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June 28, 2018
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Medical Needling or Collagen Induction Therapy


How It Works


The principle behind Medical Needling is simple: to stimulate the body's own production of collagen. This is accomplished by causing a minute injury to the dermis, which results in the start of the wound healing cascade. The instrument is a sterile roller comprised of a series of fine needles which are used to puncture the skin and cause wounds and inflammation. These wounds, and there are thousands, produced by rolling the instrument across the treated area, become the focal point for the body to produce its own collagen, even in peri- and post-menopausal women. As the body is producing its own natural collagen, there is no rejection. Results last as long as the body's own collagen—5-10 years or more.




Results can take three to nine months to fully appear as the body takes time to generate new collagen. The patient, however, sees continual improvement. The procedure takes from ten minutes to over an hour, depending on the area to be treated. The patient must be anesthetized, usually by topical cream. A crucial part of the treatment is the preparation of the skin prior to the procedure with topical vitamins A and C. This significantly reduces down time and patient discomfort. It is very important that the patients continue using the topical vitamins for at least 6 months post procedure to ensure the production of healthy collagen and elastin. We have experience that the results are vastly inferior and that patients experience unnecessary discomfort when not following these protocols.


This procedure has been successfully used to treat peri-oral wrinkles, the appearance of stretch marks, abdominal laxity, facial and acne scarring, and rejuvenation of sun damaged skin on the chest as well as other areas.


Medical Needling at the Fontaine Center costs $440 per session.

June 19, 2018
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What Is Breast Thermography?

Thermography is a FDA recognized non- invasive screening/investigational tool that assists the practitioner in the consideration of all possibilities when formulating a differential diagnosis, treatment plan and/or guidance for referring you (the patient) to a specialist for further investigation if indicated. Medical Infrared Thermography uses an infrared camera that detects, records, and produces an image of a patient’s skin surface temperatures and/or thermal patterns which can indicate hidden, subtle metabolic changes. Thermography is a highly specialized technical device that provides both qualitative and quantitative representations and records energy in its purest form.

Breast thermography is a test that can assist in monitoring breast health and early changes associated with the breast. It is safe, contact free, and painless.

Breast thermography can provide women with a marker for breast health, and with that an opportunity to look at diet, lifestyle and other factors to help improve breast health. Women who want to take a pro- active approach to their breast health find great value in the additional information provided by thermography. 

Breast Thermography Enables You To:

  • Establish your baseline thermal pattern

  • Monitor any changes in these patterns over time

  • Assess diet, lifestyle and other interventions

Breast Thermography is:

  • Suitable for women of all ages

  • Contact-free

  • Painless

  • Radiation-free

  • 100% safe

  • FDA recognized

How Does it Work?

Thermography is based on the scientific premise that changes in breast health cause an increased blood supply to the growth area. Breast thermography measures the heat generated by the circulation of blood in the breast during this process. Breast thermography can identify women with changes so they can be monitored more closely and work with their health care professional to set proactive strategies in place, through diet, environmental and lifestyle changes.

Anatomical tests, such as mammograms and ultrasound, rely on finding physical lesions (lumps). Breast thermography is a physiological test that can identify abnormal blood vessel circulation within the breast. Physiological changes are known to precede anatomical changes, therefore both anatomical and physiological information is valuable in fully assessing breast health. 

Is Thermography a Standalone Test?

Breast thermography is not a diagnostic or stand-alone tool in the screening and diagnosis of breast cancer. It is a FDA (US Food & Drug Administration) recognized adjunctive to mammography screening. When a thermogram is positive, a closer look at the patient's hormonal metabolism, diet, exposure to environmental pollution, toxins and lifestyle factors is in order. Clinical blood work in addition to ultrasound and mammography is essential. When mammography and blood work are negative or equivocal, thermographic monitoring could continue on a quarterly to semi-annual basis.

Does Thermography Replace A Mammogram?


No - each test sees different breast health characteristics. A mammogram is an anatomical test (a breast x-ray) that looks for masses in the breast tissue, while a thermogram is a physiological test that looks for changes in blood vessel circulation within the breast. Breast thermography is a test to assess breast health and monitor dietary and lifestyle changes.


Is There a Best Time to Have Breast Thermography?

If you are still having monthly cycles your appointment is best scheduled in the first 15 days before pre-menstrual breast changes occur. If you are post menopausal you can schedule your appointment anytime.

