You Don’t Need Surgery to Fix Your Sports Injury

Bumps and bruises, sprains and strains—any type of sports injury is likely to require some healing time.  But, contrary to popular belief, the majority of sports injuries do not require surgery. As opposed to an invasive surgery, there are natural methods and supplements that heal your body in a much healthier way and in much less time.

Dr. Alexander Kulick has built his entire medical practice around this philosophy. With his training in both Western medicine and alternative therapies, Dr. Kulick knows exactly how to heal sports injuries and keep his patients out of the operating room. Don’t believe the lies that traditional doctors and orthopedic surgeons will tell you. They will want to schedule you for surgery the minute you walk in the door. Their solutions will promise short-term success, but you may suffer when it comes to long-term results. Dr. Kulick’s treatments aim for holistic and long-lasting wellness.

Here are a few non-surgical methods for treating sports injuries:

  • Ultrasound: An ultrasound sends high-energy sound waves into the injured area of the body and the surrounding tissues. This can increase the temperature of the tissues, which stimulates blood flow and reduces healing time. Some experts also say that ultrasound stimulates the production of collagen and increases the strength of the injured tissue. Ultrasound is a very useful treatment for individuals with sports injuries to the ligaments, tendons, or cartilage.

Ultrasound is also extremely useful when it comes to treating sports injuries with injections. Dr. Kulick is specially trained in using ultrasound to visualize the exact location of nerves and tissues in the body. He uses an ultrasound-guided injection of saline to carefully free trapped nerves. This treatment is usually only completed with surgery, but Dr. Kulick’s ultrasound procedure can be done in the office in less than 40 minutes. On the contrary, surgery would require weeks of hospital payments, healing, and downtime.

  • Nutritional medicine: Dr. Kulick is specialized in using herbal medicine to treat the underlying causes of sports injuries, not just the symptoms. In fact, proper nutrition and herbal supplements can heal the body from the inside out. With Dr. Kulick’s precise guidance, herbal supplements are used to relieve swelling, inflammation, muscle spasms, and pain that commonly accompany sports injuries. Where surgery cuts through and weakens the body, nutritional medicine strengthens susceptible tissues and can help prevent future injuries.
  • PRP or Platelet Rich Plasma Therapy: The integrity of all our joints—knee, wrist, hip, shoulder, ankle—are maintained by ligaments and tendons. Essentially ligaments and tendons are the rope that binds bones and joints together.  Either through sports injury or age, there is wear and tear that takes a major toll on our ligaments.    With PRP treatment the patient’s own blood is placed in a centrifuge leaving a serum high in platelets.  When these platelets are injected into the injured area it works as a laser guided missile to begin the healing process via an inflammatory response.  This is a non-surgical option that can be completed between 3-6 treatments, approximately 3 works apart.

From professional sports players to recreational athletes to exercise gurus—nobody likes to be injured. Everybody wants a quick fix that will get him or her back in action as soon as possible. For many individuals, the first thing that comes to mind is surgery. It seems like the ultimate solution that will fix the injury and strengthen the body. But, in reality, that concept is absolutely false.

In many cases, having surgery to correct sports injuries only extends healing time and weakens the body. However, natural treatments like ultrasound, nutritional medicine, and PRP can non-invasively treat the root cause of the sports injury. By getting this type of treatment from an alternative medicine specialist like Dr. Kulick, you are ensuring that your body will be free from swelling, inflammation, free radicals, pain, and any other element that could hold you back from being your best.

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  • Repair Tissue With Prolotherapy

    prolotherapy-NYCThe human body is prone to injury due to a network of fragile connective tissues. Through exercise, lifting, pulling and pushing, we are bound to endure an injury of some form.

    Prolotherapy is an alternative method to stimulate the repair of connective tissue. The Mayo Clinic stated that when chronic ligament and tendon pain such as low back or neck  pain fail to respond to conservative methods. Prolotherapy could be extremely successful. Additionally, when surgery remains the only option to relive such chronic pain, Prolotherapy is a far less invasive and expensive option.

    With a series of injections, designed to produce localized inflammation, Prolotherapy treats injured tissue. With injury, inflammation is natural response, which stimulates substances to flow through the blood to the site of injury to promote healing. Since ligaments and tendons lack the blood flow needed, it is common for them to heal incompletely, unless appropriately stimulated.

    While some injections provide temporary relief, Prolotherapy are designed to provide permanent benefit. There are several studies that show the benefits of Prolotherapy. For more information on Prolotherapy please click here!

    What Are Trigger Points and How Do You Treat Them?

