www.facebook.com/optimumjoint/videos/1273609512721042/ 

Dr. Striano specializes in ultrasound imaging of joints and damaged joint tissues for the precise targeting of regenerative medical treatment. He is among the first doctors certified in diagnostic musculoskeletal ultrasound by the ARDMS. He received extensive ultrasound training at The Ortho Biologic Institute, the Mayo Clinic School of Continuous Professional Development, and Andrews Orthopedic Institute ultrasound programs and continues advanced training to present. Real time ultrasound imaging is used to precisely guide needle location to both confirm placement and visually confirm treatment fully covers the damaged tissue. Patients are then followed for two years to ensure optimal results.

Carpal Tunnel Syndrome is a hand and arm condition from a compressed median nerve causing numbness, tingling, pain and weakness in the hand and fingers. There is non-surgical treatment.
By using advanced continuous ultrasound imaging to guide the injection of fluid comprised of saline, dextrose and a puff of cortisone, the nerve is freed, and the tunnel stretched open with a technique called hydro-dissection. Performed comfortably in the office with no sedation required, the treatment takes abut 15 minutes.
This video is a patient 1 year past carpal tunnel surgery that failed to provide relief. Patient remained with weakness of the grip, numbness, tingling and waking in the morning with his hand numb. The patient had 3 sessions 3 weeks apart. Grip is 60% improved with grip strength and the numbness / tingling is resolved.
In the video, the median nerve is the dark oval in the middle top of the screen. The fluid injected peels the nerve from being stuck from above and below. You can actually see the nerve separate from being stuck as the fluid peels and frees the trapped nerve providing relief for the patient.

35 YO female police officer totally disabled due 8 months of pain and limited function shoulder and rotator cuff. Patient was advised she must have surgery to repair the shoulder and she wanted other options. Physical therapy and cortisone injection failed to provide any benefits. Video is taken five months after precision ultrasound guided Lipogems® fat graft for the the orthopedic pain in the shoulder an rotator cuff.
MRI anterior inferior labral tear with a 9mm X 6mm multilocuated ganglion cyst along the anterior inferior glenoid margin. Partial thickness interstitial tear of the supraspinatous tendon.
Outcome scores one year after Lipogems® fat graft: Pain score from 0-10 with 10 being the worst pain was 7/10 now 0/10. ASES shoulder score with 100 being perfect was 16/100 now 100/100. Constant shoulder score with 100 being perfect was 24/100 now 100/100. Range of motion raising the arm from the side with 180 degrees being full motion was 53/180 now 180/180. Forward flexion raising the arm in front with 180 being full motion was 53/180 now 180/180. Strength with maximum on the instrument being 22lbs/in2 was 7lbs. now 22lbs. Full return to work unrestricted.

ATTENTION! If you want to preserve access to your own adipose (fat), stem cells and biological tissue than you need to act now. The future in regenerative medicine may be set back by a new FDA guidance that limits the definitions of what functions a tissue performs.

Mitch McConnell has expressed how ridiculous taking cells from one location on your body and transferring them to another location on your body should not be limited by limiting definitions of “homology” (performs same or similar function). In FDA’s proposed limiting definition of adipose (fat) they have gone so far as to define a breast as only functioning as a mammary gland, and therefore the reconstruction after mastectomy using adipose (fat) is NOT homologous (performs same or similar function) and therefore not allowed.