Physical Medicine


What is Physical Medicine?

Physical medicine works with biomechanical disorders aimed to enhance and restore functional ability and quality of life to those with physical impairments or disabilities affecting the brain, spinal cord, nerves, bones, joints, ligaments, muscles, and tendons. While other medical specialties are focused on a medical “cure,” the goal of physical medicine is to maximize patients’ independence in activities of daily living and improve quality of life. At Balance Wellspace, we utilize cutting-edge as well as time-tested treatments to maximize function and quality of life for our patients.

Why is physical medicine an integral part of care in our office?

At Balance Wellspace, a Nurse Practitioner uses their physical medicine skills to thoroughly assess your condition, needs, and expectations and rule out any serious medical illnesses to develop a treatment plan tailored to the patient’s needs. By achieving a clear understanding of your condition and limitations, you and your Balance Wellspace team can develop a treatment plan suited to your unique needs.

Services offered within Physical Medicine in our practice:

  • Trigger Point Injections

A Trigger Point is a hyper-irritable spot and /or a palpable nodule in the bands of the skeletal muscles' fascia. Direct compression or muscle contraction can elicit local tenderness and referred pain - which usually responds with a pain pattern distant from the spot. Many know these spots as “knots”.

Trigger point injections (TPI) are injections of anesthetic into these spots, which releases the inflammation and immobility, allowing for improved movement of the muscle group. Trigger joint injections are useful for the treatment of muscle pain, fibromyalgia, myofascial pain disorder, and tension headaches.

Trigger point injections have very little risk. Common risks may be bleeding at the site and temporary numbness at the site. Infection risks are very low. TPI’s can be performed at low cost to the patient and are useful in the rehabilitation process.


  • Traumeel Injections

Inflammation is your body’s natural response to an injury. The inflammatory process naturally begins when cells are injured by a rush of white blood cells and their substances to heal the damaged cells. This is demonstrated by the presence of redness, pain, and swelling at the site of injury. The body may respond too aggressively in some cases, causing an excessive amount of inflammation to develop. When this exaggerated healing response occurs, it can prevent the damaged area from healing properly – leading to long-lasting pain and symptoms. The initiation of Traumeel therapy in the rehabilitation process greatly improves outcomes for healing.

Traumeel is a natural blend of botanical and mineral extracts with the potential ability to neutralize this inflammation, allowing your body to heal properly. Traumeel injections are natural, extremely safe, and produce little to no side effects. Traumeel is a safe alternative to corticosteroids, which have been found in recent studies to produce more dangerous side effects and accelerate the degradation of joints and cartilage.

Traumeel has shown great benefit for the following conditions:

  • Chronic joint pain
  • Chronic lower back pain
  • Pain after surgery
  • Bursitis
  • Minor arthritis
  • Sports injuries
  • Trauma
  • Ligament, tendon and muscle tears
  • Sprains and strains
  • Tendinitis
  • Knee pain


  • Platelet-Rich Plasma (PRP) Injections:

As science and medicine have progressed in recent years, doctors have learned that the body can heal itself. Platelet-rich plasma therapy is a form of regenerative medicine that uses these abilities to amplify the natural growth factors of your body to heal tissue.

What is plasma and what are platelets?

Plasma is the liquid portion of whole blood. It is composed largely of water and proteins, and it provides a habitat for red blood cells, white blood cells, and platelets to circulate through the body. Platelets, also called thrombocytes, are blood cells that move to a site of injury, where they adhere to the tissue and form a surface that promotes vascularization to the injury, as well as tissue generation and formation.

Platelet activation plays a key role in the body's natural healing process.

What is platelet-rich plasma (PRP) and what are PRP injections?

Platelet-rich plasma (PRP) therapy uses injections of a concentration of a patient’s own platelets to accelerate the healing of injured tendons, ligaments, muscles, and joints. By this process, PRP injections use each individual patient's own healing system to improve musculoskeletal problems.

PRP injections are prepared by taking anywhere from one to a few tubes of your own blood and running it through a centrifuge to concentrate the platelets. These activated platelets are then injected directly into your injured or diseased body tissue. This releases growth factors that stimulate and increase the number of reparative cells your body produces. Ultrasound imaging is used to guide the injection.

Platelet-rich plasma has been found to significantly amplify the healing process and is becoming more common for the treatment of injuries to the ligaments, tendons, muscles, and joints.

Some of the key advantages of PRP injections are that they can reduce the need for anti-inflammatories or stronger medications like opioids. In addition, the side effects of PRP injections are very limited because, since the injections are created from your own blood, your body will not reject or react negatively to them. Common side effects are pain at the site of injection, or redness at the injection site.

PRP has shown great benefit for the following conditions:

  • Shoulder:

    • Rotator cuff tendonitis
    • Impingement
    • Bursitis
    • Bicipital tendonitis

  • Wrist and hand:

    • DeQuervain’s tenosynovitis
    • Tendinitis
    • Ligament tears

  • Elbow:

    • Tennis elbow
    • Golfer’s elbow

  • Hip:

    • Iliotibial band tendinitis (ITB Syndrome)
    • Ilio-psoas tendinitis and bursitis
    • Greater trochanteric bursitis
    • Sacroiliac joint dysfunction

  • Knee:

    • Patellar tendonitis
    • Partially torn or strained major knee ligaments (LCL/MCL)

  • Ankle and foot:

    • Achilles tendonitis
    • Peroneal tendonitis
    • Recurrent ankle sprains
    • Other foot or ankle tendonitis

  • Neck and back:

    • Facet joint arthritis
    • Rib problems.
Balance Wellspace
125 Rampart Way, Suite 300
Denver, CO 80230
Phone: 720-208-9057
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