Sports Medicine done well requires a coordinated system of care and a team effort to get you off of the sidelines of life and back in the game. At Rejuv Medical Southwest, the team is led by Jonathan Tait, D.O. Dr. Tait is triple board-certified in Physical Medicine and Rehabilitation and Sports Medicine. Other members of the team include physical therapists, athletic trainers, personal trainers, strength and conditioning coaches, chiropractors, nutritionists, massage therapists, acupuncturists, and many others – all providing a unique element to construct a comprehensive treatment plan. Together the team works together to assist people on their quest to become and stay healthy.


Everybody Needs a Sport Medicine Team – Even the Non-Athlete

The approach at Rejuv Medical Southwest is to construct a comprehensive plan to relieve pain, recover from acute injury, restore function, and rebuild the body stronger and more resilient to prevent recurrent injury. Our brand of Sports medicine focuses on non-surgical treatments to quickly relieve pain and promote healing of acute or chronic muscle, bone, joint, ligament or tendon injuries. From adolescents to older adults the goal is to minimize pain and disability, regain lost function, and incorporate the correct diet and fitness maintenance program to keep you doing what you love.

Whether you are a competitive athlete with a recurring condition, a weekend warrior suffering a sudden injury, or a fitness enthusiast who has endured chronic pain while continuing to compete, our just feeling your age, our Sports Medicine team can help!

Sports Medicine Services

  • Comprehensive consultation and movement screening
  • Dietary analysis for injury recovery, decreasing inflammation, and rebuilding of injured tissue
  • Fitness assessment and exercise prescription for the healthy and those with chronic disease
  • Evaluation, treatment and prevention of sudden and chronic injuries
  • Coordination of physical rehabilitation with the best physical therapists in the area
  • Screening physicals for athletes or anyone who wants to start an active lifestyle
  • General medical care of athletes and non-athlete
  • Sports psychology issues
  • Strength training and conditioning
  • Pre-participation physical examination
  • Exercise, healthy lifestyle promotion and weight loss
  • Nutrition, supplements, and performance counseling
  • Education and counseling on healthy lifestyle interventions to prevent recurrent injury

Specializing in non-surgical sports medicine, we can treat new or old injuries, nagging aches and pains, muscle, joint or arthritis issues. At Rejuv Medical Southwest, we maintain a high level of personalized care and attention using state-of-the-art technology to care for patients of all ages and activity levels. We also focus on promoting lifelong fitness, wellness, and encouraging the prevention of illness and injury.

Conditions Treated

  • Sports Injuries
  • Overuse injuries (tendonitis, plantar fasciitis, tendonosis and stress fractures)
  • Acute injuries (sprains, muscle strains, joint injuries)
  • Osteoarthritis
  • Painful joints from rheumatoid arthritis
  • Unstable and loose joints
  • Headaches
  • Back pain
  • Neck pain
  • Mid-back pain
  • Concussions
  • Chronic pain and fatigue

Approximately 90% of injuries and persistent pain conditions can be effectively treated without surgical intervention. At Rejuv Medical Southwest we use the latest diagnostic and treatment technology to diagnose the problem and begin targeted treatment quickly.

Diagnostic Tools Used at Rejuv Medical Southwest

Musculoskeletal Ultrasound

Ultrasound is used as an extension of the patient examination, with real-time capability permitting examination and diagnosis during movement. It also allows for direct visual guidance and precise placement of needles during injections that are sometimes part of the treatment plan. The exquisite resolution created by state-of-the-art scanners and high-frequency transducers makes musculoskeletal ultrasound a powerful tool to help diagnose an injury without the need for x-ray exposure or MRI.

Musculoskeletal ultrasound has become a true game-changer in the way we are able to “see” and treat injuries.

Treatment with Regenerative Injections

Prolotherapy

Prolotherapy, (also known as ligament reconstructive therapy, regenerative injection therapy) is a safe, non-surgical treatment for acute and chronic injuries. Prolotherapy targets the joint, ligaments and tendons that are weakened and stretched out from injury or aging and actually promotes healing and repair. The procedure involves the injection of a solution into or around a damaged joint, ligament or tendon. This stimulates the body’s own natural healing response and helps restore strength and integrity to the damaged area. The procedure involves injecting a solution into the damaged joint, ligament or tendon. This stimulates the body to begin the healing process to also restore strength and function.

Common problems treated with Prolotherapy include joint arthritis, TMJ dysfunction, chronic neck and back pain, shoulder injuries, Fibromyalgia, injuries to the wrists, elbows, knees and ankles, and whiplash-type injuries.

With Prolotherapy, the pain is NOT covered up. The injury and source of the pain is targeted, treated, and healed.

Platelet Rich Plasma (PRP)

Platelet Rich Plasma (PRP) injections are used for the repair of chronic degenerative joints, ligaments and tendon injuries. This newer technology is similar in the mechanism of action to prolotherapy, but often yields much quicker results.

