Back Pain
The spine is a wondrous network of bones, discs, facet joints, ligaments, spinal nerves and muscles, all combined and connected in an incredibly complex way to provide both stability and wide range of movement. The spine is actually a series of joints, joints that sometimes need help functioning as they are intended. Keeping this system mechanically aligned and held snuggly together allows for healthy function and pain-free movement. When optimal function is compromised, spasms, tightness, and pressure on nerves result.
Many episodes of low back pain pass within a few weeks to a month (acute episode). However, individuals with continuous pain lasting 8 weeks or more after onset (chronic episode) will often have symptoms at 1 year. Pain doesn't always develop immediately following an injury because the body is good at adapting to strains and stress. However, the injured area will cause strain to build up over time and eventually symptoms will develop. This is why injuries from the past can still cause current pain. Symptoms can include muscle ache, shooting or stabbing pain, pain that radiates down leg or arm, limited flexibility.
Osteopathic Manipulation
Osteopathic Manipulative Treatment (OMT) focuses on correcting mechanical dysfunction. Structural integrity allows these complex joints to function as they were designed, reducing irritation, inflammation and pain. Healthy function improves blood flow to nourish tissue and further reduce inflammation. Strain on surrounding body tissue caused by compensation is reduced preventing further complications. OMT addresses the root biomechanical causes of injuries and conditions to alleviate pain and restore optimal function of the body.
Osteopathic Manipulative Therapy (OMT) helps to:
- Correct structural and tissue abnormalities in vertebrae, muscles, myofascial structures, etc.
- Relieve joint restriction and misalignment
- Restore muscle and tissue balance
- Promote the movement of bodily fluids
Look well to the spine for the cause of diseases. -Hippocrates
Dr. Minotti is brilliant. I was due to schedule rotator cuff surgery. He was able to heal my shoulder. No surgery and no downtime. Recently I had an angry wrist and Dr. Minotti was able to heal it quickly. They are amazing!!!! Autumn Cundiff
Excellent experience! The staff and Dr. Minotti are all friendly, helpful, and knowledgeable. I received PRP Therapy in both knees and have noticed significant improvement in daily movement and functionality. Highly recommend. Charity C
I'm writing this review on behalf of my mom who is a patient here. She raves about Dr. Philip. She had gone in for frozen shoulder and back pain, and is currently undergoing OMT (osteopathic manipulative therapy). After a few treatments, she experienced significant improvements, and she attributes them to “Dr. Philips magic hands”. Not only is he kind and intelligent, but it is very evident that he genuinely cares about his patients. Bottom line: I would highly recommend Dr. R Philip. Maryam
Dr. Minotti is a miracle worker, besides being a very kind and humble doctor. After receiving my PRP treatment one year ago by him and healing for a few months, my back pain has regressed to what it was 10 years ago, which is pretty much nothing!! So not only did he fix my current problem, with his advice, my back is even stronger now. I don't even give walking or standing for hours a second thought these days. Just prior to my PRP treatment, sometimes I couldn't walk for more than 5 minutes without my sciatica pain causing me to sit or bend down to get relief. I was scared of most chairs as well. I can't say enough good things about Dr. Minotti, as well as his wonderful and patient staff!! Susie Shankwitz
Dr. Philip's work in OMT has not only helped to relieve neck pain I had dealt with for years, it is obvious he truly cares for the well-being of his patients through his careful listening and willingness to offer recommendations and guidance. Jennifer F
Dr Minotti and staff have been helping my patients for years with regenerative medicine therapy. All have had a fabulous experience, I guess fate had it that it was finally my turn. 10 years ago I had a knee injury that I never sought attention for - young, broke, ignorant I just kept on keeping on. Well, a few weeks back it finally said enough is enough. After my consultation, I got an MRI and we had a discussion about the best procedure to help my knee heal. I just completed my first treatment with him, and while tender in some areas, I have hope for the first time in years that my knee might actually get back to being normal. Thank you Dr Minotti and staff for being an incredible team. I am blessed beyond measure with the service you provide. Joey Kramer
No more pain, 10000% recommend Dr. Philips. David B
Significant difference in my strength after the treatment!! I wasn't sure how much difference the prp could make, but I thought worth a try. I would have been pleased with half the improvement I received. I'm amazed at the difference 8 weeks after treatment. Dr Minotti is more like a super smart brother, that answers questions in a friendly manner, the way only experts can!Michele I
Dr. Philip has been awesome in helping me heal through several different joint issues. He is very kind and has a great bedside manner as well as being thorough and knowing his stuff! Highly recommend! Kim L
I had struggled with pain in my shoulder as well as low back, hip/sacral area for several years before meeting Dr. Minotti.I had spent quite a bit of time, enegy and financial resources on visits with other doctorsand chiropractors before meeting the team at North Texas Musculoskeletal. I consider myself to be a pretty active inliidual and was very disappointed that I was having to refrain from many types of activities that I enjoyed because the pain was so limiting. It even got to a point where picking up my infant was nearly impossible at times. After treatment with PRP, I was able to slowly ease back into normal exercises and activities that I had missed. I have such high regards for Dr. Minotti and recommend PRP to many that are suffering from pain and would like a more natural approach where our own body can do as it was designed and help heal itself.Charity B.
