ConditionsWe Treat.

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Ankle Pain

  • Ankle Sprain-Diagnostic US, PRP, Rehab
  • Posterior Tibial Tendonitis-Diagnostic US, Rehab, PRP
  • Peroneal Tendonitis-Diagnostic US, Rehab, PRP
  • Fractures

Ankles are complex joints that can be affected by various conditions. Here are some common ankle conditions:
 

  • Sprains: Ankle sprains occur when the ligaments that support the ankle stretch or tear, often due to twisting or rolling the ankle.
  • Fractures: Ankle fractures involve a break in one or more of the bones that make up the ankle joint, such as the tibia, fibula, or talus.
  • Achilles Tendonitis: This condition involves inflammation of the Achilles tendon, which connects the calf muscles to the heel bone. It often occurs due to overuse or repetitive strain.
  • Tendonitis: Tendonitis can affect various tendons around the ankle, causing pain and inflammation. Common types include peroneal tendonitis and posterior tibial tendonitis.
  • Arthritis: Arthritis can affect the ankle joint, leading to pain, stiffness, and swelling. Osteoarthritis is the most common type, but rheumatoid arthritis and other forms of inflammatory arthritis can also occur.
  • Tarsal Tunnel Syndrome: Similar to carpal tunnel syndrome in the wrist, tarsal tunnel syndrome involves compression of the tibial nerve as it passes through a narrow tunnel in the ankle, leading to pain, numbness, and tingling in the foot.
  • Plantar Fasciitis: While primarily associated with the foot, plantar fasciitis can also cause pain in the heel and underside of the ankle where the plantar fascia attaches.
  • Ankle Instability: Chronic ankle instability can result from repeated ankle sprains or ligament damage, leading to feelings of “giving way” or instability in the ankle joint.
  • Tendinopathy: This refers to chronic tendon degeneration and may affect various tendons around the ankle, causing pain and dysfunction.
  • Gout: Gout is a form of arthritis caused by the buildup of uric acid crystals in the joints, including the ankle, leading to sudden, severe pain, swelling, and redness.

Arthritis

  • Hip OA/Knee OA/Shoulder (Glenohumeral OA)

 

Osteoarthritis

Osteoarthritis stands as the predominant type of arthritis, capable of affecting any joint within the body. This condition manifests when the protective cartilage covering the ends of bones gradually wears away over time, leading to discomfort and limitation of movement.

What are the telltale signs and symptoms of osteoarthritis? As cartilage diminishes, the smoothness of joint movement is compromised. Consequently, individuals may experience joint pain, stiffness, and swelling due to the roughened surfaces of the cartilage.

How is osteoarthritis diagnosed? Beyond a physical examination of the affected joint, diagnostic imaging such as x-rays often reveals joint narrowing and the presence of bone spurs, which serve as confirmatory evidence of arthritis.

As osteoarthritis is a progressive condition, it tends to worsen over time. However, there are various strategies to manage its symptoms. Maintaining a healthy body weight, steering clear of overuse or repetitive activities, and engaging in targeted strength training exercises around the affected joint can all contribute to pain management. It’s crucial to remain as active as possible to prevent muscle weakness. Additionally, braces, medications, and injections can be utilized to help alleviate discomfort.

In cases of severe osteoarthritis, where conservative treatments no longer provide sufficient relief, joint replacement surgery may be recommended. However, there are alternative approaches available in the realm of regenerative medicine. These include options such as viscous supplementation or hyaluronic acid injections, platelet-rich plasma (PRP) therapy, and stem cell injections, offering potential alternatives to surgical intervention.

Elbow Pain

Elbow conditions encompass a range of injuries and disorders that affect the elbow joint and surrounding structures. Here are some common ones:
 

