Hormone Replacement Therapy

HORMONE REPLACEMENT THERAPY

Hormone replacement therapy begins with the best available hormone testing using some blood tests and some urine tests. For simple conditions, often a blood value is all that is needed. For more complicated conditions, the 24-hour urine testing can more comprehensibly assess hormone levels and hormone utilization in the body. You can learn about this testing at www.dutchtest.com.

Hormone replacement therapy can be provided safely and effectively if managed by experienced, trained, and certified health care personnel. At Relief Medical Group, Inc., patients have this highly effective treatment available for them as provided by trained and certified doctors and nurses. All programs are supervised and approved by Edmund Kemprud, MD, the medical director.

The goal is not to provide high doses of hormones that are unnatural to the body and can carry high risks, but to determine the needed doses of hormone topical creams to bring the blood laboratory values back to more normal and optimal physiological function levels. The doctors and nurses at Relief Medical Group, Inc. strive to return your hormonal levels back to a time where you were younger and did not suffer deficiency symptoms – not to raise your blood level to high medicinal levels for a desired effect that may come with increased health risks. Blood values are monitored to assess individual effects to hormone therapy to achieve optimal safe, effective, and more youthful levels of hormones.

When testosterone deficiency is present, men and women can complain of a loss of sexual desire, loss of muscle mass, loss of energy, and a lessened ability to concentrate. We can provide testosterone for you and any other supplements or medication that may be required for your individual needs to assure that you are optimally metabolizing this hormone.

When Estrogen and Progesterone are out of balance in women, sexual dysfunction including lubrication deficiencies, cramping, irregular menstruation, mood changes, and related symptoms can take place. Symptoms related to menopause are typically caused by a sharp decrease in Estrogen production can be alleviated with hormonal balancing in patients with deficiencies or imbalances of these hormones. We assess these conditions for you using blood and urine testing as needed, and may refer you to a OB/GYN or endocrinology specialist as required for your specific needs.

If patients have an abnormally low Growth Hormone level, they feel unusually fatigued, have accelerated skin aging, and can have difficulty benefiting from exercise to develop strength and muscle tone. While few patients require this therapy when compared to the more common low testosterone findings, this is available for those with substantial deficiencies that are interfering with optimal healthful functions.

Contact our office for more information.

Feel and Look Younger

The bad news is that aging is a natural process; and let’s be honest, nobody has figured out a way to stop it!

However, there are many safe and effective procedures available to you to help you look and feel younger. The passage of time, and therefore your actual age, is not what sometimes makes us look and feel old. It is the effects of aging, including wrinkles, hormone deficiencies, and dietary deficiencies that are the culprit for many that are feeling “old”.

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Acoustic Compression

ESWT

Also known as Shockwave Therapy (ESWT)

The Non-Invasive Solution for an Active Lifestyle™

Acoustic Compression, also known as Extracorporeal Shockwave Therapy, is now available at Relief Medical Group!

Many patients have reported excellent results with only seven in-office sessions. Anesthesia is not required! ESWT is the healing technology that ends incurable foot, shoulder, elbow, and other areas of pain without surgery!

ESWT is also an effective, non-invasive treatment for Erectile Dysfunction and Cellulite Reduction!

The full price for consultation, examination, any necessary x-ray, and the seven weekly sessions of ESWT is only $1175 (when paid in advance—regularly $1275)

Only Seven Sessions Required! Please contact us for more information or any questions you may have!

Download information about Therapeutic Advances in Urology 

 Shockwave treatment of erectile dysfunction   Treatment of Erectile Dysfunction with Piezowave
ESWT Treatment of Erectile Dysfunction with Piezowave
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ESWT has been used effectively worldwide to treat “insertional tendinopathies,” such as:

  • Heel Pain (Plantar Fasciitis)
  • Tennis Elbow (Lateral Epicondylitis)
  • Shoulder Calcifications (Calcific Tendonitis)
  • Achilles Tendonitis
  • Knees (Patellar Tendonitis)
  • See our cosmetic pages to learn how this same technology is used to remove CELLULITE

Millions of people suffer from pain caused by inflammation of tendons and other soft tissues attached to bones, commonly referred to as “insertional tendinopathies” or enthesopathies”.