Dr Philip and then NTXMSK team are awesome. From the initial evaluation and follow up my foot pain was resolved. A therapeutic approach that works. Joseph DAmore
Significant difference in my strength after the treatment!! I wasn't sure how much difference the prp could make, but I thought worth a try. I would have been pleased with half the improvement I received. I'm amazed at the difference 8 weeks after treatment. Dr Minotti is more like a super smart brother, that answers questions in a friendly manner, the way only experts can! Michele I
I am so grateful for Dr. Minotti and his staff! After 10 years of dealing with a painful musculoskeletal injury, Dr. Minotti‘s prolotherapy has made an incredible difference in my life. His skill in how he administers treatment is wonderful — gentle, effective, and always making it as comfortable as possible. Thank you, NTXMSK! Anna F
I have had shoulder pain for 10+ years and was recently told that I'd need a complete shoulder replacement. A friend recommended that I see Dr Minotti before doing any surgery. Thankfully, I did. Dr Minotti did PRP on my right shoulder 8 weeks ago. The whole thing only took about an hour and was relatively painless(a few injections). My shoulder feels better than it has in 10 years. I still have a small amount of pain but NOTHING like before the PRP. He also said that it will continue to get better for another month or so. I couldn't be happier with the results and I would HIGHLY recommend anyone see him if you're having joint pain. Dr Minotti is a lifesaver for me!Rick T
Dr. Philip is seriously amazing! I came in with ongoing back pain I had since almost 10 years ago that just wouldn't go away. It got worse ever since I had my baby but after working with him, I finally got real relief. His OMM skills are on a whole different level. He was super gentle but effective, and I left the appointment feeling so much better than I had in a long time. You can tell he genuinely cares about helping his patients heal, not just treating the symptoms. I'm so thankful I found him and would recommend him to anyone dealing with pain or tension. I feel like a completely different person when I walked out of the clinic and I'm so excited to go back next month! Esther B
Dr Minotti answered my questions in a way that easy to understand. The procedure went exactly as described and the results are excellent. My knee is pain free for the first time in a long time.Lance G
I cannot say enough positive things about this provider. After nearly 16 years of chronic pain due to a stress fracture that rubbed on my Achilles tendon, I finally found relief! ONE treatment of Platelet Rich Plasma solved this issue.Regenerative Orthopedics should be the best practice standard!! Thank you, Dr. Minotti!Teresa C
They are wonderful! They have helped my daughter so much with numerous soccer injuries, both knee and back. Highly recommend! Leah
Best experience I have had with any physician. Not only did he listen , but he took steps to positively address my issues.
ABSOLUTELY the very best in his field. A God send to me. Dr. Minotti has helped me more than any other physician I have consulted with regarding my pain level.
Regenerative Orthopedics
We often forget that our spine is a series of joints, each susceptible to joint damage. With strain, or even just life, ligaments holding the vertebrae together can become lax. Muscles weaken, creating less spinal stability. The spine is no longer able to hold in place the protective discs between vertebrae. Surrounding tissue becomes inflamed, causing further joint damage. Medical research has discovered ways to maximize the oldest form of healing: your own body. By understanding how the healing process actually occurs, physicians are able to enhance the natural physiologic process of cell replacement.
Ligaments in the back, as elsewhere in our body, are designed to handle a normal amount of stress that will stretch them to their natural limit. Once the stress is removed, the ligaments will return to their normal length. When excess stress is applied, stretching the ligament beyond its natural range of extension, the ligament will not return to its normal length. Instead, it will remain permanently “over-stretched," diminishing its ability to hold the vertebrae in their proper place. Such a condition is called “ligament laxity.” Regenerative procedures can strengthen the connecting tissues to make the spinal column more stable, reducing friction and inflammation that cause back pain and often lead to osteoarthritis.
Healthy function of joints is controlled by mesenchymal stem cells that regulate replacement of damaged cells, modulate inflammation, and stimulate cell growth. Mesenchymal stem cells are able to differentiate into multiple forms of musculoskeletal tissue, such as bone, cartilage, tendons and ligaments. When the balance between the supply of new cells is adequate to maintain healthy function, the body is in homeostasis. However, imbalance in this function leads to degeneration of tissue, such as osteoarthritis. Read more.