  • Tennis Elbow (Lateral Epicondylitis): This condition involves inflammation or degeneration of the tendons on the outside of the elbow, typically due to repetitive wrist and arm motions. Despite its name, it’s not limited to tennis players.
  • Golfer’s Elbow (Medial Epicondylitis): Similar to tennis elbow, golfer’s elbow involves inflammation or degeneration of the tendons on the inside of the elbow. It’s caused by repetitive wrist and arm motions, such as those used in golf swings.
  • Elbow Bursitis: Bursitis occurs when the bursa, fluid-filled sacs that cushion the joints, become inflamed. Elbow bursitis typically involves the olecranon bursa at the back of the elbow and can cause pain, swelling, and limited range of motion.
  • Elbow Fractures: Fractures of the bones in the elbow, such as the humerus, radius, and ulna, can occur due to trauma or impact. Fractures can range from hairline cracks to severe breaks requiring surgery.
  • Osteoarthritis: Osteoarthritis of the elbow is less common than in weight-bearing joints like the knees and hips but can still occur, causing pain, stiffness, and reduced range of motion.
  • Rheumatoid Arthritis: Rheumatoid arthritis is an autoimmune condition that can affect multiple joints, including the elbows. It causes inflammation, pain, and joint damage over time.
  • Cubital Tunnel Syndrome: Similar to carpal tunnel syndrome in the wrist, cubital tunnel syndrome involves compression of the ulnar nerve as it passes through a tunnel on the inside of the elbow. This can cause pain, numbness, and tingling in the forearm and hand.
  • Dislocation: Elbow dislocation occurs when the bones of the elbow are forced out of their normal positions, often due to a fall or direct impact. It can cause severe pain, swelling, and instability.
  • Ligament Injuries: The elbow has several ligaments that provide stability. Injuries to these ligaments, such as a sprain or tear of the ulnar collateral ligament (UCL), can result from trauma or overuse.
  • Tendonitis: Tendonitis in the elbow can affect various tendons, causing pain and inflammation. Common types include triceps tendonitis and biceps tendonitis.

Finger/Hand/Wrist Pain

  • CMC joint Osteoarthritis-Steroid or PRP injection, Referral to Hand Specialist
  • Trigger Finger-Diagnostic Ultrasound, Trigger Finger injection or Release

Conditions affecting the fingers, hands, and wrists can vary widely, from acute injuries to chronic disorders. Here are some common ones:
 

  • Carpal Tunnel Syndrome: This condition involves compression of the median nerve as it passes through the carpal tunnel in the wrist. It can cause numbness, tingling, weakness, and pain in the hand and fingers.
  • Trigger Finger: Trigger finger occurs when the flexor tendons in the fingers become inflamed or irritated, leading to difficulty bending or straightening the affected finger smoothly.
  • De Quervain’s Tenosynovitis: This condition involves inflammation of the tendons and the tendon sheath on the thumb side of the wrist. It can cause pain, swelling, and difficulty moving the thumb and wrist.
  • Ganglion Cysts: Ganglion cysts are noncancerous lumps that often develop along tendons or joints in the wrists or fingers. They may or may not cause pain and can vary in size.
  • Arthritis: Various types of arthritis can affect the fingers, hands, and wrists, including osteoarthritis, rheumatoid arthritis, and psoriatic arthritis. These conditions can cause pain, stiffness, swelling, and reduced range of motion.
  • Dupuytren’s Contracture: Dupuytren’s contracture is a condition in which the tissue beneath the skin of the palm thickens and tightens, causing one or more fingers to bend inward toward the palm.
  • Hand Fractures: Fractures of the bones in the hand can occur due to trauma or impact. Fractures can involve the fingers (phalanges) or the bones of the palm (metacarpals).
  • Tendon Injuries: Injuries to the tendons in the fingers, hands, or wrists can occur due to trauma or overuse. This can include tendonitis, tendon tears, or even tendon ruptures.
  • Mallet Finger: Mallet finger is an injury to the extensor tendon that straightens the tip of the finger, often caused by a forceful blow to the fingertip. It can result in the inability to fully extend the finger.
  • Cubital Tunnel Syndrome: Similar to carpal tunnel syndrome, cubital tunnel syndrome involves compression of the ulnar nerve as it passes through a tunnel on the inside of the elbow. This can cause pain, numbness, and tingling in the forearm and hand.

