Why Choose ESMI?
Who We Are
ESMI is a non-surgical sports medicine practice and we aim to help you reach your goals without orthopedic surgery. If you have a condition that requires orthopedic surgery, at ESMI we will always advise you of this immediately and discuss with you all treatment options and likely outcomes.
ESMI involves you in the decisions about your sports medicine care. We encourage a more integrated approach in which we endeavor educating you about your condition and seek your personal input in determining the most suitable sports medicine plan of care for you. We hope you enjoy your experience at ESMI with our caring and honest way of providing best of care for your needs.
Concussions are mild traumatic brain injuries that can occur with a blow to the head or a quick rotational injury to the head and neck. In these cases the brain, which is floating in your skull, continues the original motion it was in and hits the inside of the skull causing a “coup” hit. The brain then bounces off that side and reverses direction causing sometimes a second hit on the opposite wall of the skull called the “counter coup” hit. Concussions can occur in everyday life, accidents, and with sports. The most common sports for concussions are football, soccer, and cheer leading, but can happen at any time in any sport. It is very important to understand the signs and symptoms of a concussion and to pull your child from sports if one is suspected. Some of the common symptoms for a concussion after the insult are: headaches, dizziness, fogginess, concentration issues, memory loss, photophobia (sensitivity to light), phonophobia (sensitivity to sound), fatigue, insomnia, confusion, ringing in the ears, nausea, slurred speech, irritability. Having your “bell rung” probably means you had a concussion and should be thoroughly evaluated by a sports medicine physician who understands concussion. At ESMI, we have a detailed program for rest, treatment, clearance and return to exercise and sports. Our goal is always to get our patients back to normal activities and sports ASAP but in a safe manner. As there is a lot that is not known about concussions and long term effects, we need to be a bit cautious about them. We use not only in office testing but a computerized test as tools in return to play. It needs to be noted that the computer test does not determine exclusively when you go back to sports but must be administered by a trained professional and used ONLY as a tool in the whole picture for each case. We have baseline testing (which should be done once a year in growing kids) at ESMI which we can do in the office. We would also do follow up testing on the visits. Dr. Mody has a return to play protocol that is aggressive and in line with the current standards of concussion treatment.
Platelet Rich Plasma (PRP) and is a cutting edge treatment that has many applications. The basis of PRP is to use a patient’s own blood components to help heal damaged tissue. This is done by the PRP stimulating a recruitment of white blood cells, platelets and growth factors after injected. Naturally when there is damaged tissue in the body, our blood will recruit platelets other cells to help with the healing process. At ESMI, we can concentrate the platelets which a lot of growth factors and inject them directly into your injured muscle, tendon, ligament to create a faster and more powerful healing response. To prepare PRP, a small amount of blood is taken from the patient. The blood is then placed in a centrifuge and spun and then through a multi-functional process separates the plasma from the blood producing the PRP. This increases the concentration of platelets and growth factors up to 500%. When PRP is injected into the damaged area it stimulates the tendon or ligament causing mild inflammation that triggers the healing cascade. As a result new collagen begins to develop. As this collagen matures it begins to shrink causing the tightening and strengthening of the tendons and ligaments of the damaged area. While injecting the PRP, Dr. Mody also uses a technique while his needle is inside the tendon to help stimulate the healing response as well as scrape through scar tissue. All PRP injections should be done under ultrasound guidance so that the physician can see where the needle is at all times within the body. The injections do not want to be placed in the wrong location. At ESMI, we use PRP for tendon injuries such as recurring tennis elbow, Achilles tendons, patellar tendons, and partial rotator cuff tendon tears. It can also be used for muscle tears and ligament injuries which are not healing well on their own. Plantar fasciitis can also be treated with PRP. Though the published data is still limited on the use of PRP for these types of injuries, we have had great success with the injections when used in appropriate cases. Call our office today to have a consultation with Dr. Mody to see if PRP is appropriate for your case.
Recent advances in high-resolution ultrasound imaging offer new opportunities for improving the care of patients with orthopedic and sports medicine injuries. Just as ultrasound has been used for many years in looking at fetuses in pregnant women, ultrasound uses sound waves to provide real-time, high-resolution images of tendons, ligaments, muscles, and nerves throughout the body. Ultrasound offers us high quality images that are equal to or can be better than MRI images. It is much more cost effective as well and can be done right in the office on a patient visit for immediate results without the hassle of getting prior authorization or making separate appointments at MRI facilities. The other advantage that diagnostic ultrasound has over MRI or CT scans is that they are done live and are dynamic so Dr. Mody can watch movement of muscles, tendons, bones that patients feel are snapping or popping. If a patient has more pain in a specific position, Dr. Mody can use the ultrasound to watch the anatomy as the patient goes from neutral position to the position of interest in order to come up with a more specific diagnosis. Ultrasound has also changed the way injections are done and Dr. Mody does all of his injections under guidance. “With ultrasound, there is no reason to do an injection blind and guess at where the needle is placed, as I can now see exactly where I want to place the needle and inject only when I am in the correct location. It has changed the way I do injections and improved accuracy of injections.” – Dr. Mody Dr. Mody has been formally trained and is a skilled in the use of ultrasound to diagnose and treat injuries of the muscles, tendons, ligaments, and cartilage. He is also skilled in using the ultrasound for his injections. He uses the monitor to show patients the pathology of the injury, where he will place the needle and then shows the patients that the needle is in the correct location before injecting.
What Our Patients Say
5-Star Google Review
5-Star Google Review