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Regenerative Medicine

What is Regenerative Medicine?

IRMC uses a field of Medicine called Regenerative Medicine.  This means we endeavor to regenerate damaged tissue.  The IRMC approach is in contrast to most medical clinics.  Most clinics use a standard of care which merely cover symptoms with Cortisone, Prednisone, Gabapentin, Lyrica or other medications designed to only cover symptoms.

How Does IRMC practice Regenerative Medicine?

By using techniques that restore function to tissue.   Millions of Americans suffer from Neuropathy.  Our practice is the only provider in the state of Virginia to offer a treatment which can regenerate sensory nerves.   Learn more about our Neuropathy solution below.
Another example is scar tissue that develops in muscles known as Trigger Points.  Trigger Points are naturally formed by your body in response to repeated stress on the tissues.  Most clinics cover the symptoms of trigger points by injecting them with Lidocaine and / or Cortisone.  IRMC uses a combination of:

1) Injecting the trigger point with a natural substance called Sarapin.  Sarapin can help in actually breaking down the proteins holding the scar together.
2) Ultrasound.  This is a technique using high energy sound waves to break up scar tissue.
3) Physical Rehabilitation.  Once we have begun to break down scar tissue we exercise the tissue back into normal movement pattern and restore function of the tissue while removing the pain.
4) We often integrate Physical Rehabilitation with Chiropractic for the fastest and most successful outcomes.

Amnionic Cells.  Excessive scar tissue inside a joint along with damaged tissue can be regenerated using Amnionic Cell injections.  IRMC uses an Amnion product to inject damaged joints to help rebuild damaged cartilage and remove excessive scar tissue developed after years of inactivity from things like Osteoarthritis.  Some clinics refer to this as a Stem Cell injection.  IRMC does not use live stem cell injections. We choose not to use live stem cells because:

1) We believe there is no proof using live stem cells will result in the successful outcome promised by those using them.

2) Live stem cells cost thousands of dollars.  We do not believe people should spend thousands of dollars out of pocket for a procedure that is not proven to be effective in restoring damaged tissue.

Treatments for Knees and Other Joints

IRMC uses two products to restore knee and other joint function.

1) Hyalgan.  This is a Hyaluronic Acid product which the primary ingredient of the normal fluid of a heathy knee.  This is a proven product for stage 1-2 Osteoarthritis of the knee.

2) Hymovis.  This is a gel type substance we inject into damaged knees with late stage Osteoarthritis of the knees.  Often we use this product for knees when the patient has been diagnosed with bone on bone and cannot or does not want knee surgery.

The future in pain relief and resolution is at Integrative Regional Medical Center now!!

“IRMC has implemented a new medical device not yet known to the medical world.  It is called NeoGEN®.  This device is revolutionary in treating and solving pain without the use of opioids.  It is used with Intractable pain (untreatable) such as Fibromyalgia, Neuropathy from Chemotherapy and Diabetes, Osteoarthritis, Herniated Discs, Chronic Head Pain and Phantom Limb Pain…to name a few.

This little unobtrusive medical device is creating a lot of buzz.   With good reason.  This device offers the ability to dramatically reduce, or completely resolve that chronic pain that you have lived with for too long and made you feel like this was “just your life” now.

What types of pain is the neoGEN® used on?

  • Acute and Chronic Pain Conditions
  • Symptomatic Relief of Intractable (long term) Pain
  • Supporting Treatment for Post-Traumatic Pain Syndromes
  • Supporting Treatment in Post-Surgical Pain Conditions
  • Relaxation of Muscle Spasms
  • Slow or Prevent Muscle / Nerve Atrophy Due To Inactivity
  • neoGEN® Treatments may be combined with other Adjunct Treatments such as Trigger Point Injections for the most Comprehensive Approach
  • This is an incomplete list because the point here is that if you have pain that you live with on a regular basis, then you need to contact us for a complimentary evaluation of your diagnosis and present conditions.

“It felt so good and I instantly felt better.  The treatment felt like I was getting a massage.”

— Wendy (IRMC Patient) —


How Does It Work?

Patients Love The neoGENEleven different types of programmed electrical currents along with a micro injection cocktail of vitamins and minerals necessary to rebuild nerves and blood vessels are applied to appropriate areas. The eleven different currents are pre-programmed based on your diagnosis. How the currents vary depends on the diagnosis of your pain. The varying currents use the injection vitamin / mineral cocktail to heal damaged nerves and blood vessels.

What this means for you is this is leading edge pain treatment and management based on Quantum Physics principles and how they can be applied practically to help people. If you have pain we may just have the remedy.