How Does Extracorporeal Shockwave Treatment Work?

The widely accepted theory is that Extracorporeal Shockwave Treatment (ESWT) causes micro-trauma and controlled injury at the affected area, thereby leading to the formation of blood vessels (revascularization) which triggers the body’s natural healing process and repair mechanisms. The sound waves are also thought to release adhesions and scarring to help increase mobility and optimize healing. Studies have shown a 60-80% success rate in significantly reducing or eliminating pain.

What Happens Before, During and After ESWT Treatment?

BEFORE: Patients will be instructed to discontinue medication containing aspirin or non-steroidal anti-inflammatory medications (e.g. Motrin) for several days before treatment (and most likely for up to 10 days following treatment) unless otherwise instructed by the treating doctor.

DURING: Treatment typically lasts 10 to 30 minutes and is performed in the office without the need for anesthetic. We use a high quality, low-medium energy ESWT unit.

AFTER: Patients may experience discomfort in the treated area after the effects of anesthesia have subsided. Some bruising, swelling, and temporary numbness is normal and expected. In the days immediately following treatment, many doctors will recommend stretching exercises to maintain mobility.

Patients can then typically resume normal activity. Heel pain patients are recommended to use custom orthotics when they have hyperpronation (flat feet) to optimize healing of the planter fascia and prevent recurrences.

Healing is generally near complete at about twelve weeks after the completion of the treatment visits, although patients may continue to experience additional reduction in pain and increased capacities thereafter.

What are Alternative Treatments?

Most doctors will first pursue conservative treatment options to reduce or eliminate pain. Conservative treatment may include such measures as rest, non-steroidal anti-inflammatory medications (NSAIDs), over-the-counter pain relievers, physical therapy, and orthotics (for heel pain). ESWT should be tried before cortisone injections, since injections increase the chances of tendon ruptures. Doctors will usually recommend ice, physiotherapy, exercises, and orthotics (heel lifts) prior to considering more aggressive approaches. However, when conservative treatments have failed, ESWT is increasingly being used to avoid traditional invasive surgery. Acoustic Compression is a more aggressive, more effective, and yet still conservative management for the conditions shown above.

Is This Treatment Right for Everyone?

You should speak to Dr. Cremata DC about your specific needs to see if Extracorporeal Shockwave Treatment is right for you. ESWT is not recommended for use on pregnant women, children, anyone with a pacemaker, or anyone on anti-coagulant therapy, or who has a history of bleeding problems.

How Do You Get Treatment?

Call Dr. Cremata, DC about your specific medical condition to see if Extracorporeal Shockwave Treatment (ESWT) is right for you.

The full price for consultation, examination, any necessary x-ray, and the weekly sessions of Acoustic Compression (Shockwave) is $995.00 (reg. $1195.00) when paid in advance. ONLY SEVEN VISITS REQUIRED!

Dr. Cremata, DC can provide additional complimentary medical treatments as needed. Informatios

Pain Relief and Pain Management

 

Control of your pain is very important for your comfort, ability to sleep well, take care of yourself and your family, perform your job duties, etc.

At Relief Medical Group, we can provide you with prescription and non-prescription options to relieve your pain while you are undergoing treatment to improve the cause of your pain. We can dispense or prescribe various topical creams, anti-inflammatory agents, muscle relaxants, and other appropriate medications. When necessary for acute and severe pain, we can deliver these medications to you by injection for a rapid effect.

The ultimate goal is to improve your underlying condition enough so that you don’t need prescription medication for very long. The more conservative options of a topical medication cream as opposed to oral medication helps to prevent the dangerous and sometimes avoidable adverse effects from medications, such as stomach problems like ulcers, liver problems, or kidney toxicity.

