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Getting You Back To Your Life


Hyalgan is a non-surgical, non-pharmacologic therapy for knee osteoarthritis. Hyalgan therapy can help relieve your pain, improve your mobility, and get you back to your normal activities.  Hyalgan uses hyaluronan, a natural substance found in the fluids of healthy joints that separates the cartilage.  In the knee joint, hyaluronan acts like a lubricant and a cushion in the knee. This treatment is also known as Viscosupplementation Therapy.
Hyalgan Is Like WD-40 for your joints
The goal of Hyalgan is to supplement poor-quality hyaluronan in your painful knee with additional highly purified hyaluronan.  Hyalgan therapy is an injectable solution made from highly purified sodium hyaluronate (also known as hyaluronic acid [HA]) that is extracted from rooster combs. These are harvested from roosters that have been certified as suitable for human consumption via pre- and post-mortem veterinary inspection. You may be asked to avoid strenuous activities for a couple of days following the injection. Most patients experience little or no discomfort during the injection. If you’re concerned about the injection, talk to your practitioner about ways to reduce any mild pain that may occur.    [Request A Consultation Today]

Integrative Regional Medical Center uses a field of Medicine called Regenerative Medicine.
Regenerative Medicine is devoted to treatments in which Amniotic Allografts (which are bone, ligament, cartilage, tendon or section of skin that are transplanted from one person to another) are induced to differentiate into the specific cell type required to repair damaged or destroyed cell populations or tissues. For example an Amniotic Membrane can be injected into a torn ligament or tendon or meniscus to regrow the tissue quickly.
Amniotic Allografts (membranes) have been successfully used for over a hundred years in the care of wounds and regenerating human tissue.

What do we use at I.R.M.C.?
We utilize a product called AmnioFix
AnmioFix is a human amniotic membrane allograft. There have been over 500,000 allografts distributed for use in various types of surgery and wound care. Other forms of amniotic membrane have been used for almost 100 years.

Why AmnioFix?
The use of amniotic tissue has been documented in published literature since the early 1900’s. Amniotic membrane has been the subject of many scientific publications evaluating its use in:
•Modulation of Inflammation
•Reduction of Scar Tissue Formation
•Enhancing Healing

AmnioFix® is a composite amniotic tissue membrane minimally manipulated to protect the collagen matrix and its natural properties. AmnioFix® reduces scar tissue formation, modulates inflammation in the surgical site, enhances healing, and acts as a barrier.
Human amniotic membrane comprises the innermost layer of the placenta and lines the amniotic cavity. AmnioFix® is processed through the proprietary PURION® Process that combines cleaning, dehydration and sterilization, and it may be stored at ambient conditions for up to 5 years. The proprietary PURION® Process protects the delicate scaffold during processing, leaving an intact collagen matrix. The result is a durable graft with natural barrier properties to optimize surgical performance and ease of use. AmnioFix® is available in sheet/membrane, particulate, and wrap configurations for use in surgical, soft tissue, tendon, and nerve applications.                                  [Request A Consultation Today]

What Is A Trigger Point?
A trigger point is a ball of scar tissue within a muscle. Muscles can become tight for a long period of time. For example, a lot of people sit at a desk typing all day. This posture allows the shoulders to roll forward and head to lean forward. This creates a condition called Upper Cross Syndrome.
Upper Cross Syndrome results in pain in the trap muscles across the shoulders and back of the neck. The muscles stay tight all day and night and become fatigued. The body will build a scar into the fatigued muscles to help support them. Over time these scars grow and become painful. These painful scars are called Trigger Points.

Standard Medical Treatment for Trigger Points
Most medical clinics use Lidocaine injections to block trigger point pain.  That’s it. Nothing more.  You go into the clinic on an occasional basis and get a lidocaine injection. This blocks the pain of the trigger point for a short period of time.