Orthopedic Procedures
Platelet Rich Plasma (PRP), Prolotherapy, and Stem Cell Therapy are regenerative procedures that help heal collagenous tissue, such as tendons, ligaments, and cartilage.
Natural forces within us are the true healers of disease. ―Hippocrates
Cervical Spine Pain Decrease After Regenexx Procedure
Cervical pain decrease:
Prior to receiving treatment, patients report average pain of 4.7/10. One month after treatment, pain levels decrease to an average of 3.2/10, a decrease of 32%. The questionnaire used is the Numeric Pain Scale (NPS).
Cervical function improvement:
Prior to treatment, patients report being limited to an average of 54% of their optimal function. After receiving treatment, they report averages up to 75%. The functional questionnaire represented here is the Functional Rating Index (FRI).
Lumbar Spine Outcomes
Lumbar pain decrease: Prior to receiving treatment, patients report average pain of 4.7/10. One month after treatment, pain levels decrease to an average of 3.3/10, a decrease of 30%. The questionnaire used is the Numeric Pain Scale (NPS).
Lumbar function improvement:
Prior to treatment, patients report being limited to an average of 50% of their optimal function. After receiving treatment, they report averages up to 72%. The functional questionnaire represented here is the Functional Rating Index (FRI).
Orthopedic Procedures
Platelet Rich Plasma (PRP), Prolotherapy, and Stem Cell Therapy are regenerative procedures that help heal collagenous tissue, such as tendons, ligaments, and cartilage. Ligaments in the back, as elsewhere in our body, are designed to handle a normal amount of stress that will stretch them to their natural limit. Once the stress is removed, the ligaments will return to their normal length. When excess stress is applied, stretching the ligament beyond its natural range of extension, the ligament will not return to its normal length. Instead, it will remain permanently “over-stretched," diminishing its ability to hold the vertebrae in their proper place. Such a condition is called “ligament laxity.” Regenerative procedures can strengthen the connecting tissues to make the spinal column more stable, reducing friction and inflammation that cause back pain and often lead to osteoarthritis.
Natural forces within us are the true healers of disease. ―Hippocrates
Regenexx is a world-wide network of select, highly skilled physicians who are specially trained in interventional procedures for orthopedic conditions. Regenexx provides the world's most advanced, research-driven, regenerative orthopedic procedures in North America, Europe, the Middle East, Asia and Australia. Specializing in advanced non-surgical procedures for joint Injuries, osteoarthritis, and other orthopedic conditions, Dr. Minotti brings these procedures to you!
If you have back pain, platelet rich plasma therapy may help. It uses parts of your own blood to help your body heal itself. PRP can help your back feel better and work better.
To determine if Regenerative Orthopedics will be helpful for you, please tell us about your condition.
Common conditions causing back pain
Ligament strain. Injury occurs when ligament tissue is over-stretched or torn, resulting in damage to the ligament fibers (tough, fibrous tissues that connect the bones together). A strain that occurs in the lumbar region of the back is referred to as a lumbar strain. Ligament laxity of overstretched tissue results in mechanical dysfunction and inflammation of surrounding tissue. Muscles and tissue surrounding the strain will attempt to compensate for the instability. These conditions lead to back spasm that can cause both severe lower back pain and difficulty moving.
Bulging or ruptured discs. Discs act as cushions between the bones (vertebrae) in the spine. The soft material inside a disc can bulge or rupture and press on a nerve. However, a bulging or ruptured disc can occur without back pain. Disc disease is often found incidentally during spine X-rays given for another reason.
Spinal stenosis. Spinal stenosis is narrowing of spaces in the spine, causing pressure on the spinal cord and nerves that travel through the spine to the arms and legs. Most cases occur in the lumbar region of the back and are often caused by the wear and tear related to osteoarthritis.
Skeletal irregularities. Back pain can occur if the spine curves abnormally. Scoliosis, a condition in which your spine curves to the side (laterally), also may lead to back pain, but generally only if the scoliosis is severe.
Irritation of large nerve roots that travel to the legs
Irritation of smaller nerves in lower back
Sprain. Tendons attaching the muscles to bones and can become sprained with excess force resulting in a sprain. The large paired lower back muscles (erector spinae) can also become sprained, often resulting in small tissue tears.
Degenerative disc disease. Narrowing of the discs between vertebrae causes compression of the nerves extending through the vertebral canal often resulting in tissue degeneration.
We Can Help
To learn more about what we can do to help with your condition, call our office at 817-416-0970. We will thoroughly diagnose your condition and present you with treatment options. From there we will guide you along your road to recovery.