PRP is blood plasma with concentrated platelets. PRP is formed by drawing a small amount of blood from the patient and concentrating the blood plasma and platelets in a centrifuge. The concentrated platelets found in PRP contain huge reservoirs of bioactive proteins, including growth factors that are vital to initiate and accelerate tissue repair and regeneration. These bioactive proteins initiate connective tissue healing: bone, tendon and ligament regeneration and repair, promote development of new blood vessels and stimulate the wound healing process resulting in new collagen formation. PRP injections are often guided with musculoskeletal ultrasound to guide to more precisely direct the treatment at specific pathologic tissue or joint.

Conditions treated include:

  • Overuse injuries to joints including ankles, knee and shoulders
  • Overuse injuries of muscle tendons and ligaments
  • Joint arthritis
  • Spine arthritis
  • Persistent neck, mid-back, and low back pain
  • Pain associated with degenerative disc disease of the spine
  • More specific injuries include:

More specific injuries treated include:

  • Tennis elbow, or lateral epicondylosis
  • Golfer’s elbow, or medial epicondylosis
  • Carpal tunnel syndrome
  • Knee ligament tears
  • Shin splints
  • Partial thickness rotator cuff tears
  • Plantar fasciitis
  • Patellar tendinitis or tendinopathy
  • Achilles tendonitis
  • IT band syndrome
  • Hip bursitis, or greater trochanter pain syndrome

Platelet Rich Plasma (PRP) also targets the source of pain while healing and regenerating injured tissue.

This therapy is changing the way doctors and sports medicine physicians treat injury, pain and aging.

How Does Prolotherapy and PRP Work?

Prolotherapy and PRP is a simple, effective, and elegant therapy that works on a very simple principle. By injecting a stimulating solution at the site of pain, we can wake up the body’s own natural healing response and repair mechanisms.

The most basic Prolotherapy solution contains a naturally occurring sugar (dextrose) combined with an anesthetic medication (lidocaine). This solution does NOT contain cortisone, which is known to decrease inflammation but can hinder or stop the healing process. Acute pain may be relieved with cortisone, but repeated use causes a weakening of the tissues and could lead to the development of chronic pain.

Platelet Rich Plasma (PRP) is is formed by drawing a small amount of blood from the patient and. The blood is then put in a centrifuge machine that separates out the activated platelets, growth factors and the healing cells. Rich in healing cells and growth factors, the blood is then injected back into the areas needing repair.

When injuries occur, the area may not heal completely due to inadequate length of the time for the injury to heal completely, poor blood supply or possibly from improper treatment. Ligament and tendon injuries can take a significant amount of time to heal. If activity is resumed to quickly before complete healing has occurred, the damaged ligaments or tendons can remain loose, allowing dysfunctional loading of the joints causing pain and eventually arthritis. Arthritis can develop in the joints and spine as a result of instability in the ligaments and the supporting structures. This is where Prolotherapy and PRP can intervene and stabilize the structures, decreasing the progression of pain and aging of the joint.

When stretched, small nerve fibers in these damaged ligaments transmit pain impulses to the brain. Through a subconscious reflex, the surrounding muscles go into a tight and painful spasm in an attempt to stabilize the joint. This causes the region to feel tight, stiff, achy, burning, tingling, numb, fatigued, and painful. The individual will often notice painful knots within the affected muscles. These muscles become tight and painful as they try to compensate for the weak and damaged underlying tissue structures. The spasms reduce proper blood flow through the muscle tissue and can cause more pain. Not only are these symptoms felt locally, but they are often referred through nerve pathways into the legs and feet, arms and hands, and head (headaches). In other words, pain felt in the head, arms, or legs may actually be due to instability in the neck or back.

With these procedures we are harnessing the body’s own ability to heal and supercharging the process to repair and rebuild injured tissue. This will lead to stronger and more supportive muscle, tendon, ligament, and joint structures, an in time less pain and significantly improved function.

PRP Frequently Asked Questions

What is Platelet Rich Plasma (PRP)?

The PRP is a blood product concentration of the growth factors and other healing cells from the patient’s own blood.

What is the therapeutic mechanism of Platelet Rich Plasma?

The apheresis process separates the autologous blood into platelet rich plasma (PRP) and platelet poor plasma (PPP). The PPP is manually drawn off to leave PRP. This produces a product available for injection back into the patient. Included in the procedure are the venipuncture, preparation of the blood and centrifuge / separation / mixing / activation processes. This is needed to obtain a solution to stimulate the body to re-initiate the healing inflammatory processes.

How is PRP administered?

It is injected percutaneously (through the skin) into the intra-articular (inside the joint) space and into or around tendon and ligament tissues. A “peppering technique” with the needle is used to distribute the PRP at multiple sites along the injured tissue. Another method sometimes used is a percutaneous tenotomy procedure. After numbing the area with anesthetic (lidocaine), this technique uses direct needling of the injured tissue, prior to injecting the PRP into the tissue irritated by the tenotomy needling technique.

What tissue types are appropriate for treatment with PRP?

Acute and chronically injured tendons, ligaments, joint capsules and articular surfaces are positively impacted by treatment.

How many injections are given with each treatment?