I.R.M.C. approach to Trigger Point treatment
Inject with a natural substance called Serapin.  Serapin is a natural analgesic rather than the pharmaceutical lidocaine agent.  Following the Serapin injection (which is painless), an electrical stimulation pad is placed over the trigger point to help spread the Serapin through the scar tissue.  The next steps in treatment is active or passive stretching of the trigger point and exercises to aid in restoring the scarred area to normal.  The overall result in the I.R.M.C. approach is remove the scar tissue and restore the muscle to normal function. This approach is several steps beyond that standard of trigger point care in most medical clinics.   [Request A Consultation Today]

What is a Sphenopalatine Ganglion Block?
A nerve block is a procedure to stop pain transmission through anesthesia to the nerve.  In an SPG block, an anesthetic agent is administered to the collection of nerves in the ganglion.  The least invasive way to access the SPG is through the nose.
The procedure is done in the office or clinic. The patient is instructed to lie on his/her back with the head tilted back and to the side (usually with the pain).  An anesthetic nasal spray may be given beforehand to lessen any discomfort during the procedure.  Then, a small applicator or catheter is inserted through the nostril to the very back of the nasal cavity.  An anesthetic agent applied using a cotton swab or catheter drips onto the back of the nasal cavity, is absorbed through the bone and into the SPG, and is left there for up to 30 minutes.  Depending on the type of headache disorder being treated, the procedure may be repeated in the other nostril. Recently, new catheters have been developed, which may enable a faster, more comfortable procedure.

The duration of pain relief is highly variable, as some patients may not respond while others improve over days to weeks.
The risks of the procedure are typically minimal.  They include discomfort during and after the procedure, a numb sensation when swallowing, bitter taste from the anesthesia, bleeding from the nose and light-headedness. These side effects typically resolve within minutes to a few hours. There is a very small risk of seizures, infection, and allergic reactions.

As with ALL of our treatments at Integrative Regional Medical Center, the SPG Block is not done by itself.  This would be one part of a tailored treatment plan which is created to understand the cause of the headaches and eliminate it.  We do not simply treat symptoms, we find the cause and create plans to restore full function to the patient without reliance on drugs.                                [Request A Consultation Today]

Patient Focused Care

At Integrative Regional Medical Center your condition will be evaluated using the latest in science and technology to get a correct diagnosis and allow our providers to make proper treatment recommendations.  Our services are fully integrated so as a patient you have direct access to many services allowing your condition to heal as quickly as possible while restoring you to full function.

Functional Evaluation

Our providers use an evaluation process called a Functional Assessment to review and test the stability and mobility of all body movements allowing our providers to make the most comprehensive diagnosis and treatment options. Following a history and other diagnostic tools treatment plans will be tailored to meet your needs using an integrative approach not offered by other clinics.

Orthopedic Bracing

An Orthopedic Brace or Orthosis is an orthopedic device used to control, guide, limit and/or immobilize an extremity, joint, or body segment for a given reason. It may also restrict or assist movement in a given direction and can reduce weight bearing forces for a particular mobility purpose. Orthopedic Bracing can also help with rehabilitation from fractures, or to correct the shape or function of a particular body part by providing easier movement capability or reducing pain. Individuals who benefit from an Orthosis may have sustained a physical impairment cause by illness, injury or a congenital abnormality.
Integrative Regional Medical Center uses the latest technology available in Orthopedic bracing. Our partner provides the very best in training and fitting for the very best bracing products.
IRMC providers consult with you and make the best recommendations for bracing.

Ben Folklore


Infrared Gait Scan

Many people have problems created by improper movement of their feet. Low Back pain, foot and ankle pain or knee and hip pain often come directly from improper foot movement.
At Integrative Regional Medical Center we specialize in diagnosing foot movement patterns by using infrared technology as well as time lapse video of a person’s running and walking form.
Our trained doctors understand sports and movement and are well trained in the diagnosing and treatment of foot related sport issues. We do not simply insert a one size fits all drug store product in the hope it will work.