Is Breast Thermography Safe?

Yes, thermography is a safe, non-invasive, non-contact test with no radiation. Thermography simply creates a thermal image of your breasts by measuring the heat emitted naturally by the body. Thermography is recognized by the FDA and has been used in the United States and Europe for over 30 years alongside mammography.

Can Thermography Diagnose Breast Cancer?

No. Thermography identifies abnormal physiological changes in your breasts. Mammography, a type of x-ray, identifies certain structures in the breast that can potentially be cancer. With both mammography and thermography, definitive diagnosis can only be obtained through other procedures such as a biopsy.

I have breast implants - is it safe?

Yes, breast implants do not interfere with thermography. Breast thermography is painless and safe, using no radiation or compression. It can be used effectively and safely for all women including pregnant or nursing women, women with dense breast tissue and women with breast implants.

What does the procedure involve?

After disrobing from the waist up, you sit in a temperature controlled room (approximately 68-72° F) for 10-15 minutes to acclimate to the temperature. A number of images of the breasts are taken from different angles. There is no contact with the breasts at any stage during the procedure. These images are then analyzed and sent to you following your appointment. All of our appointments are with female technicians.

Do I need a referral from my doctor?

No, a referral is not necessary.

What is Prolotherapy? Prolotherapy (proliferative therapy), ligament reconstruction therapy, and fibro-osseous injection therapy, is a recognized orthopedic procedure that stimulates the body’s natural healing processes to strengthen joints weakened by traumatic or overuse injury. Joints weakened when ligaments or tendon attachments are stretched, torn, or fragmented, become hypermobile and painful. Traditional approaches with surgery and anti-inflammatory drugs often fail to stabilize the joint and relieve this pain permanently. Prolotherapy with its unique ability to directly address the cause of the instability, can repair the weakened sites and produce new fibrous tissues, resulting in permanent stabilization of the joint.


How does Prolotherapy work? With a precise injection of a mild irritant solution directly on the site of the torn or stretched ligament or tendon, prolotherapy creates a mild, controlled injury that stimulates the body’s natural healing mechanisms to lay down new tissue on the weakened area. The mild inflammatory response that is created by the injection encourages growth of new ligament or tendon fibers, resulting in a tightening of the weakened structure. Additional treatments repeat this process, allowing a gradual buildup of tissue to restore the original strength to the area.


What is in the solution that is injected? The prolotherapy injections contain anesthetic agents and natural substances, which stimulate the healing response. There are numerous substances, and each treating physician tailors the selection of substance according to the patient’s need.


Is the Prolotherapy treatment painful? Any pain involving an injection will vary according to the structure to be treated, the choice of solution, and the skill of the physician administering the injection. The treatment may result in mild swelling and stiffness. The mild discomfort passes fairly rapidly and can be reduced with pain relievers such as Tylenol. Anti-inflammatory drugs, such as aspirin and ibuprofen, should not be used for pain relief because their action suppresses the desired inflammatory process produced by the injection.


Can Prolotherapy help everyone? Each patient must be evaluated thoroughly with patient history; physical exam, X-ray exam, and full laboratory work up before treatment will be administered. With this information, your physician can evaluate your potential success with this therapy. Success depends on factors, which include the history of damage to the patient, the patient’s overall health and ability to heal, and any underlying nutritional deficiencies that would impede the healing process.


Who administers Prolotherapy? Physicians who administer this form of therapy are trained by the American Osteopathic Association of Prolotherapy Regenerative Medicine, along with a few other organizations. Postgraduate training is a prerequisite before treating any patient with a medical orthopedic problem.


What areas of the body can be treated? This form of therapy can be used to treat dislocation of the joints, knee pain, shoulder pain, Temporal Mandibular Joint dysfunction, Carpal Tunnel Syndrome, and disc problems at any level of the spine. The therapy affects only the area treated and does not cause any problems in any other area.


How often do I need these treatments? The treatments should be administered every one, two, or three weeks, as determined by your treating physician.


What is the rate of success in treatment? The anticipated rate of success depends on a number of variables, including the patient’s history and ability to heal, and the type of solution used. In patients with low back pain with hypermobility, 85% to 95% of patients treated experience remission of pain with this form of therapy. In comparison, the Journal of Bone and Joint Therapy reports only a 52% improvement in patients treated surgically for disc involvement.


