Services

Non-operative Orthopedic Services


Fracture Care, Bracing, Supartz injections, steroid injections, Regenerative Injection Therapy - PRP, Osteopathic manipulation techniques (OMT)


Proliferative Therapy


Also known as sclerotherapy, it is a method of injecting an anesthetic irritant into a joint or weakened, torn or pulled ligaments and/or tendons. This causes healing cells (fibroblasts) to travel to the weakened area and strengthen it. Proliferative Therapy, otherwise known as PRP (Platelet Rich Plasma), is used to treat diagnoses of tennis elbow, plantar fasciitis, trochanteric bursitis, and rotator cuff tendonitis as well as many other conditions of the hand, wrist, elbow, shoulder, hip, knee, ankle, and foot.  Currently the only physician to perform this procedure in the Jefferson City area.


Click Here to view CBS article about Platelet Rich Plasma Therapy


Some common injection sites are as follows:

Hip & Pelvis:  Piriformis Syndrome, Greater Trochanteric Bursitis, Hamstring Injuries
Knee:  Patellar Tendonitis, Meniscal Injuries, and Osgood Schlatters Disease
Lower Leg:  Tibialis Posterior, Peroneal Tendons
Shoulder:  Rotator Cuff Injuries and Bicepitial Tendons
Elbow:  Medial and Lateral Epicondilitis, Biceps Injuries
Hand and Wrist:  First MCP, De Quervain's Disease

Foot and Ankle: Plantar Fasciitis and Achilles tendonitis

Sports Medicine


Throwing programs, Running Analysis to prevent or minimize injuries, exercise induced asthma, orthopedic sports physicals, nutrition/weight management, and OMT for treatment or to enhance performance.


Nutrition/Weight Management


This process consist of the patient discussing his/her concerns and goals. The patient then completes a “Nutrition and Physical Activity Questionnaire” This includes a Nutrition History of when do eat, how often you eat, what do you eat, what time do you eat, etc. Next is a Physical Activity portion which includes how often you exercise, what kind of exercise, how long do you exercise, etc. Third portion is the Social History of tobacco use, alcohol use, etc. Fourth portion is the Family History which is a general history of HBP, stroke, etc. the Fifth and final portion is the Review of Systems. This includes skin conditions, Ears/Nose/Throat, Eyes, Endocrine, Chest, Cardiovascular, Gastrointestinal, Urinary, Gynecology, Neurology, and Living situation. The work up may also include some blood work up. The patient will be asked to keep a food journal. Once the journal and questionnaire are complete, the patient meets with Dr. Sloan and a nutrition/weight management plan is established.

Before Your Treatment:

At your initial visit a full physical assessment will be completed regarding your injury or chronic pain.  Some testing may be done to see if you would benefit from this procedure.

Various tests include, but are not limited to:

X-ray, Ultrasound, MRI, range of motion measurements, and blood work.

If you are taking any type of NSAID or anti-inflammatory medications, (i.e. Motrin, Naprosyn, Advil, Ibuprofen, or Aleve) please stop taking 5 to 7 days before your treatment.

On the day of your treatment please follow your normal schedule of eating and drinking.  We do encourage that you try to drink extra water on the morning of your procedure.

Please wear comfortable clothing to your appointment.  A T-shirt or athletic shorts work best.  

If you are getting the injection in your lower extremity please bring a good pair of tennis shoes.  It is a good idea to have a driver the day of your injection but not required, unless you are getting the injection in your right lower extremity.

At Your Treatment:

Upon arrival your blood will be drawn and prepped for procedure.  It will be spun down which takes approximately 15 minutes.

Dr. Sloan will use ultrasound to guide the needle to your exact injury site which will be marked and numbed with a local anesthetic.  

After Your Treatment:

The anesthetic may last 2 – 4 hours after you have left the office.

Due to the anesthetic we ask that you take it easy the day of your procedure. Please ask for a work note for light duty upon leaving if needed.  You may return to activities as you feel your body is ready.

You may experience some pain 2 – 5 days after your treatment.

Please do not take any NSAID medications for 4 – 6 weeks after your treatment. You may take Tylenol as needed for pain and ice as needed at the injection site.

Your pain may come and go.  This is normal for this particular procedure.

The platelets are active in your system for several weeks and can take up to six months for normal collagen to form and help with the healing process.

If a second treatment is needed it will be performed approximately 6 weeks after your first treatment.

You will need to follow up with Dr. Sloan several times after your procedure. The follow up appointments generally run 1 week after the procedure, 1 month after the procedure, 3 months after the procedure, and 6 months after the procedure.

If you have any questions or concerns please contact Jonie at 573-636-5285 ext 246

Copyright The Sloan Clinic - 2008