Heel Pain

  • Plantar Fasciitis-Diagnostic Ultrasound, PRP, Tenex
  • What is Plantar Fasciitis? Plantar fasciitis is the most common cause of heel pain, typically affecting individuals aged 40 to 60. Chronic cases reveal that the plantar fascia does not exhibit inflammatory cell invasion under a microscope. Instead, the tissue shows fibrosis and degenerative changes.
  • How is Plantar Fasciitis Diagnosed? Plantar fasciitis is primarily diagnosed clinically, but ultrasound and X-rays can support the diagnosis.
  • How is Plantar Fasciitis Treated? The primary treatment for plantar fasciitis involves conservative methods such as stretching exercises, nonsteroidal anti-inflammatory drugs (NSAIDs), physical therapy, and night splints. These treatments are effective in 80-90% of cases.
  • Do You Perform Steroid Injections? We generally discourage steroid injections for plantar fasciitis. Although cortisone injections can provide short-term relief, their effectiveness is debatable because plantar fasciitis is not an inflammatory condition. Moreover, steroid injections can lead to complications like plantar fascia rupture and fat pad atrophy.
  • Do You Recommend Surgery for Plantar Fasciitis? Surgery is considered only when all non-operative treatments fail, with success rates ranging from 67% to 82%. Complete surgical release can alter foot biomechanics, but endoscopic partial fasciotomy avoids these issues. However, the evidence supporting its efficacy is limited, offering only a grade C recommendation.
  • What if I Do Not Want Surgery or Did Not Improve After Surgery? For chronic plantar fasciitis, platelet-rich plasma (PRP) and ultrasonic fasciopathy with Tenex are minimally invasive treatment options. Tenex has been shown to be beneficial for cases unresponsive to surgery.
  • Does PRP Work for Plantar Fasciitis? PRP has demonstrated better long-term results than steroid injections for pain control and functional outcomes. It has been well-studied in plantar fasciitis, showing promising results in several high-level randomized controlled studies.
  • How Does PRP Work for Plantar Fasciitis?PRP involves concentrating a patient’s blood to increase various growth factors. When injected into the injured plantar fascia, it stimulates a natural healing response. This approach addresses the underlying cause of chronic plantar fasciitis pain by promoting healing.
  • How Does Tenex Work for Plantar Fasciitis?Tenex uses ultrasonic technology to remove thickened, diseased plantar fascia tissue and stimulate a healing response. The minimally invasive procedure is performed under ultrasound guidance, targeting only the abnormal fascia while minimizing injury to surrounding tissues. Conducted under local anesthesia, patients typically wear a walking boot for five days and begin stretching exercises immediately after the procedure. Additionally, the procedure is usually covered by insurance.

 

Hip Pain

Hip conditions can cause a range of symptoms, from mild discomfort to severe pain and limited mobility. Here are some common hip conditions:
 

  • Osteoarthritis: Osteoarthritis is the most common form of arthritis, and it can affect the hip joint. It occurs when the protective cartilage that cushions the ends of bones wears down over time, leading to pain, stiffness, and reduced range of motion.
  • Hip Fractures: Fractures of the hip bone, particularly the femoral neck or the greater trochanter, can occur due to trauma, falls, or osteoporosis. Hip fractures often require surgical intervention and can significantly impact mobility and quality of life, especially in older adults.
  • Hip Bursitis: Bursitis involves inflammation of the bursae, fluid-filled sacs that cushion and reduce friction between bones and soft tissues in the hip joint. Hip bursitis can cause pain and tenderness on the outside of the hip, particularly when walking or lying on the affected side.
  • Hip Labral Tears: The labrum is a ring of cartilage that surrounds the hip socket and helps provide stability to the joint. Tears in the hip labrum can occur due to trauma, repetitive motions, or structural abnormalities, leading to pain, clicking, or catching sensations in the hip.
  • Tendonitis and Tendinopathy: Tendonitis involves inflammation of the tendons that attach muscles to bones around the hip joint. Tendinopathy refers to chronic tendon degeneration. Common types include iliopsoas tendonitis and gluteal tendonitis.
  • Hip Dysplasia: Hip dysplasia is a condition where the hip socket is abnormally shallow, causing instability and increased risk of dislocation. It can be present at birth (developmental dysplasia of the hip) or develop later in life.
  • Avascular Necrosis (Osteonecrosis): Avascular necrosis occurs when the blood supply to the bone is disrupted, leading to bone tissue death. It can affect the hip joint and cause pain, stiffness, and collapse of the bone.
  • Snapping Hip Syndrome: Snapping hip syndrome refers to a snapping or popping sensation in the hip joint during movement, often caused by tendons or muscles sliding over bony structures.
  • Hip Impingement (Femoroacetabular Impingement, FAI): Hip impingement occurs when there is abnormal contact between the ball and socket of the hip joint, leading to pain, limited range of motion, and cartilage damage.
  • Rheumatoid Arthritis: Rheumatoid arthritis is an autoimmune condition that can affect multiple joints, including the hip. It causes inflammation, pain, and joint damage over time

Knee Pain

Knee conditions can range from acute injuries to chronic disorders, affecting people of all ages and activity levels. Here are some common knee conditions:
 

