Help us welcome our new PA student! Jonathan will be with us for the month of May:
M.M.S. in Physician Assistant (August 2014)
M.A. in Bioethics & Medical Humanities
Post-Baccalaureate: Biomedical Sciences
B.S. in Exercise Science
Jonathan Pagano is in his final year of Physician Assistant training at Nova Southeastern University. Prior to PA school, Jonathan represented the U.S. Youth National soccer team internationally, which led him to a Division I soccer scholarship at the University of South Florida. Upon graduation, he joined Velocity Sports Performance to pursue an opportunity as a sports performance coach which culminated in becoming the Director of Soccer and Adult Fitness throughout the Chicago area. In preparation for PA school, Jonathan returned to the University of South Florida to pursue a Masters in Bioethics & Medical Humanities all the while completing a rigorous Post-Baccalaureate in Biomedical Sciences. Since then, Jonathan has completed training in orthopedic surgery, general surgery, pediatrics, internal, emergency and family medicine.
Watching the games starts out as a novelty. It doesn’t take long, however, to get pulled into the strategy and competition. Suddenly, you’ve forgotten that this is a wheelchair event; it is sport.
This is my 6th time to the games as part of the team from the Human Engineering Research Laboratory (HERL) – a collaboration between the University of Pittsburgh and the Pittsburgh VA. As a consultant to the HERL team, I perform shoulder ultrasound exams on wheelchair athletes using a scale we developed in 2005 at the first games that I attended in Minneapolis. This scale is one small part of the incredible efforts by the HERL researchers to advance mobility and decrease injury in wheelchair users of all types. It is humbling and great fun to work with these professional researchers and high level athletes.
Biotensegrity, Ultrasonography and Prolotherapy in Munich
November 11-13, 2011
The B.I.G. meeeting, the third annual meeting of the Biotensegrity Interest Group, took place in Munich Germany November 11-13, 2011. The meeting is a “think tank” focused on the application of tensegrity concepts in biologic science. Steven Levin, MD, the world’s expert in biotensegrity, initiated the meeting.
I was honored to be invited to discuss my work in the use of ultrasonography and Prolotherapy in the context of tensegrity concepts. The group of 18 included osteopathic physicians, a mathematician, a physicist, a linguist, physical therapists, PhD’s and bodyworkers. My head is still pleasantly spinning with the concepts discussed. We built tensegrity models, learned a little Chinese, practiced fascial fitness exercises and discussed the inadequacy of lever biomechanics (a light topic, right?).
JP Cotter was in the house last week for PRP and he is providing a video blog of his journey to recovery. PRP Journey
Follow his journey over next few months at The Cotter Chronicles: http://jamescotter.blogspot.com/
Prolotherapy has been around for decades. Many physicians have assumed that the improvements that patients report after prolotherapy are a placebo effect; meaning the change was in their head not their joint tissue. Of course, an honest assessment would have been that none of us knew what the tissue, like ligaments and tendons, does in response to Prolo, because we had no reliable way to see the tissue. Even MRI is limited in what it can see. Ultrasound imaging, however, can see most ligaments and tendons with much more detail than MRI.
My excitement is increasing as I finish writing a chapter about these issues for the journal Physical Medicine and Rehabilitation (PMR) Clinics. It is an honor to have as my coauthor, Dean Reeves, MD, Clinical Associate Professor of PMR at the University of Kansas and the man who introduced me to prolotherapy in 1995. The chapter focuses on my passion of ultrasound imaging to show healing of tissues in response to “regenerative injection”, better known as prolotherapy. This includes injection of dextrose (i.e. sugar), morrhuate sodium (an extract of cod liver oil) and our newest prolotherapy agent, Platelet-Rich Plasma (PRP). We review the scientific literature that is available on the subject and include examples of tissue repair seen in my practice. I’ve included examples of tennis elbow, golfer’s elbow, osteoarthritis in the knee and finger, osteitis pubis (groin pain), Achilles tendon tear, plantar fasciitis and ankle pain/instability.
The chapter is scheduled for publication in August of 2010. My hope is that this chapter will help to convince physicians who have only been skeptical about prolotherapy to become skeptics with open minds. After all, that is how true scientific advancement begins.
During Dr. Fullerton’s trip to Africa this summer, staff was busy here at ProloAustin on our makeover. Our office remodel was completed at end of August; we added a new exam room and office and changed the layout of waiting room and check out area in order to make it more patient friendly. We are now settling into our new space and just love it. If you haven’t seen it, we invite you to come for a visit soon.
New waiting room and check in area
Tracy, our patient care coordinator at Central Command
Kasaundra, our medical assistant drawing your prolotherapy
Marie, our RN refilling patient's prescriptions
one of two Ultrasound/injection suite
Room with a view is what you will get at ProloAustin, come enjoy the wildlife with us!
Late July through early August, Dr. Fullerton and his family traveled from Austin to South Africa. Dr. Fullerton’s in-laws have chosen to spend 3-6 months a year of their retirement teaching at African Christian College in Swaziland. This year Dr. Fullerton’s family chose to join them and experience the campus as well as the culture of South Africa. During their stay they helped the students feed local orphans, explored Kruger National Park and heard Johnny Clegg at the Bush Fire outdoor concert – an art festival akin to the Austin City Limits Festival.
Elephant in Krueger Natioanl Park- he tore down a tree right in front of us!
Traditional dancers at Swasiland Cultural Center
Fullerton kids showing their camera to an orphan in community while they were in line for a healthy meal served at African Christian College
Impala surrounded by red earth and unusual trees of Swasiland- picture perfect!
While at the Prolotherapy research conference at University of Wisconsin, I heard Michael Ryan, PhD reported on his recently published study using ultrasound guided dextrose Prolotherapy in the treatment of plantar fasciitis. In patients who had failed other treatments (including exercise, shoe orthotics/inserts, steroid injections, massage, anti-inflammatory medications and shock-wave therapy), 16 out of 20 patients (80%) had good to excellent results. At 12 month follow up, 12 out of 20 patients reported no symptoms even with exercise (meaning a 60% cure rate in this difficult population). Dr. Ryan reported these results in the British Journal of Sports Medicine this year and emphasized that most of these patients were runners. Don’t let plantar fasciitis limit your exercise and impede your health; try Prolotherapy.
Prolo Austin is a proud sponsor of a local Category 1 cycling team, Super Squadra. Recently one of the five cyclists, Ian Dille, interviewed Dr. Fullerton about Prolotherapy to post a sponsor profile on their website. Ian’s article explores Dr. Fullerton’s use of regenerative medicine to promote the body to heal itself.