Spinal and Joint Approaches

DESIGNED ESPECIALLY FOR YOUR SPECIFIC NEEDS AND DESIRES

Have you visited one or more medical doctors, chiropractors, physical therapists, athletic trainers, acupuncturists, or other providers looking for relief of your spine and joint problems, but still have problems?  

At Relief Medical Group we are pleased to provide you with the most comprehensive, scientifically-based, multi-disciplinary approaches to relieve your spinal and joint pain with techniques and procedures that don’t just relieve pain, but actually address the cause of your condition. We have very effective treatment procedures available to you all under one roof.

All of our spinal and joint pain and rehabilitation programs are provided under the direction of Dr. Cremata. These services may be reimbursable under the medical coverage portion of your insurance.

First, our multifaceted group of available treatment programs are designed specifically to address your health goals – we don’t offer you too much or too little treatment, since we work for you and are here to help meet your specific pain relief and spinal/joint correction goals. Some might need medications that we can provide, but the emphasis is on addressing the cause of your problems:

  1. If you have joint restrictions, specific, safe, and effective spinal manipulation techniques will be provided.
  2. Rehabilitative exercises will be prescribed and supervised to address your specific needs.
  3. Massage and myofascial release techniques are used when needed.
  4. Injection techniques, such as dry needling, can be used to address trigger points that do not respond to more conservative manual methods. 

For very chronic and difficult problems, when adhesions and scar tissue are not adequately reduced with conventional approaches, the following three specialized techniques are available:

  1. Instrument myofascial release, similar to the Graston technique is available when needed.
  2. ESWT (Extracorporeal Shockwave Treatment) , also referred to as Acoustic Compression, is a highly effective specialized technique used to release adhesions and stimulate the body’s healing properties.
  3. Fibrosis Release Procedures, Including Manipulation Under Anesthesia are very effective procedure to release joint adhesions and improve motion. This procedure is nearly 100% effective for frozen shoulder syndrome (adhesive capsulitis), and approximately 70% effective in addressing the more serious neuromechanical lesions in the spine, where in-office procedures have not been effective. This manual, non-surgical procedures gently releases adhesions that are reducing joint mobility and allow for proper healing of the previously restricted areas with more optimal motion. See the current guidelines for MUA at this link MUA Guideline. For those wishing to review research on this subject, go to this link [MUA studies].

 

Four Core System

FeelBetter

FeelBetter

  • We’ll correct the cause of your symptoms using spinal adjustments as needed.
  • We’ll customize a personalized strength and rehabilitation programWe’ll give you fast relief of your symptoms by combining necessary medications, massage, and other effective treatments.
  • Specific to your needs.
  • We’ll provide supportive care including our own Optimal Preventative Supplement.

2FunctionBetter

  • Doctor supervised weight loss programs.
  • Bio-Identical Hormone Replacement Therapy.
  • Easy to implement lifestyle changes for a longer, healthier life.
  • Programs that reduce your risk of developing heart disease, cancer, and diabetes.
  • Acoustic Compression (ESWT) treatment for Erectile Dysfunction to address the cause of the problem.

3LookBetter

  • Look 5 to 10 years younger with our ‘Rewind’ programs.
  • Botox, Xeomin, Juvederm, and Kybella to reduce wrinkles, rejuvenate your face, and remove chin fat.
  • Cellulite reduction using painless acoustic compression.
  • Lose weight quickly and safely.

4LiveBetter

  • With our Four Core System, you can choose any or all of it and we’ll customize a program just for you!
  • You’ll feel, function, and look better than ever with our specific approaches to prevent premature aging, provide pain relief, long-term weight management, hormonal balancing, nutritional supplementation, and much more.
  • You’ll live longer, healthier, and significantly reduce your chances of developing many diseases.

Let Us Help You Get Started on a New You Today!

Contact Us