  • Osteoarthritis: Osteoarthritis is the most common type of arthritis and can affect the knee joint. It occurs when the protective cartilage that cushions the ends of bones wears down over time, leading to pain, stiffness, and reduced range of motion.
  • Anterior Cruciate Ligament (ACL) Injury: ACL injuries often occur during sports or activities that involve sudden stops, changes in direction, or direct impact to the knee. A torn ACL can cause pain, swelling, instability, and difficulty bearing weight.
  • Meniscus Tears: The meniscus is a rubbery cartilage that acts as a shock absorber between the bones of the knee joint. Tears in the meniscus can occur due to sudden twisting or rotation of the knee, causing pain, swelling, and locking or catching sensations.
  • Patellofemoral Pain Syndrome (Runner’s Knee): This condition involves pain around the kneecap (patella), particularly during activities that involve bending the knee, such as running, squatting, or climbing stairs.
  • Patellar Tendonitis (Jumper’s Knee): Patellar tendonitis is inflammation of the tendon that connects the kneecap (patella) to the shinbone (tibia). It often occurs in athletes who participate in jumping sports and can cause pain and tenderness around the front of the knee.
  • Iliotibial Band Syndrome (ITBS): ITBS is a common overuse injury among runners and cyclists. It involves inflammation and irritation of the iliotibial band, a thick band of tissue that runs along the outside of the thigh from the hip to the shinbone.
  • Knee Bursitis: Bursitis involves inflammation of the bursae, fluid-filled sacs that cushion and reduce friction between bones and soft tissues in the knee joint. Knee bursitis can cause pain, swelling, and tenderness, particularly over the kneecap or on the inner side of the knee.
  • Patellar Dislocation or Instability: Patellar dislocation occurs when the kneecap (patella) moves out of its normal position, either partially or completely. It can cause pain, swelling, instability, and difficulty straightening the knee.
  • Rheumatoid Arthritis: Rheumatoid arthritis is an autoimmune condition that can affect multiple joints, including the knee. It causes inflammation, pain, swelling, and joint damage over time.
  • Ligament Injuries (MCL, LCL): In addition to the ACL, injuries to other knee ligaments, such as the medial collateral ligament (MCL) and lateral collateral ligament (LCL), can occur due to trauma or sudden force to the knee.

Nerve Issues

  • Lumbar radiculitis/Nerve Impingement related to disc herniation-Imaging, Mckenzie Exercises/Rehab Plan, Fluoroscopic guided Epidural Injections
  • Carpal Tunnel Syndrome-Diagnostic Ultrasound, Ultrasound guided injections
  • Nerve Entrapment-Diagnostic Ultrasound, Ultrasound guided nerve hydrodissection to free up tissue entrapping the nerve

 

Nerve Entrapment

Ultrasound reveals a hydrodissection procedure addressing posterior interosseous nerve entrapment, occurring where the nerve navigates between the supinator muscle heads in the forearm.

NERVE HYDRODISSECTION

Ultrasound-guided hydrodissection offers a novel approach to treating entrapped nerves. Entrapment neuropathy, though prevalent, often goes undetected as a source of pain.

Nerves ideally glide freely around surrounding tissues, but entrapment can cause adhesions or tethering, resulting in pain. Trauma, surgical scarring, or nearby structures can compress nerves, leading to discomfort, numbness, or even paralysis.

Nerve hydrodissection, a potential alternative to open surgery, involves ultrasound-guided injection of fluid around the affected nerve, releasing it from constraining tissues. This minimally invasive procedure mimics surgical release, alleviating symptoms like numbness and tingling.

  • Conditions Treated With Hydrodissection: Carpal Tunnel Syndrome (CTS) is the most recognized entrapment neuropathy, affecting 1% of the population.
  • Neural Therapy: Neural therapy, introduced in 1989, targets pain originating from scars. Scarring can tether cutaneous nerve branches, causing discomfort upon touch. This technique offers relief for scar-related pain.
  • Conditions Treated With Hydrodissection: Various peripheral nerve entrapments, including CTS, thoracic outlet syndrome, radial nerve entrapment, and others.
  • Procedure Details: Ultrasound identifies the nerve, followed by gentle saline solution injection around it, releasing the nerve from surrounding tissue compression.
  • Treatment Frequency: While one treatment suffices for some, multiple sessions – typically 3-6 – may be necessary for others.
  • Avoiding Surgery: In some cases, surgery is essential to prevent nerve damage. However, hydrodissection can spare certain individuals from surgery, including those with CTS, offering quick, downtime-free, low-risk alternatives.

