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Dr. Katie Kinaschuk’s Regenerative Sports Medicine practice specializes in Platelet-Rich Plasma and Prolotherapy, two advanced, non-surgical treatments that harness the body’s natural healing abilities to address a range of musculoskeletal and pain-related issues. These therapies promote tissue repair, offering relief from both acute and chronic pain while improving mobility and function.

 

Dr. Kinaschuk combines her expertise in ultrasound-guided procedures with personalized treatment plans to deliver effective, evidence-based care tailored to each patient’s unique needs, supporting optimal healing and enhanced quality of life.
 

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PLATELET-RICH PLASMA

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PROLOTHERAPY

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ALTERNATIVE MODALITIES

PLATELET-RICH PLASMA

Indication: PRP therapy is effective for a wide range of musculoskeletal conditions, including injuries to joints, tendons, and ligaments. It is especially beneficial for patients experiencing subacute or chronic pain, inflammation, or degeneration in areas such as the TMJ, spine, shoulder, elbow, wrist, knee, and ankle. Conditions like osteoarthritis, tendinitis, and ligament sprains often respond well to PRP therapy.


Mechanism of Action: PRP is derived from the patient's blood, which is processed to concentrate the platelets. These platelets are rich in growth factors that play a critical role in tissue repair and healing. When injected into the affected area under ultrasound guidance, PRP stimulates the body’s natural healing processes, promoting tissue regeneration, reducing inflammation, and accelerating recovery.

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PROLOTHERAPY (PROLO)

Indication: Prolotherapy is an effective treatment for a variety of musculoskeletal conditions, including joint, tendon, and ligament injuries. It is especially beneficial for patients experiencing subacute or chronic pain, inflammation, or degeneration in areas such as the TMJ, spine, shoulder, elbow, wrist, knee, and ankle. Conditions like tendinitis and ligament sprains often respond well to prolotherapy.


Mechanism of Action: Prolotherapy involves the ultrasound-guided injection of a dextrose solution into the affected area. This solution stimulates the body’s natural healing response, promoting tissue repair and regeneration to improve overall function and accelerate recovery.

ALTERNATIVE MODALITIES

HYDRODISSECTION (HD) / PERINEURAL INJECTIONS

Indication: Hydrodissections/ perineural injections are used for treating myofascial dysfunction and nerve entrapment conditions. This technique is particularly beneficial for patients experiencing chronic pain, limited mobility, or nerve-related symptoms. Common areas treated include the fascia of the shoulder, back, and neck for myofascial dysfunction, peripheral nerves, such as the median and ulnar nerves, and occipital nerves experiencing entrapment, leading to headaches.


Mechanism of Action: Hydrodissections/ perineural injections involve the injection of a 5% dextrose solution between fascial planes or around nerves. This creates a separation of tissues, reducing adhesions and relieving pressure on entrapped nerves. The fluid acts to mechanically release the fascia or nerve from surrounding structures, promoting improved mobility, reduced pain, and decreased nerve irritation, as well as promoting a reduction in inflammation and pain modulation, secondary to the effects of dextrose on tissues.


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TRIGGER POINT INJECTIONS (TPIs)

Indication: TPIs are used to treat painful muscle knots (trigger points) caused by overuse, injury, or stress. TPIs are effective for managing conditions such as myofascial pain syndrome, tension headaches, and chronic pain in the neck, shoulders, or back.

 

Mechanism of Action: TPIs involve the injection of a local anesthetic directly into the trigger points. This numbs the area, disrupts the pain cycle, relaxes the affected muscle, and reduces inflammation. The treatment enhances blood flow, alleviates tightness and soreness, and promotes normal muscle function and movement.

DUROLANE HYALURONIC ACID (HA)

Indication: Hyaluronic acid (HA) injections, such as Durolane, are commonly used to treat osteoarthritis-related joint pain, particularly in the knee, hip, and other synovial joints. They provide effective relief for patients with mild to severe osteoarthritis, helping to alleviate discomfort and improve mobility.


Mechanism of Action: Durolane is a single-injection hyaluronic acid treatment that supplements the natural lubrication and cushioning of synovial fluid. While not classified as a regenerative therapy, hyaluronic acid injections reduce friction, absorb shock, and improve joint mobility, ultimately decreasing pain and enhancing function. This treatment supports joint longevity by improving overall joint health and comfort.

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BOTOX FOR MIGRAINE

Indication: Botox is an FDA-approved treatment for the prevention of chronic migraines in adults who experience 15 or more headache days per month, with each lasting four or more hours. It is particularly recommended for patients who have not found adequate relief with other treatments, such as oral medications (e.g., beta-blockers, antidepressants, anticonvulsants), lifestyle modifications, or physical therapy. Botox may also be an effective option for those who cannot tolerate or have contraindications to traditional migraine therapies.


Mechanism of Action: Botox is injected into specific areas of the head, neck, and shoulders to block pain signals and reduce muscle tension. This helps prevent the onset of migraines, decreases headache frequency, and alleviates associated symptoms, improving overall quality of life for chronic migraine sufferers.

"In my practice, I am dedicated to providing expert care in regenerative therapies.  With ultrasound guidance and evidence-based techniques, I ensure accuracy and quality in the delivery of regenerative injections. My goal is to help patients regain their quality of life, return to sport, reduce pain, and enhance their overall well-being."
 

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