Bespoke Savoir-Faire Medicine is medicine that recognizes your unique & individual needs, tailored and customized interventions using hands-on techniques learned through tradition and mentorship - the art of knowledge using combinations of the below services tailored to your unique needs.

Some common questions:

  • How do you treat fascia disorders?
  • What kind of therapies are there out there?
  • How do you get diagnosed with fascia based issues?
  • What exercises, injections, medications, manual therapies, supplements are there to treat fascia?
  • What is a fascia disorder - pain, stiffness, trouble moving, temperature sensitivity?

Read on for the answers to these questions, and more!

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Diagnosis Visit

Diagnosis visits are 1 hour long and include evaluation for postural orthostatic tachycardia syndrome (POTS), mast cell activation syndrome (MCAS), cranial cervical instability (CCI), and fascia pathology. The evaluation for hypermobile EDS is based on the 2017 diagnostic criteria for hypermobile EDS revised by the International EDS Consortium in 2017.

Ehlers-Danlos Syndrome (EDS) is heterogeneous group of heritable connective tissue disorders. It is characterized by joint hypermobility, skin hyperextensibility, and tissue fragility. For most of these subtypes, mutations had been identified in collagen-encoding genes, or in genes encoding collagen-modifying enzymes. The International EDS Consortium revised the EDS classification to 13 subtypes - each with a set of clinical criteria. The diagnosis of the hypermobile subtype relies on the clinical criteria.

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Prolotherapy is a non-surgical injection procedure used to treat connective tissue injuries of the musculoskeletal system that have not healed by rest or conservative therapy. 

Prolotherapy is treatment method for loose or injured ligaments. It uses the body’s natural ability to heal ligaments and muscles to reform healthy tissue without scar tissue. A dextrose solution is injected directly into the ligament and causes a mild inflammatory reaction. This signals the body to lay down thicker and stronger tissue which helps to relieve chronic pain. This therapy is best suited for chronic myofascial pain seen commonly in dancers, musicians, and repetitive motion.

Dr. Wang is trained in prolotherapy through her residency training and through the Hacket Hemwall Patterson foundation. 

There is good and strong evidence for the use of prolotherapy:

  • Dr. Robago's landmark randomized control study for knee osteoarthritis - efficacy and effectiveness 
  • Systematic Review for the use of prolotherapy in knee osteoarthritis
  • Evidence of disease modifying effect and improvement in quality of life in knee osteoarthritis
  • Evidence of regenerative effects of prolotherapy in the knee
  • Evidence for prolotherapy in the treatment of tennis elbow 
  • Systematic Review on the effectiveness of prolotherapy in knee osteoarthritis: Hassan F, Trebinjac S, Murrell WD, Maffulli N.
  • The effectiveness of prolotherapy in treating knee osteoarthritis in adults: a systematic review. Br Med Bull. 2017 Jun 1;122(1):91-108.

 

Platelet Rich Plasma

Platelet Rich Plasma or PRP is the plasma portion of blood consisting of platelets and related growth factors. 

Platelet Rich Plasma is injected into sites of injuries, particularly tendons.  

PRP is injected directly into the injured tissue, stimulating a healing response. PRP is prepared from your own blood. A simple blood sample is taken and then transferred into a high power centrifuge and concentrating device. A PRP injection can be done in 45 minutes or less.

Fascia Layer Specific Hydromanipulation

Fascia Layer Specific Hydromanipulation (FLuSH) is a novel technique developed by Dr. Wang

Dr. Wang uses the saline jet to remove fascial adhesions/densificiation from specific fascial layers. Normal saline is injected into areas of fascial densification to release these areas of restrictions. This includes scar tissue from trauma or simply from exercise and overuse. This technique builds upon current interventions like Fascial Manipulation, Acupuncture, Dry needling technique, and Trigger Point Injections into areas of densification.

diagnostic fascial sequencing

About Diagnostic Fascial Sequencing

Diagnostic fascial sequencing approach uses point-of-care ultrasonography and fascial glide and layer-specific palpatory verification to diagnose fascial chain dysfuction from densifications in the deep fascia. It involves treating specific centers of coordination and fusion using specific and tailored diagnostic and treatment sequences. 

functional integrative medicine

About Functional Integrative Medicine

Functional medicine is an individualized and tailored approach that addresses the underlying causes of disease using a systems-oriented approach to engage both patient and practitioner through a therapeutic partnership. It uses lifestyle interventions and dietary supplementation to address the causes of a person's symptoms. Functional Medicine shift away from the traditional disease-centered focus of medical practice to a more patient-centered approach that address the root causes rather than merely treating symptoms. 

Musculoskeletal Ultrasound Imaging

About Dynamic Musculoskeletal Ultrasound Imaging

Ultrasound is a noninvasive medical imaging that helps to diagnose and treat medical conditions.  Ultrasound is safe and painless, and uses sound waves to show in the inside of the body. Sound waves are transmitted from a probe into the body and collects the sounds that bounce back to create an image.

Fascial Manipulation

About Fascial Manipulation

Fascia is the connective tissue that connects our entire body. The fascial system is a complex network of connective tissues that run the entire length of the body and connect all of its parts together. Fascia is mobile, three-dimensional, intertwined, and a continuous web.

Performing Arts Medicine

About Performing Arts Medicine

Performing arts medicine is a unique specialized field that treats the injuries associated in the performing arts as seen in dancers, musicians, vocalists, etc. Performance related musculoskeletal conditions and disability are remarkably high, but artists often ignore symptoms. Performing arts medicine specialist help correct mechanical technique issues that are the root cause of performance related injury.

biodynamics of osteopathy

Expounding on the Biodynamics of Osteopathy

Integrity demands that we speak undiluted truth. We are always perfect beginners, inspired, awed, apprehensive and self-searching.” - James Jealous DO

Biodynamics is a manual therapy in the tradition of osteopathy in the cranial field. It uses the therapeutic tools of Primary, Dynamic Stillness, the Breath of Life, the tidal potency, fluids and other Natural Laws. The Tide is the primary source of diagnosis and treatment with time for rest, reflection and exercise. To learn more visit jamesjealous.com

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Fascia can be trained and strenghthened through strategic loading of fascia. 

viniyoga and meditation

The Role of ViniYoga and Meditation in Healing

Yoga is an ancient meditation practice using the influence of movement and body to influence the mind and spirit. Spiritual wellbeing is crucial to healing and is integral to optimal health. Viniyoga is a traditional form of yoga passed on through one-on-one mentorship.

To read more visit The Yoga Well Institute at yogawell.com.

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The content on this website is for educational purposes only and should not be used as a substitute for medical advice. Please consult with your healthcare provider prior to initiating any of these treatments.