Dr. Roman Elinson, MD

Regenerative Orthopedic Medicine
&
Interventional Pain Management

About

Regenerative Orthopedic Medicine

Regenerative orthopedic medicine is a groundbreaking field that harnesses the body's own healing power to restore function and repair damaged tissues, particularly in joints, muscles, tendons, nerves and ligaments. The regenerative orthopedic approach uses minimally invasive techniques like stem cell therapy, platelet-rich plasma (PRP), prolotherapy and nerve hydrodissection to stimulate natural regeneration at the cellular level. These treatments aim to not just alleviate pain, but to renew the very structures that support movement and vitality.

Platelet-Rich Plasma (PRP)

Platelet-rich plasma (PRP) is a treatment that uses the body’s own healing elements to repair and rejuvenate damaged tissues. By concentrating the platelets found naturally in your blood, PRP delivers a potent blend of growth factors directly to injured areas, accelerating the repair process. PRP has the ability to reduce inflammation, promote tissue regeneration, and enhance recovery.

Prolotherapy

Prolotherapy is a regenerative treatment that uses a concentrated dextrose-based solution to stimulate the body’s healing response in injured or weakened areas. When injected into damaged ligaments, tendons, or joints, prolotherapy triggers the body's natural wound healing cascade to send growth factors and repair cells to the site of injury. This process strengthens the tissues over time, restoring stability and reducing pain.

Nerve Hydrodissection

Nerve hydrodissection is used to treat chronic pain or nerve entrapment syndromes by separating and relieving pressure on a nerve from surrounding tissues. This technique involves injecting a solution, typically a mixture of saline, dextrose, and/or local anesthetic, under ultrasound guidance to create a fluid layer around the nerve. This helps to "release" the nerve from adhesions or scar tissue, reducing inflammation and restoring normal function. Common use cases for nerve hydrodissection include carpal tunnel syndrome, ulnar nerve entrapment, thoracic outlet syndrome, and chronic pain conditions resulting from nerve irritation or compression.

Dr. Roman Elinson, MD, CCFP, FCFP, FAAOM, CMLE

Dr. Roman Elinson completed his Doctorate of Medicine from the University of Toronto and his residency training in Family Medicine at the University of British Columbia. He has practiced medicine in a diverse range of environments, including rural family medicine, ER and hospitalist medicine, and international medical work.
Since 2017, Dr. Elinson has focused his practice on Interventional Pain Management. He has undergone extensive training in ultrasound guided Regenerative Orthopedic Medicine and has earned the designation of Fellow of the American Academy of Orthopaedic Medicine (FAAOM).

Book a consult

Painless Medicine & Therapeutics Clinic

55 York Street, Suite 601, Toronto, ON
T: 647-352-2862
F: 647-352-2672
e: [email protected]
www.painlessmedicine.ca

FAQ

Q: WHAT CONDITIONS CAN BE TREATED?
A: Most conditions that involve joints, tendons, ligaments and nerves can potentially be treated. Common conditions include knee arthritis, chronic back pain, rotator cuff tears in the shoulder, chronic ankle sprains, tennis elbow, hand and wrist arthritis, TMJ dysfunction, Carpal Tunnel Syndrome, etc. PRP can also be used for cosmetic treaments, such as facial PRP to rejuvenuate the facial skin, and PRP for hair loss.
CLICK HERE FOR A COMPREHENSIVE LIST OF CONDITIONS TREATED WITH REGENERATIVE MEDICINE.Q: ARE THE TREATMENTS COVERED?
A: Most regenerative orthopedic treatments are private pay, but some may be covered or partially covered by third party insurance plans.Q: HOW QUICKLY DO THE TREATMENTS WORK?
A: Response time is variable. Some people feel better within 1-2 weeks, while others can take months. It depends on many factors, including the nature of the pathology, the overall health of the patient and many other factors.Q: HOW MANY TREATMENTS ARE NEEDED?
A: This also depends on many factors. Some people do well after a single treatment, while others require multiple treatments to achieve optimal recovery.

Q: DO I NEED A REFERRAL TO BE SEEN?
A: A referral is generally required for an initial consultation.Q: I'VE HAD PRP BEFORE AND IT DIDN'T WORK. WHY NOT?
A: Not all PRP treatments are created equal. Important variables include the PRP concentration (sometimes a low concentration is not effective), the target site (it is important to target the correct structures that contribute to the pathology), the baseline health of the patient, if the patient is taking certain medications, and other variables. Also, some people require more than one treatment to achieve proper recovery.Q: IS THERE ANY EVIDENCE FOR REGENERATIVE TREATMENTS?
A: At this point there is a wealth of high quality scientific evidence for the efficacy of regenerative orthopedic treatments for many pathologies.
CLICK HERE FOR SOME RESOURCES ON PRP & PROLOTHERAPY

Conditions Treated with Regenerative Medicine

Head and Neck
- TMJ (Temporomandibular Joint) Dysfunction
- Cervical disc degeneration
- Whiplash-associated injuries
- Migraine and tension headaches (if related to cervical spine or muscle dysfunction)
- Cervical instability
- Chronic neck pain from ligament laxity
- Occipital neuralgia
- Trigeminal neuralgia
- Cervical nerve root entrapmentShoulder
- Rotator cuff tears (partial thickness)
- Tendonitis (e.g., supraspinatus or subscapularis)
- Biceps tendonitis
- Shoulder osteoarthritis
- Glenohumeral instability
- Chronic shoulder pain due to ligament or joint laxity
- AC (acromioclavicular) joint instability
- Suprascapular nerve entrapment
- Axillary nerve compressionArm/Hand
- Tennis elbow (lateral epicondylitis)
- Golfer's elbow (medial epicondylitis)
- Carpal tunnel syndrome
- De Quervain's tenosynovitis
- Hand or wrist arthritis
- Elbow instability
- Chronic wrist pain from ligamentous laxity
- Thumb or finger joint instability
- Median nerve entrapment (e.g., carpal tunnel syndrome)
- Ulnar nerve entrapment (e.g., cubital tunnel syndrome)
- Radial nerve entrapmentSpine
- Facet joint syndrome (cervical, thoracic, lumbar)
- Intervertebral disc degeneration
- Sacroiliac (SI) joint dysfunction
- Spinal ligament instability (cervical, thoracic, lumbar)
- SI joint instability
- Piriformis syndromeLower Extremities
- Patellar tendinopathy
- Quadriceps tendinopathy
- Hamstring injuries
- Knee osteoarthritis
- Achilles tendinopathy
- Plantar fasciitis
- Hip labral tears
- Hip osteoarthritis
- Knee ligament laxity (e.g., ACL, MCL, PCL)
- Chronic ankle instability
- Metatarsal or toe joint instability
- Femoral nerve entrapment
- Sciatic nerve compression
- Peroneal nerve entrapment
- Tarsal tunnel syndrome

Painless Medicine & Therapeutics Clinic

55 York Street, Suite 601, Toronto, ON
T: 647-352-2862
F: 647-352-2672
e: [email protected]
www.painlessmedicine.ca