to treat such an injury was with surgery that involved a long recovery period. I visited a renown elbow specialist in NYC at the Hospital for Special Surgery, who told me to treat it conservatively and get more PT before even considering the surgical route. At that point I decided I would not have the surgery, and resigned to the fact that I would probably never play tennis again. Fast forward almost 15 years where I start my treatment regimen for my elbow with Dr. Kaplan. I first had the Tenex procedure done, followed by PRP therapy, and finally a few treatments of prolotherapy. I combined those treatments with about 12 sessions of physical therapy, and I am thrilled to say that I am back on the tennis court playing about 3 hours/week at a solid 4.0 level, all while being pain free for the first time in 16 years!   Granted, I am about 15 lbs. heavier, and 16 years older, so I don’t quite move as well as I did back in 1999, but the important thing is I am back out there thanks to the successful treatment I received from Dr. Kaplan!

Windsurfing without significant pain

I have been suffering from severe osteoarthritis of the right shoulder for five years. Before I started to see Dr Kaplan, I have tried physical therapy, herbal anti-inflammatory medicines, vibration therapy, and stem cell injections. These treatments provided some relief but I continued to have pain during windsurfing, and other strenuous activities. My shoulder was getting gradually worse, and was popping, rubbing, and grinding.

My quality of life was significantly affected. Windsurfing is my passion and I became depressed as it became increasingly more difficult for me to enjoy the sport. I was also having difficulty sleeping and using crutches which I need to use when I am not wearing my leg prosthesis.

I received three PRP treatments from Dr Kaplan. They were done under ultrasound guidance for accuracy. Dr Kaplan’s treatments have allowed me to windsurf longer and with out significant pain. I can move my shoulder with less popping and grinding and sleep better at night. Dr. Kaplan has a practical and knowledgeable approach. His evaluation by ultrasound at each treatment allows for better injection technique and with reduced discomfort.

David Moomaw

2015-08-31T19:29:01+00:00

David Moomaw

I have been suffering from severe osteoarthritis of the right shoulder for five years. Before I started to see Dr Kaplan, I have tried physical therapy, herbal anti-inflammatory medicines, vibration therapy, and stem cell injections. These treatments provided some relief but I continued to have pain during windsurfing, and other strenuous activities. My shoulder was getting gradually worse, and was popping, rubbing, and grinding. My quality of life was significantly affected. Windsurfing is my passion and I became depressed as it became increasingly more difficult for me to enjoy the sport. I was also having difficulty sleeping and using crutches which I need to use when I am not wearing my leg prosthesis. I received three PRP treatments from Dr Kaplan. They were done under ultrasound guidance for accuracy. Dr Kaplan’s treatments have allowed me to windsurf longer and with out significant pain. I can move my shoulder with less popping and grinding and sleep better at night. Dr. Kaplan has a practical and knowledgeable approach. His evaluation by ultrasound at each treatment allows for better injection technique and with reduced discomfort.

At our practice we provide:

  • The use of the latest PRP technology that derives more Platelet Rich Plasma (PRP) from less blood taken from a patient and in a fraction of a time of most other PRP units used in medical clinics.
  • An expert and comprehensive injection technique that covers all of the supporting structures of the injured area in addition to the injury site
  • A combination of Prolotherapy and PRP that establishes maximum coverage of the injured region for no extra cost.
  • PRP for the neck and spine disc and joint pain, upper and lower limb joint pain.

Bone and soft tissue injuries heal in many stages. One of the most exciting areas of research in degenerative and sports medicine involves making the most of the healing stages: inflammation and an increase in cells, or cell proliferation. Platelet Rich Plasma (PRP) comes from a patient’s own blood. PRP is a concentrated source of growth factors and cellular signaling factors that play a significant role in the biology of healing.

Platelet rich plasma (PRP) treatment is becoming a more popular option for giving a biological boost to the healing process. PRP treatment has received significant attention from the media and has been used by several of the New York Football Giants, other NFL players and elite athletes from other sports, including Tiger Woods.

Watch the video to learn more and explore our FAQ below.

What is PRP?

PRP is produced from a person’s own blood. It is a concentration of one type of cell, known as platelets, which circulate through the blood and are critical for blood clotting. Platelets and the liquid plasma portion of the blood contain many factors that are essential for the cell recruitment, multiplication and specialization that are required for healing.

After a blood sample is obtained from a patient, the blood is put into a centrifuge, which is a tool that separates the blood into its many components. Platelet rich plasma can then be collected and treated before it is delivered to an injured area of bone or soft tissue, such as a tendon or ligament.

The amount of blood needed depends on the size of the injured region and on the actual PRP technology used to extract the PRP. PRP is given to patients through an injection, and ultrasound guidance can assist in the precise placement of PRP. After the injection, a patient must avoid exercise for a short period of time before beginning a rehabilitation exercise program.

Is PRP Treatment Effective?

Several basic science studies in animal models suggest that PRP treatment can improve healing in soft tissue and bone. For example, increased numbers of cells and improved tendon strength have been noted in Achilles tendon injuries, and improved muscle regeneration has been shown in gastrocnemius (calf) muscle injuries.

These favorable findings in animal models have led to the widespread use of PRP treatment for a variety of conditions, including acute and chronic tendon problems, as well as injuries to ligaments and muscles. Some early-stage clinical studies in humans have been promising, but are limited by their study design and few patients.

The most promising early results have been seen when PRP treatment is used for chronic tendon conditions, such as lateral epicondylitis (tennis elbow) and Achilles tendinosis, which impacts the Achilles tendon.

Which medical specialties inject PRP and when does it have the best chance of working?

PRP use is not standardized and many specialties use it for healing purposes with different PRP properties and injection techniques. The specialties include Orthopedics, Neurosurgery, Family Practice and Sports Medicine, Homeopathic Medicine, and Physical Medicine and Rehabilitation Medicine. These medical providers are commonly described as Neuromuscular Specialists

The difference in the outcomes of these physicians depends on multiple factors:

Actual makeup of PRP There is still controversy regarding what type of PRP is best. Some manufactures of the PRP extraction devices boast the presence of white blood cells and some boast the absence of white blood cells in their PRP make up. I use PRP extraction technology that includes white blood cells in the PRP because of evidence that white blood cells act as extra stimulants for healing. This is based on the original research done by Dr Allen Mishra over ten years ago on PRP healing benefits for chronic tennis elbow tendon injuries that clearly showed enhanced healing with the presence of the white blood cells in the mixture.

Injection Technique Most classically trained neuromuscular specialists use what is called “ one and done” technique of simply injecting this medication inside the painful or injured structure. This type of treatment frequently produces limited results. Only the Prolotherapy trained physicians such as myself inject all of the stabilizing structures around the site of injury. This approach is much more comprehensive and provides a much better chance of successful healing. Interestingly enough, the cost for both approaches is the same even though the treatment outcomes are not.

Which regions can be treated effectively?

  • Cervical, Thoracic and Lumbar Spine
  • Sacroiliac joints and pelvis
  • Large joints, including shoulders, hips, knees and ankles
  • Medium joints including elbows, and wrists
  • Small joints of collar bone, fingers, and toes
  • Trunk areas including ribcage and shoulder blades