    The human body mass is comprised of more than 60% muscle mass. Considering the muscle is responsible for all movement, it is understandable that our muscles are subjected to fatigue, overuse and injury

    The muscle contracts as we move, which is considered a voluntary action. When the muscle contracts involuntarily, this is a spasm. It is considered a Trigger Point when a small portion of the muscle contracts involuntarily causing pain and dysfunction.

    Trigger points, commonly referred to as muscle knots, form when the muscle is overworked or injured. Tiny knots form in the muscle and can cause lower back pain, neck pain, shoulder pain, joint pain, and headaches.

    Trigger point therapy relieves muscular pain at its source by releasing soft tissue, which increases the blood flow to reduce the muscular pain.

    The results and benefits of trigger point therapy are releasing muscular knots and thus relieving pain. After just one treatment you will feel a significant reduction in pain.

    For more information, check out our page devoted to Trigger Point Therapy.

    Prolotherapy: What You Need to Know

    Let’s start with what prolotherpay means. “Prolo” is short for proliferation. So, prolotherapy is a proliferation therapy. It results in the formation of new ligament tissue in areas that have become weak. The treatment involves several injections into part of a joint. This triggers the growth of connecting tissue, which alleviates the targeted pain.

    Does it hurt? The injection is considered mild to moderately painful. There may be a resulting soreness for 3-7 days. Tylenol, or acetaminophen, can help to relieve any soreness you may experience.

    Are there any medication interactions? Prolotherapy is intended to help the targeted area to heal. Inflammation is a natural part of the healing process, and therefore, you should not take any anti-inflammatory drugs (Advil, Ibuprofen, etc.). Aspirin may also interfere with the healing process, and you should limit your use. The results of prolotherapy may be slower and less effective if any of these medications are used.

    What does it treat? Stretched or torn ligaments, torn tendons, and loose capsule surrounding joints may all be treated with prolotherapy. Additionally, cartilage may be repaired and thickened with the treatment of prolotherapy.

    How do I know if it could help me? If you are able to point to an exact source of pain on your body, chances are prolotherapy can help you. It is not used to treat muscular pain, but pain derived from tissue injuries. It is always best to schedule a consultation and speak with your doctor about how prolotherapy may help you.

    How long does it take before I know if I have improved? Some patients experience a dramatic reduction in pain after the first visit. However, most experience improvement within 3-4 visits.

    For more information, read about Prolotherapy!

    Repair Tissue With Prolotherapy

    The human body is prone to injury due to a network of fragile connective tissues. Through exercise, lifting, pulling and pushing, we are bound to endure an injury of some form.

    It is rare to go through life without bearing an injury, such as spraining the ankle, wrist, back or neck. Once you have sprained an area of the body, it may be sprained recurrently. Following an injury, the area injured is prone to arthritic changes.

    Prolotherapy is an alternative method to stimulate the repair of connective tissue. The Mayo Clinic stated that when chronic ligament and tendon pain fail to respond to physical therapy, Prolotherapy could be extremely successful. Additionally, when surgery remains the only option to relive such chronic pain, Prolotherapy is a far less invasive and expensive option.

    With a series of injections, designed to produce inflammation, Prolotherapy treats injured tissue. With injury, inflammation is natural response, which stimulates substances to flow through the blood to promote healing. Since ligaments and tendons lack the blood flow needed, it is common for them to heal incompletely.

    While some injections provide temporary relief, Prolotherapy are designed to provide permanent benefit. There are several studies that show the benefits of Prolotherapy.

    For more information on Prolotherapy please click here! 

    The 4 Benefits of PRP for Tennis Elbow

    Tennis elbow is characterized by pain across the outside of the elbow to the forearm and back of the hand, when grasping or twisting. It is most commonly caused by overuse of the forearm muscle. Those with tennis elbow will experience a pain or burning on the outer elbow and weak grip strength.

    Platelet Rich Plasma (PRP) therapy is an innovative method used to relieve chronic pain involving the tendons, muscles and ligaments (in this case the extensor tendon). It is proven to be a safe and effective way of treating both the symptom and cause of pain.

    Here are a few benefits of PRP:

    1. Low risk. PRP uses the patient’s own cells for the healing process, which eliminates the possibility of foreign antibodies reacting negatively to the treatment. Additionally, it is a non-invasive treatment, which eliminates risk tremendously.
    2. Short treatment. PRP treatment takes relatively an hour to two hours. It requires no downtime, meaning you can go right back to work after!
    3. Minimal appointments. Over a period of six months three treatments are recommended. In fact, patients find relief after just two treatments.
    4. Minimal side effects. Compared to other treatments, PRP has the least side effects. The most common side effect includes minor bruising.