Is this form of therapy really new? Prolotherapy has been used successfully as early as 500 B.C. when Roman soldiers with shoulder joint dislocations were treated with hot branding irons to help fuse the torn ligaments in the shoulder joint. Advances in medicines greatly improved on this process, and led to the modern techniques of strengthening the fibrous tissue rather than producing scarring to fuse tissues. In 1926, a group of physicians met with great success using injection therapy to treat hernias and hemorrhoids. Earl Gedney, D.O., a well-known Orthopedist, decreased his surgical practice and began to inject joints with these newer injectable medicines in the 1940s and 1950s. Also, in 1950, George Stuart Hackett, M.D., wrote a book on injection therapy. His work is still used today in training physicians. In the years since this early work, techniques and medications have advanced to move from a scarring of fusing effect to strengthening effect, which restores the weakened joint to its original level of stability without loss of flexibility and function.



  • Whip-lash Injuries
  • Shoulder Dislocation
  • Herniated Disc
  • Mid-level Backache
  • Compression
  • Fractures
  • Knee Conditions
  • Tennis Elbow
  • Carpal Tunnel Syndrome
  • Varicose Vein Therapies

Information from The American Osteopathic Association of Prolotherapy Regenerative Medicine,

The osteopathic physicians approach to healthcare is rooted in expanding scientific knowledge that embraces the concept of body-mind-spirit unity. Osteopathic principles and practice emphasize these tenets developed by the American Osteopathic Association:


  • The body is a unit; the person is a unity of body, mind and spirit.

  • The body is capable of self-regulation, self-healing, and health maintenance

  • Structure and function are reciprocally interrelated

  • Rational treatment is based upon an understanding of the basic principles of body unity, self-regulation, and the interrelationship of structure and function


Osteopathic Manipulative Treatment (OMT), as a medical procedure employed by an osteopathic physician, is part of a physical exam that is a health-oriented and patient-centered modality used clinically for restoration, enhancement and maintenance of normal physiological processes. Using OMT, the osteopathic physician detects somatic dysfunction, defined as impaired or altered functions of related components of the somatic (body framework) system. Examples of dysfunction include restricted motion, fixation of structures, compression of nerve/blood/lymph supply, and numbness and tingling just to name a few.


Clinical findings (i.e., history, labs, radiological tests, consults, etc.) are correlated with this unique type of physical exam to apply the best evidence-based medical treatments. OMT is not a remedy for all conditions and is not indicated in all clinical presentations, but it is a powerful ally to an osteopathic physician's medical insight to diagnose and treat patients. 

"Human Touch”


Two words that embody the principles and practice of osteopathic medicine, both figuratively and literally. Unlike simplistic targeted therapies, the osteopathic physician brings a comprehensive understanding of health and illness where parts are seen in the bigger picture of the whole person.


Andrew Taylor Still, MD, DO (1828-1917), was an inspired American frontier physician who accurately observed that 19th century medical practices and patient care were woefully inadequate based on his direct observation of widespread usage of toxic chemicals, and “snake oil” medical charlatanism at that time in US history. He maintained a relentless drive to improve general medicine, surgery, obstetrics, and treatment of diseases, advocating for a more rational and scientific basis.


Dr. Still put forth a pragmatic system of diagnosis and treatment emphasizing the normalization of body structures and functions to treat pathology (disease). The bedrock of this medical science, which he called Osteopathy, was a detailed knowledge of functional anatomy. That anatomical knowledge became the foundation for his palpatory diagnosis and the medical procedure called Osteopathic Manipulative Therapy (OMT). OMT is a patient-centered, hands-on, manual treatment performed by a board-certified physician. Its primary use is to restore balanced motion and function to the body, and to take advantage of the anatomic and physiologic fact that the musculoskeletal system is a diagnostic window to the rest of the body.


Osteopathic physicians use their hands as medical instruments, performing OMT on the whole body not only to relieve pain but also to test for healthy mobility, improve pre- and post-operative issues, and complement the treatment of many diseases, such as GERD and asthma. OMT seeks to improve nerve function, promote blood flow, increase diminished immune function and maximize range of motion in all joints.


Osteopathic physicians combine these unique techniques with sophisticated medical technology to give patients the most comprehensive care available. By using their hands to complement the physical exam, osteopathic physicians forge a deeper relationship with their patients, one built on trust and communication through detailed clinical assessment.