What You Should Expect from neoGEN® pain treatments

  • All New Patients would undergo a Complete Evaluation in our clinic prior to developing a plan involving the neoGEN®
  • A typical neoGEN® session last about 30 minutes
  • You may reasonably expect a plan consisting of 2 to 3 treatments a week for 8 to 12 weeks
  • Many patients have reported noticeable improvement with their pain after just a few sessions
  • Massive 67% reduction in opioid use due to the pain being relieved.
  • There are no side or after effects so you are free to drive home as soon as you are finished.
Massive Opioid Use Reduction with neoGEN
Massive Opioid Use Reduction with neoGEN

Hyalgan and Hymovis are non-surgical, non-pharmacologic therapy for knee osteoarthritis. Hyalgan  / Hymovis therapy can help relieve your pain, improve your mobility, and get you back to your normal activities.  Hyalgan and Hymovis 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.

You Are Leaving Pain BehindThe goal of Hyalgan / Hymovis is to supplement poor-quality hyaluronan in your painful knee with additional highly purified hyaluronan.  Hyalgan / Hymovis therapies are an injectable solution made from highly purified sodium hyaluronate (also known as hyaluronic acid [HA]).

Hyalgan will be recommended when the Osteoarthritic condition is between stage 1-2.  For later stage Osteoarthritis the Hymovis gel is a more effective approach.

We also believe that combining the Hyalgan / Hymovis injections (which are typically a weekly injection from 3 to 5 weeks) with some specific exercises which accelerate the pain relief and result in a more complete overall treatment.   Quadricep Extensions and Wall Slides are two of the more effective exercises which improve the outcome of the overall treatment.  This approach to the hyaluronan treatment is supported by scientific study if you wish to read more about it here.

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.

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Integrative Regional Medical Center uses a field of Medicine called Regenerative Medicine.
Regenerative Medicine is the science of living stem cells being used to potentially regenerate or facilitate the repair of living cells damaged by disease, genetics, injury or simple aging by stimulating the body’s own repair mechanisms.  This is to restore function and homeostasis (equilibrium) in the body.  Regenerative medicine also empowers scientists to grow tissues in the laboratory.

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 over 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, 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.

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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.
Trigger Point Injections to deal with pain and restricted movement

I.R.M.C. approach to Trigger Point treatment
Inject with a natural solution called Sarapin.  Sarapin is a natural analgesic rather than the pharmaceutical lidocaine agent.  Following the Sarapin injection (which is painless), an electrical stimulation pad is placed over the trigger point to help spread the Sarapin 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..

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Therapeutic Medicine


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 Aspen 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.

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.

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 Aspen 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.

Infrared Gait Scan Used to create Custom Orthotics
Infrared Gait Scan Used to create Custom Orthotics

Physical Rehabilitation is helpful and concentrates on restoring normal muscle, tendon and ligament stability and movement only.
Chiropractic is helpful and concentrates on restoring normal joint movement and nerve function only.
Ever wonder why more PT’s and Chiropractors don’t work together?  They work on the same anatomy.

IRMC has answered this question. We use Passive Rehab such as electrical stimulation, ultrasound, ice, heat, manual therapy to treat muscles, tendons and ligaments.  We then use our Chiropractors, if necessary, to open related joints.  Then we use active physical therapy to restore muscle memory and keep the joints open and balance the soft tissue.

Treatment must be performed in this order.
1) Passive therapy – relaxes soft tissue
2) Joint mobilization to restore normal joint movement
3) Active Physical exercises to restore normal movement both the joints and muscles.

If you want your injury to take longer to heal see a Chiropractor only or a Physical Therapist only.  If you are interested in healing quickly and completely come see us where we employ Physical Rehabilitation and Chiropractic together in conjunction with regenerative medicine.

Dr. Stephen M Erle

Director I.R.M.C. and Chiropractic Doctor

Hannah Peterson

Physical Rehabilitation

  • Full-service treatments under one roof
  • 17 years’ experience
  • All notes are fully compliant
  • All notes reviewed and signed off by Orthopedic Surgeon
  • Expert Testimony

“I’ve used IRMC for years because they combine Medicine, Physical Therapy and Chiropractic to work wonders on my injured clients. Because clients get better their cases get resolved faster and this makes everyone happy”

Leila Kilgore, esq
Managing Partner Kilgore and Smith

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.

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Question – What is Medical Movement Analysis (MMA)?

Answer – The MMA Medical Movement Analysis is a 4 protocol system using Infrared and Functional Movement technology to diagnose aberrant movement patterns which lead to injury.
The MMA is one of many innovations which can be used to recognize and prevent an injury from removing your athlete from the playing field. At Integrative Regional Medical Center we use state-of-the-art digital scanning and monitoring innovations typically available only to Olympic and Professional Athletes to diagnose and ‘Prehab’ injuries before they happen.
We also use the latest in Medical Technology to regenerate damaged tissue rather than simply cutting on it or removing players from activity.

For example, if a pitcher has a limitation in shoulder extension it won’t be long before multiple pitches lead to an injury. The MMA will diagnose the shoulder limitation prior to it becoming painful and restricting the pitcher from playing. MMA is a great way to prevent injury and loss of play time. If a person can’t squat properly it won’t be long before lower leg or low back injury occurs during movement. The MMA seeks to prevent, prediagose and prehab injuries before they stop a person from performing.

Medical Movement Analysis

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