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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



Migrane & Face


Neck & Upper Back

Low Back & Sacroiliac



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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X-ray Guided Pain Relieving Injections

Fluoroscopically Guided Spine injections performed by Dr. Kaplan:

  • Epidural steroid injections for spine disc and nerve pain
  • PRP for spine disc and nerve pain
  • Lumbar, Thoracic and Cervical joint and capsule injections include steroid, PRP and Dextrose
  • Sacroiliac joint and ligament injections include Steroid, Dextrose and PRP

X-ray guided injections are designed for targeted relief of pain and inflammation in several aspects of the spine and pelvis.

Disc Herniations:

Lumbar (lower back) disc herniations are a frequent source of buttock and leg pain (sciatica). As the disc material gets pushed towards the nerves that are traveling past it on the way to the legs, it causes inflammation of these nerves.

Are all epidural injections created equal?

The location of nerve irritation varies accordingly to the location of the disc material. For any injection to be effective, it needs to be directed precisely to the region of the injury. Epidural injections are commonly done through direction of the needle by feel (blind) only. It has been reported that these non-guided injections can have as much as a 60% miss rate. As a result many people that have had this type of injection mistakenly think that they would not benefit from an epidural injection in the future.

Fluoroscopic (X-ray) guided method of delivering a medication allows for the kind of precision that is not afforded by a blind technique. Under X-ray observation the needle is carefully directed next to the site of injury and the injection mixture flow is then observed to ensure that it gets to the right place. Frequently just a slight adjustment of the needle tip can make a difference between getting the medicine in the right or the wrong location.

What’s injected?
Most commonly a specially formulated steroid medication is injected. Proliferative solutions such as high concentration Dextrose (sugar) solution and PRP (platelet rich plasma) are now being injected in an attempt to regenerate the spine disc. In a recent study out of Japan by Dr Koji Akeda, intradiscal injection of Autologous Platelet-Rich-Plasma was performed for the treatment of Discogenic Low Back Pain on 12 individuals. Patients sustained a 50% reduction of pain and improvement of function for twelve months following injection. More studies are needed, but results seen by physicians performing this procedure hold great promise.

Lumbar Epidural Steroid Injection

Lumbar Facet (joint) and Sacroiliac Joint Pain:

Spine and sacroiliac joint pain is typically a result of age related wear and tear, but can also be due to trauma. As the muscles and ligaments around the spine strain, the joints are exposed to stress that can cause cartilage break down and joint capsule weakness. This typically leads to painful inflammation of the joint and the joint lining.
Fluoroscopically guided injections allow accurate placement of the medication into the affected joint that is otherwise inaccessible by a blind technique.

What’s injected?
Usually a specially formulated steroid medication is injected. Proliferative solutions such as high concentration Dextrose (sugar) solution and PRP (platelet rich plasma) are now being injected in an attempt to regenerate to the joint cartilage and capsule.

Lumbar Joint Injection

Sacroiliac Joint Injection