Pain & Musculoskeletal
We provide a wide range of professional services to meet your needs. We promise to provide every service with a smile and to your highest level of satisfaction.
Advanced Pain & Musculoskeletal Treatments
Regenerative medicine has made significant strides in enhancing the body’s natural ability to heal. By stimulating tissue repair and regeneration, these innovative treatments have transformed rehabilitation and chronic pain management. At NSI, we utilize cutting-edge regenerative therapies to help patients recover from injuries and persistent pain, offering advanced solutions tailored to their needs.
Regenerative medicine focuses on restoring and replacing damaged cells and tissues. Treatments such as stem cell therapy, platelet-rich plasma (PRP) therapy, and prolotherapy harness the body's inherent ability to heal, often accelerating recovery and improving long-term function. While the body has an extraordinary capacity for self-repair, medical intervention can be necessary to optimize these processes. This rapidly evolving field continues to expand as research uncovers new ways to enhance natural healing mechanisms for injuries and degenerative conditions.
Understanding Degeneration and Its Impact
Over time, our bodies undergo degenerative changes, where tissues, organs, muscles, ligaments, and bones gradually break down. The musculoskeletal system—encompassing muscles, bones, and cartilage—is especially vulnerable to the effects of aging, repetitive stress, injury, pregnancy, and trauma, such as sports injuries or car accidents.
What to expect during your Regenerative Medicine Procedure in office
General Medication Guidelines for Regenerative Medicine Procedure(s):
To ensure the
safety and effectiveness of your regenerative procedure, certain medications should be
stopped in advance due to their effects on bleeding, inflammation, and healing.
IMPORTANT: Every case is unique—follow Dr. Tolman’s specific instructions for your treatment plan. If you have any questions or concerns, please don’t hesitate to contact our office.
Below are the
general recommended stop times for each medication class:
NSAIDs (Non-Steroidal Anti-Inflammatory Drugs)
Corticosteroids (Steroids)
Antiplatelet & Anticoagulants (Blood Thinners)
Aspirin & Aspirin-Containing Medications
Herbal Supplements & Natural Blood Thinners
NSAIDs (Non-Steroidal Anti-Inflammatory Drugs)
📅 Stop 2 weeks before and avoid for 2 weeks after your procedure
These medications can
thin the blood and interfere with healing, increasing the risk of excessive bleeding and delayed tissue repair.
Includes:
- Diclofenac (Arthrotec, Cataflam, Flector, Voltaren, Zipsor, Zorvolex)
- Diflunisal (Dolobid)
- Etodolac (Lodine)
- Fenoprofen (Nalfon)
- Flurbiprofen (Ansaid)
- Ibuprofen (Advil, Motrin, Nuprin, Pamprin, Q-Profen, etc.)
- Indomethacin (Indocin, Indo-Lemmon, Indomethagan)
- Ketoprofen (Actron, Orudis, Oruvail)
- Ketorolac (Toradol)
- Meclofenamate (Meclomen)
- Mefenamic Acid (Ponstel)
- Meloxicam (Mobic)
- Nabumetone (Relafen)
- Naproxen (Aleve, Naprosyn, Vimovo)
- Oxaprozin (Daypro)
- Phenylbutazone (Cotylbutazone)
- Piroxicam (Feldene)
- Salsalate (Disalcid, Trilisate)
- Sulfasalazine (Azulfidine)
- Sulindac (Clinoril)
- Tolmetin (Tolectin)
- Celecoxib (Celebrex)
Steroids (Corticosteroids)
📅 Stop 4 weeks before and avoid for 4 weeks after your procedure
Steroids can
suppress the body's natural healing response and reduce the effectiveness of regenerative treatments.
Includes:
- Betamethasone (Celestone)
- Cortisone (Cortone)
- Dexamethasone (Decadron)
- Hydrocortisone (Cortef)
- Methylprednisolone (Depo-Medrol, Medrol, Solu-Medrol)
- Prednisolone (Hydeltra, Orapred, Prelone)
- Prednisone
- Triamcinolone (Aristocort, Aristospan, Kenalog)
🛑 Exception: If you experience a medical emergency that requires steroid treatment, your emergency care should take precedence. Contact Dr. Tolman to discuss any necessary adjustments to your treatment plan.
Prescription Blood Thinners (Anticoagulants & Antiplatelets)
📅 Stop time varies – consult Dr. Tolman before stopping
Blood thinners
prevent clotting, which can lead to excessive bleeding at the injection site.
Do not stop taking these medications without consulting Dr. Tolman and your prescribing physician.
Includes:
- Apixaban (Eliquis)
- Betrixaban (Bevyxxa)
- Cilostazol (Pletal)
- Clopidogrel (Plavix)
- Dabigatran (Pradaxa)
- Dalteparin (Fragmin)
- Danaparoid (Orgaran)
- Dipyridamole (Persantine)
- Edoxaban (Savaysa)
- Enoxaparin (Lovenox)
- Fondaparinux (Arixtra)
- Heparin
- Pentosan Polysulfate Sodium (Elmiron)
- Pentoxifylline (Trental)
- Prasugrel (Effient)
- Rivaroxaban (Xarelto)
- Ticagrelor (Brilinta)
- Ticlopidine (Ticlid)
- Tinzaparin (Innohep)
- Warfarin (Coumadin)
Aspirin & Aspirin-Containing Medications
📅
Stop 7 days before your procedure
Aspirin
thins the blood, increasing the risk of bleeding during and after your procedure.
Includes:
- Aspirin (ASA – Acetylsalicylic Acid)
- Adprin, Aggrenox, Alka-Seltzer, Anacin, Ascriptin, Aspergum, Bayer, Bufferin, Doan’s Pills, Ecotrin, Excedrin, Fiorinal, Percodan, Vanquish, Willow Bark Extract, etc.
Supplements That Can Thin Blood
📅 Stop 7 days before your procedure
Certain
natural supplements can also thin the blood and should be discontinued before your procedure.
Includes:
- Fish Oil
- Garlic
- Ginkgo Biloba
- Ginseng
- Willow Bark Extract
What People Say About Us
H.HUBERT
“I sought Dr. Tolman's care for a chronic issue, and the results have been astounding. Through regenerative techniques, he offered me a holistic approach that not only addressed my symptoms but also promoted long-term healing. Highly recommend Dr. Tolman for anyone seeking innovative and effective solutions in healthcare!"
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