The Top Causes of Ankle & Foot Pain

At I.R.M.C. we’ve treated foot and ankle issues on a daily basis for more than 16 years.  The number one cause we see is poor movement of the foot as it relates to running.
Many people have very poor running form and it causes overuse injuries to the bottom of the foot the ankle and the lower leg. Eventually the pain reaches the knees and lumbar spine.
Proper foot movement needs to be reviewed by a knowledgeable professional with experience in not only proper running form but also with access to doctors with clinical experience in correcting the issue.
Flat feet, plantar fasciitis, shin splints, chronic ankle sprains, knocked knees and low back pain are all issues resulting from improper running form.
In our office we use a camera app to review running form and other technologies to measure movement of the spine to properly diagnose and treat foot and ankle pain.  We also have the very best Sport Performance Coaches to aid in correcting any problem.

Jane Burber



Doctors of Chiropractic (D.C.) commonly perform a “chiropractic adjustment.” Slight misalignments of the vertebrae are known as subluxations.  Chiropractic Doctors use manipulation techniques to remove subluxations as well as restore joint mobility by manually applying a controlled force into joints that have become hypomobile – or restricted in their movement – as a result of a tissue injury.  Tissue injury can be caused by a single traumatic event, such as improper lifting of a heavy object, or through repetitive stresses, such as sitting in an awkward position with poor spinal posture for an extended period of time.  In either case, injured tissues undergo physical and chemical changes that can cause inflammation, pain, and diminished function for the sufferer. Manipulation, or adjustment of the affected joint and tissues, restores mobility, thereby alleviating pain and muscle tightness, and allowing tissues to heal.  Chiropractic will often be used as a key element to your complete tailored treatment plan at Integrative Regional Medical Center.

Dr. Stephen M Erle

Chiropractic Doctor

Not The Nutrition Assistance You Were Thinking Of…

You might have thought of Nutrition Counseling, and rolled your eyes, or given a hmmph sigh of “Been There, Done That”.  Not at Integrative Regional Health Care you haven’t.  We are not going to quote the food pyramid, or show you what fruits and vegetables are.

Today, Americans are in a war of sorts.   We’re in battles against “Big-Agri”, “Big-Pharma”, “Big-Brother”.   There are so many harmful chemicals added to our foods.   See the words “Natural”, “All-Natural”, “Pure”, “Wholesome” and others on packaging and it is supposed to evoke thoughts of fresh, good, and nutritious for you.  Most of the time, the packaging simply adheres to the minimum regulated guidelines and you, the consumer, must read between the lines, and behind the scenes even, to ensure that what you are purchasing and ingesting is actually good for you, isn’t causing digestive distress, or helping to cause other problems in the body.

Even looking for locally produced items, or the Organic labels are sometimes misleading.  We are here to help you navigate through the myriad of food choices and assist you with wise choices, educate on food labeling, understanding what terms on packaging are actually telling you (aka Natural Flavors).
It’s a battle, and I.R.M.C. Nutrition Assistance is here to arm you.

Jonathan Steves


Managing Your Soft Tissue Injury

At our clinic we provide both Physical Rehabilitation and Chiropractic. We recognize joints, muscles, tendons and ligaments all work together, get injured together and therefore must be treated together.  We use techniques such as Electrical Muscle Stimulation, Ultrasound, Active Release, Graston and Myofascial Release to passively treat soft tissue injuries while providing gentle Chiropractic treatments. We also have our staff assist patients with therapeutic exercises and actively treat muscles and joints to quickly get back to health.

Lisa Starborn


Injured At Work?

Chiropractic is an excellent means of dealing with work related injuries. If there is an injury on the job and you’ve gone down the traditional medical road to be treated, it may be time to turn to chiropractic care. Chiropractors are professionals at identifying underlying issues that potentially could be dismissed by others. Locating the source of your injury could be the difference between fixing an issue and living with something for a long period of time.
In addition to being professionals at uncovering underlying issues, Chiropractors handle the healing process without the need for addictive pain pills and potentially risky surgery. If you’ve been injured at work, make sure to go see a chiropractor for an initial consultation.

Jonathan Steves


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