Shoulder Pain

Shoulder conditions encompass a wide range of injuries and disorders that can affect the structures around the shoulder joint. Here are some common shoulder conditions:
 

  • Rotator Cuff Tears: The rotator cuff is a group of muscles and tendons that surround the shoulder joint, providing stability and facilitating movement. Tears in the rotator cuff can occur due to trauma, overuse, or degeneration, leading to pain, weakness, and limited range of motion.
  • Shoulder Impingement Syndrome: This condition occurs when the tendons of the rotator cuff and the subacromial bursa become pinched or compressed between the bones of the shoulder, particularly the acromion and the head of the humerus. It can cause pain, weakness, and difficulty raising the arm.
  • Frozen Shoulder (Adhesive Capsulitis): Frozen shoulder is characterized by stiffness and pain in the shoulder joint, often resulting in limited mobility. It typically develops gradually and may be associated with conditions such as diabetes or shoulder immobility due to injury or surgery.
  • Shoulder Bursitis: Bursitis involves inflammation of the bursae, fluid-filled sacs that cushion and reduce friction between bones and soft tissues in the shoulder joint. Shoulder bursitis can cause pain, swelling, and tenderness, particularly with overhead movements.
  • Shoulder Instability: Shoulder instability occurs when the structures that hold the shoulder joint in place become loose or damaged, leading to a sensation of the shoulder “slipping” out of place. It can result from trauma, repetitive strain, or underlying structural abnormalities.
  • Labral Tears: The labrum is a ring of cartilage that surrounds the socket of the shoulder joint, providing stability and cushioning. Tears in the labrum can occur due to trauma, repetitive motions, or structural abnormalities, leading to pain, clicking, or catching sensations in the shoulder.
  • Shoulder Arthritis: Arthritis can affect the shoulder joint, causing pain, stiffness, and reduced range of motion. Osteoarthritis is the most common type, but rheumatoid arthritis and other forms of inflammatory arthritis can also occur.
  • Shoulder Tendonitis: Tendonitis involves inflammation of the tendons that attach muscles to bones around the shoulder joint. Common types include biceps tendonitis and supraspinatus tendonitis.
  • Shoulder Fractures: Fractures of the bones in the shoulder, such as the humerus or the scapula, can occur due to trauma or falls. Fractures can range from hairline cracks to severe breaks requiring surgery.
  • Thoracic Outlet Syndrome: This condition involves compression of the nerves and blood vessels that pass through the thoracic outlet, a narrow space between the collarbone and the first rib. It can cause pain, numbness, and weakness in the shoulder, arm, and hand.

Spine Issues/Low Back Pain

  • Lumbar disc herniations-Lumbar epidural injections
  • Facet Arthritis-Radiofrequency Ablation or Sprint Peripheral Nerve Stimulator
  • Compression fractures-Kyphoplasty with Spine Jack
  • Muscle Issues/Overload-Counseling on Rehab programs, Trigger point injections, Sprint PNS
  • Pars Defect/Lumbar Spondylolysis/Youth Athlete’s Back-Education, Rehab, Bone Stimulator, Return to Play

Spine conditions encompass a wide range of injuries, disorders, and diseases that affect the vertebral column and surrounding structures. Here are some common spine conditions:

  • Herniated Disc (Bulging Disc or Slipped Disc): This condition occurs when the soft inner core of a spinal disc protrudes through the tough outer layer, often pressing on nearby nerves and causing pain, numbness, or weakness in the back, neck, or limbs.
  • Degenerative Disc Disease: Degenerative disc disease involves the natural wear and tear of the spinal discs over time, leading to reduced disc height, decreased flexibility, and potential irritation of nearby nerves or joints.
  • Spinal Stenosis: Spinal stenosis is a narrowing of the spinal canal, the passageway through which the spinal cord and nerves travel. This narrowing can put pressure on the spinal cord or nerve roots, causing pain, numbness, or weakness in the back, neck, or limbs.
  • Scoliosis: Scoliosis is a sideways curvature of the spine that often develops during growth spurts in childhood or adolescence. Depending on the severity, scoliosis can cause back pain, uneven shoulders or hips, and difficulty breathing if the curvature compresses the lungs.
  • Kyphosis: Kyphosis is an excessive outward curvature of the thoracic spine, resulting in a rounded or hunched back. It can be caused by conditions such as osteoporosis, degenerative disc disease, or congenital abnormalities.
  • Spondylolisthesis: Spondylolisthesis occurs when one vertebra slips forward or backward in relation to the adjacent vertebrae. This displacement can compress spinal nerves, causing pain, numbness, or weakness in the back or legs.
  • Spinal Fractures: Fractures of the vertebrae can occur due to trauma, osteoporosis, or other underlying conditions. Depending on the severity and location of the fracture, symptoms may include back pain, difficulty walking, or loss of bladder or bowel control.
  • Sciatica: Sciatica refers to pain that radiates along the path of the sciatic nerve, which extends from the lower back through the hips and buttocks and down each leg. It is often caused by compression or irritation of the sciatic nerve roots, such as from a herniated disc or spinal stenosis.
  • Ankylosing Spondylitis: Ankylosing spondylitis is a type of inflammatory arthritis that primarily affects the spine, causing pain, stiffness, and progressive fusion of the vertebrae. It can lead to loss of mobility and posture changes over time.