    PRP is worth trying as it is non-invasive, requires no-down time, and most importantly is effective in treating tennis elbow.


    Treatment Options for Pain Management in NYC

    Pain can be debilitating. Much more than a simple headache or backache, traumatic acute pain or long-lasting chronic pain effects your entire life. In the worst cases, it can leave you stuck in bed and unable to go about your daily routine. Pain can come from arthritis, pulled muscles, a degenerative disease, diabetes, a previous surgery, and a host of other issues. Finding the root cause and providing relief are the two goals of pain management.

    If you live in New York City and you’re suffering from persistent pain, where will you turn? You have two basic options. You can choose the traditional type of medicine preformed at a hospital or your doctor’s office. The second option is integrative medicine. This type of medicine uses alternate approaches and treats the whole body, not just your specific medical ailment.
    In the list below, you’ll find some common treatments in traditional and integrative medicine for patients in NYC.

    Traditional medicine

    Oral pain medication – over-the-counter or prescription pills used to treat a wide range of painful symptoms. This could include NSAIDs, corticosteroids, narcotics, or steroids.

    Injections – steroids, Botox, or other medicines are injected into the site of pain.

    Intrathecal Pain Pump – a catheter placed under the skin that delivers pain medication directly to the spinal nerves.

    Surgery – cutting open the body to directly manipulate the suspected source of pain.

    Integrative Medicine

    Acupuncture ­– inserting tiny needles into specific points on the body. This is used to treat headaches, menstrual cramps, arthritis, tennis elbow, and other types of chronic pain.

    Prolotherapy – an injection of a highly concentrated sugar solution that triggers the non-surgical repair of ligaments. Used on the knee, wrist, shoulder, ankle, and other joints. Also treats pain related to tendonitis, back and neck pain, arthritis, degenerated discs, sciatica, and whiplash.

    Massage – a hands-on way of manipulating muscles and deep tissue. Can be used to treat bone pain, neck pain, back stiffness, leg pain, and other musculoskeletal issues.

    Chiropractic care – physical alignment of the spine, bones, and muscles. This can treat arthritis, back or neck pain, and sports injuries.

    Trigger point therapy – a small injection of procaine that treats pain from carpal tunnel syndrome, bursitis, tendonitis, angina pectoris, headaches, and sciatica.

    Mesotherapy – a series of microinjections directed at the middle layer of skin, which contain medications, nutrients, and vitamins. This treats muscle and ligament strains and sprains, chronic lower back pain, nerve damage, sinusitis, pharyngitis, and acne.

    Ultrasound – uses ultrasound images to guide injections that release painful nerves. It can be used for carpal tunnel syndrome, pelvic floor pain, saphenous nerve entrapment, peroneal nerve entrapment, and other conditions.

    In New York City, you should have no problem accessing any of these treatments. We encourage you to go beyond our list and research potential treatments. Evaluate the procedure, the side effects, and the recovery time. Ultimately, the choice is yours—where will you turn for pain management?

    Relieving Pain with Integrative Medicine in NYC

    What is your response to pain? When you have a headache, you probably reach for the ibuprofen. When you’re having heartburn, you reach for the antacids. These pains are usually temporary and go away quite easily. But, what happens when you have real, agonizing pain?

    If you fall off a ladder, get injured in a car wreck, or blow out your knee playing basketball, where do you turn? Most individuals would make a trip to the nearest New York City emergency room and then follow up with their family doctor for extended treatment. Unfortunately, many people believe that this westernized way of medicine is the only way to heal injuries.

    A select group of doctors in New York City have so much more to offer than pain pills, surgeries, and bed rest. Dr. Kulick and other select doctors are experienced in integrative medicine—a different approach to healing injuries and relieving pain. Integrative medicine brings a “big picture” way of thinking to medicine. Both the emotional and physical sides of patients are considered in treatment. This broader approach involves alternate therapies that go beyond the treatments you would find in the typical doctor’s office or hospital.

    Integrative medicine is a critical part of managing pain, finding the root cause of the pain, and healing any associated injuries. Often times, surgeries and drugs come with a long list of side effects. Thankfully, integrative treatments avoid nasty side effects and, sometimes, have a higher success rate than traditional medicine.

    Here are just a few examples of integrative ways to relieve pain:

    • Acupuncture
    • Massage
    • Ultrasound
    • Trigger Point Therapy
    • Platelet Rich Plasma
    • Biofeedback

    If you live or work in New York City, you don’t have time to be crippled by pain. You also don’t have time to be pushed from one doctor to the next looking for relief. For holistic pain management, turn to integrative medicine. It will end the hurting and treat you as a person, not just a medical condition.