Often a patient will receive 20-40 injections using the tenotomy technique described above. In addition, there are a corresponding number of superficial and deep anesthetic injections done to help alleviate the sensations from the tenotomy needling. Total injections may range from 40 to 80 with the deep therapeutic injections and anesthetic numbing injections are totaled.

How many injections are needed?

Typically 3-5 injection visits are anticipated depending on the injury. Some patients with minor issues may not require as many injections, while others with more extensive issues may require more than this average.

Do the injections hurt?

You will feel a small pinch to numb the sites for the injection with anesthetic (lidocaine), and then the PRP injections are typically very well tolerated by most patients.

Do I need to be put to sleep for the procedure?

No, only local anesthetic is used for the procedure. You will be awake and talking with the doctor throughout the procedure.

What is the recommended frequency of treatment for PRP?

The frequency of treatment is typically every 4-6 weeks ideally. Prior to initiating PRP injections, a thorough consultation and examination is performed, including possibly imaging tests (x-rays, musculoskeletal ultrasound, CT, MRI), for pre-procedure planning.

What is the expected length of treatment for PRP?

Typically it is 4-5 months, but could be longer in certain cases.

What are the objective signs of successful PRP treatment?

Decreased pain, decreased use of pain medications, increased functional activities should be seen as the patient improves.

What are the positive benefits of Platelet Rich Plasma (PRP) injections for you?

Benefits include improving the collagen content of the ligaments, tendons, and capsular tissues at the cervical facets, and improving the health of the joints or spine. Collagen acts to reinforce tissue making it more resilient and able to withstand more force through the structure. This allows higher levels of functional activity with less pain.

Will PRP cure my arthritis?

While there is no cure for osteoarthritis, PRP treatment of instability should help decrease the excess motion in the joints that can lead to worsening of arthritis. Treatment with PRP could slow the development or progression of arthritis and should make flares of the tissue less frequent. This treatment aims to treat the cause of the arthritic pain, instability in the joint or poor strength in the support structures, and is not just covering up the symptoms as is the aim of many commonly used arthritis “treatments”.

Other Procedures Used To Relieve Pain

Trigger Point Injection Therapy

What is a Trigger Point? A trigger point is an irritable, painful, taut muscle band or palpable knot in a muscle that can cause localized pain or referred pain. Referred pain from trigger points can mimic pinched nerves in the neck or lower back. They can occur from direct muscle injuries, poor posture, repetitive strain or secondarily from spine conditions such as a herniated disc.

Trigger point injections are injections of local anesthetic (numbing) medication, saline and/or corticosteroids (anti-inflammatory medication). The basis for a trigger point injection is to relax the area of an intense muscle spasm. By relaxing the muscle spasm, blood flow to the area is improved, thus allowing the washout of irritating metabolites (the body’s exhaust products). Trigger point injections can be a tool to treat myofascial pain syndromes and fibromyalgia.

Viscosupplementation (Lubricating Joint Injections)

Hyaluronan (also called hyaluronic acid) is a substance in normal joint fluid that lubricates the joint, much like oil lubricates engine components. The knee continuously produces its own hyaluronan. In osteoarthritis, there is a decrease in the amount of hyaluronan in the joint fluid and the hyaluronan molecules break down, becoming less effective at lubricating the joint.

There are several types of replacement hyaluronic acid medications that can be injected into the joint after removing the old fluid. Think of it like an oil change for the joint.

How do they work? The injections are thought to work by helping the knee normalize the hyaluronan in the joint fluid. The injections may also reduce inflammatory cells in the knee and reduce nerve impulses that cause pain. Hyaluronan injections are very safe. The chances of a significant adverse reaction (severe knee swelling, hypersensitivity reaction) are about 3 in 1000. This is much lower than the risk associated with gastrointestinal problems from taking anti-inflammatory medications such as ibuprofen.

Joint and Bursa Injections

Corticosteroids are powerful anti-inflammatory medications that are very effective for decreasing inflammation in the body triggered by acute injuries. By injecting cortisone into a specific area of inflammation pain can be lessened quickly to help facilitate physical rehabilitation and recovery from an injury.

Common conditions where inflammation is an underlying problem may include, but are certainly not limited to, shoulder bursitis, arthritis, trigger finger, tennis elbow, carpal tunnel syndrome, SI joint dysfunction.

Epidural Corticosteroid Injections

This procedure is typically done under fluoroscopic (X-ray) guidance and the medication is directed at irritated nerves often times from lumbar (low back) disc injuries causing back pain and radiating pain into the leg or legs.

Nerve Blocks

A nerve block is an anesthetic or anti-inflammatory injection targeted toward a certain nerve or group of nerves with the intent to treat pain. The purpose of the injection is to “turn off” a pain signal coming from a specific location in the body. The nerve block allows a damaged nerve the time needed to heal itself from a state of constant irritation, or can also allow the nerve and nervous system to “reset” and not cause as much pain.

Ultrasound guidance is commonly used to place a needle in the precise location to safely block the nerve.

Conditions treated include acute or chronic pain might have a nerve block injection to achieve temporary pain relief. For the most part, this pain originates from the spine. However, other areas commonly impacted include the neck, buttocks, legs and arms. Chronic headaches can also be treated with specific nerve block treatments.