Lumbar facet syndrome, also known as facet joint syndrome or facet arthropathy, is a condition that affects the facet joints of the lumbar spine. The facet joints are small, paired joints located at the back of the spine, connecting adjacent vertebrae and allowing for movement and stability.

Sports Concussion

  • Cognitive/Balance/Vision Assessment-Tailored Rehab program, Vestibular Therapy, Return to Play (Sway Testing)

A concussion, a type of traumatic brain injury, can occur from a forceful impact to the head or body, causing the head to rapidly move and stretch the brain, resulting in cell injury.

Over the years, concussion management has evolved alongside our understanding of this condition. It’s crucial to recognize that each concussion case is unique, necessitating individualized treatment.

Dr. Engelen, a board-certified sports medicine specialist with additional training in concussion assessment, offers comprehensive care. As a certified ImPACT consultant, he utilizes FDA-cleared tools to assess and manage concussions effectively.

Concussion symptoms may not immediately manifest and can include physical discomfort, cognitive challenges, emotional changes, and sleep disturbances. Athletes displaying any signs should be evaluated by a healthcare professional before returning to play to prevent potential complications like second impact syndrome.

Recovery times vary, especially for young individuals who may require longer recuperation periods. Returning to play prematurely can exacerbate symptoms and delay recovery.

Diagnosing concussions relies on symptoms rather than imaging tests. Dr. Engelen offers ImPACT testing, a computerized neurocognitive assessment aiding in diagnosis, recovery tracking, and safe return-to-play decisions.

ImPACT testing involves a series of tasks measuring memory and reaction speed. Athletes often undergo baseline testing before the season, providing a reference point for post-concussion assessments.

Dr. Engelen offers both baseline and post-concussion ImPACT testing, ensuring thorough evaluation and personalized care. If you’re interested in baseline testing or have experienced a concussion, please contact our office to schedule a consultation. Your safety and well-being are our top priorities.

Tendon Pain

  • Patellar Tendonitis/Jumpers Knee-Tenex, PRP
  • Achilles Tendonitis-Tenex, PRP
  • Rotator cuff Tendonitis-Tenex, PRP

Tendon pain can stem from various causes, whether it’s due to a sudden injury or the gradual wear and tear of repetitive stress. It’s a common issue affecting many individuals, and thankfully, in about 80% of cases, the discomfort can be alleviated through simple yet effective measures such as rest, icing, and targeted physical therapy.

However, for the remaining 20% of cases, the persistence of tendon pain can lead to the transformation of healthy tendon tissue into degenerative and damaged structures. This shift can significantly impact one’s quality of life and mobility.

The good news is that modern medical advancements offer minimally invasive treatments designed to stimulate healing and recovery without the need for invasive surgery. These innovative therapies target the root cause of the problem, facilitating the regeneration of healthy tendon tissue and providing lasting relief from chronic pain and discomfort.

If you’ve been grappling with tendonitis for an extended period – more than three months – and conventional treatments have failed to provide adequate relief, we urge you to take action. Don’t let persistent tendon pain hold you back from enjoying life to the fullest. Reach out to our experienced team today to schedule a consultation and explore personalized treatment options tailored to your needs and goals. Your journey to restored mobility and well-being starts here.

Why Choose Dr. Engelen for Conditions?

Unmatched Expertise

Dr. Engelen is renowned for his deep expertise in sports medicine and diagnostic imaging, ensuring accurate and reliable ultrasound results.

Personalized Patient Care

Every patient receives tailored care plans and attention to ensure comfort and clarity throughout the diagnostic process.

Advanced Technology

Utilizing the latest in ultrasound technology, Dr. Engelen provides detailed imaging that supports effective treatment planning.