    NYC Pain Management: Ultrasound-Guided Hip Injection

    NYC Pain Management Specialist Dr. Alexander Kulick would like to share this article with his patients.

    Ultrasound-Guided Hip Injections: A Comparative Study With Fluoroscopy-Guided Injections


    The purpose was to assess ultrasound-guided injections through patient satisfaction in a comparative internally controlled study of fluoroscopic versus ultrasound technique and to quantitate the reliability of the ultrasound method. In addition, the reliability of the ultrasound method was quantitated.


    This study consisted of the first 50 consecutive patients to undergo ultrasound-guided intra-articular injection of the hip (by a nurse practitioner) and who had previously undergone fluoroscopy-guided intra-articular injections by our center’s fellowship-trained musculoskeletal radiologists. The patients rated the ultrasound and fluoroscopic experiences on a scale from 1 to 10 for convenience and pain; in addition, they indicated their preference between the 2 techniques. Success of the injection was documented among a total of 206 consecutive patients who underwent ultrasound-guided injections during the period of the controlled study.


    For convenience, ultrasound injection had a mean rating of 9.8 whereas fluoroscopic injection had a mean rating of 3.1. For pain, ultrasound had a mean rating of 3 and fluoroscopy had a mean rating of 5.6. These differences were statistically significant (P < .01) in favor of ultrasound. For preference, 49 of 50 patients in the control study (98%) stated that they would prefer the ultrasound injection, whereas 1 was uncertain. The injection was successful in 202 of the first 206 patients (98%) to undergo ultrasound injection, whereas 4 patients required a second pass for successful injection.


    In this study in-office ultrasound-guided injections of the hip were more convenient and less painful than fluoroscopy-guided hospital-based injections and were preferred by patients who have undergone both. Furthermore, the ultrasound-guided injections were performed by a recently trained physician extender in contrast to the fluoroscopic method, which was performed by experienced fellowship-trained musculoskeletal radiologists. The procedure is highly successful in the hands of a properly trained clinician.

    Level of Evidence

    Level II, prospective comparative study.

    Read Study Here 

    Benefits of Bio-Identical Hormones in NYC

    If you are going through menopause (or if you are just starting pre-menopause and have already been experiencing symptoms) then you’re most likely looking for a solution that really works. After all, you can only deal with hot flashes and night sweats so long before you snap. Effects of these hormonal changes may have your family walking on eggshells around you and your routine mood swings. Of course, dealing with forgetfulness and poor concentration may be affecting you too.

    Whatever symptoms you are experiencing, you simply want them to stop. So, do you opt for synthetic hormones your doctor can prescribe or do you choose a safe and healthier approach?

    Dangers of Synthetic Hormones

    Chances are pretty good that you have heard that synthetic hormones are dangerous. However, you may not realize just how dangerous they really are. Toxic metabolites are produced by synthetic hormones. You might be interested to learn that according to the Journal of the National Cancer Institution, women who take synthetic hormones have a 10 percent higher risk for breast cancer. The synthetic progestin is primarily to blame. Hormone replacement therapy is also linked to stroke, blood clot, cardiovascular disease, and Alzheimer’s disease.

    Bio-Identical Hormone Replacement Therapy

    Every day, an increasing number of women become educated about the dangers of synthetic hormones and search for an alternate method to address these symptoms.

    Bio-identical hormones are created by a specialist-trained compounding pharmacist to mimic the hormones in your body. Rather than being made of synthetic matter, they are developed with natural compounds, such as wild yams and soy. Plant-based hormones have the same structure as those found in the human body.

    Are They Effective?

    Some still have the mindset that if their remedy didn’t come in a little pill from a doctor that it will not work. It is actually unfortunate that this is the thinking of much of the population. As they continue to trust the pharmaceutical company they experience more health concerns. Bio-identical hormones do work, and are presumably safer than synthetic Hormones.

    Unfortunately there are no studies comparing Bio-identical hormones to pharmaceutical preparations, nor unfortunately will there ever be.

    Most large drug trials are financed by thd large pharmaceutical companies, and they have little to gain from ths type of trial.

    Bio-identical are as effective, presumably safer when it come to the estrogens that are formulated , and undoubtedly safer than the synthetic Progestins used to replace Progesterone

    Bio-identical hormone replacement therapy can be used to treat mood swings, hot flashes, irregularity, anxiety, fatigue, vaginal dryness, crying, sleeps problems, acne, bone loss, leaky bladder, and more.

    You shouldn’t have to “deal” with your symptoms just because you do not want to cause more problems with synthetic hormones. Opt for bio-identical hormones instead.

    Learn more about Bio-Identical Hormones