PLATINUM EXCELLENCE IN HEALTHCARE

WHAT IS PRIMARY CARE?

Primary care at PMGAZ is specialized care provided by a Nurse Practitioner specifically trained for and skilled in comprehensive first contact and continuing care for patients with any sign, symptom, or health concern not limited by problem origin, organ system, or diagnosis.

PMGAZ Primary care includes health promotion, disease prevention, health maintenance, counseling, patient education, diagnosis and treatment of acute and chronic illnesses in a variety of health care settings. Primary care is performed and managed by a personal Nurse Practitioner often collaborating with the other health professionals in the office, and utilizing consultation or referral as appropriate. Primary care promotes effective communication with patients and encourages the role of the patient as a partner in health care.

Our primary care physician is a specialist in Family Medicine and Internal Medicine who provides definitive care to the undifferentiated patient at the point of first contact, and takes continuing responsibility for providing the patient's comprehensive care.

WHAT SERVICES ARE PROVIDED?

  • Trigger Point Therapy
  • IV Therapy
    • Cold/Flu
    • Hydration
  • Small Joint Injections
  • Large Joint Injections
  • Cortisone
  • Medication Management
  • Bioidentical hormone Therapy
  • Food Allergy Testing
  • Medical Foods
  • Durable Medical Goods/Equipment
  • Braces
  • Supports
  • School Physicals
  • Work Physicals
  • Weight Loss Treatments
  • HCG
  • Diet Modification
  • Nutritional Counseling
  • Natural Prolotherapy

Trigger Point Therapy:

Trigger point injections are an effective treatment modality for inactivating trigger points and providing prompt relief of symptoms from myofascial pain syndrome. Myofascial pain syndrome is a common painful muscle disorder characterized by myofascial trigger points.

When Is Trigger Point Injection Used?
TPI is used to treat many muscle groups, especially those in the arms, legs, lower back, and neck. In addition, TPI can be used to treat fibromyalgia and tension headaches. The technique is also used to alleviate myofascial pain syndrome (chronic pain involving tissue that surrounds muscle) that does not respond to other treatments. At PMGAZ, we create care plans including Trigger Point Injections through Evaluation, History, Examination, Injection Technique, Management, and Post-Injection Management.

Cross-sectional schematic drawing of flat palpation to localize and hold the trigger point (dark red spot) for injection. (A, B) Use of alternating pressure between two fingers to confirm the location of the palpable nodule of the trigger point. (C) Positioning of the trigger point halfway between the fingers to keep it from sliding to one side during the injection. Injection is away from fingers, which have pinned down the trigger point so that it cannot slide away from the needle. Dotted outline indicates additional probing to explore for additional adjacent trigger points. The fingers are pressing downward and apart to maintain pressure for hemostasis.

Cross-sectional schematic drawing of flat palpation to localize and hold the trigger point (dark red spot) for injection. (A, B) Use of alternating pressure between two fingers to confirm the location of the palpable nodule of the trigger point. (C) Positioning of the trigger point halfway between the fingers to keep it from sliding to one side during the injection. Injection is away from fingers, which have pinned down the trigger point so that it cannot slide away from the needle. Dotted outline indicates additional probing to explore for additional adjacent trigger points. The fingers are pressing downward and apart to maintain pressure for hemostasis.

Small/ Large Joint Injections:

Joint injections are performed in an office or hospital setting, often with a cold spray or other local anesthesia. After the skin surface is thoroughly cleaned, the joint is entered with a needle attached to a syringe. This technique applies to injections into a bursa or tendon sheath to treat bursitis and tendonitis, respectively.

Commonly injected joints include the knee, shoulder, ankle, elbow, wrist, base of the thumb and small joints of the hands and feet. Hip joint injection may require the aid of an ultrasound or X-ray called fluoroscopy for guidance. Some small joints may also be more easily injected with aid of ultrasound. Joint injection is used to put the medications into the joint.

What usually is injected into the joint space?

Corticosteroids (such as methylprednisolone and triamcinolone formulated to stay primarily in the joint) frequently are used. They are anti-inflammatory agents that slow down the accumulation of cells responsible for producing inflammation and pain within the joint space. Although corticosteroids may also be successfully used in osteoarthritis, their mode of action is less clear. Hyaluronic acids (Hyalgan®, Synvisc®, Orthovisc®) are viscous substances that may relieve the symptoms of osteoarthritis of the knee for periods up to 6–12 months.

Joint injection with medication can provide the relief for the pain and swelling in the joint.
The risks for joint aspirations and injections are minimal. Infection, bleeding, and other major risks are rare.

Bioidentical Hormone Therapy

The term "bioidentical" means the hormones in the product are chemically identical to those your body produces. In fact, the hormones in bioidentical medications may not be any different from those in traditional hormone therapy. Several hormone therapy products approved by the FDA and prescribed by health care providers contain bioidentical hormones.

Is Bioidentical Hormone Therapy for You?

Many factors can contribute to conditions and diseases that can occur at any stage in life, resulting from an imbalance of hormones:

  • Adrenal fatigue
  • Thyroid disease
  • Metabolic Syndrome
  • Sexual dysfunction


As a result of hormone imbalance related to these conditions, you may be experiencing one or a combination of what have become known as the classic symptoms of aging:

  • Weight gain
  • Limited energy
  • Hair loss
  • Low sex drive
  • Depression
  • Mood swings
  • Sleeplessness
  • Poor concentration
  • Memory loss
  • Fatigue


If symptoms like these have begun to affect your quality of life, you could be a candidate for bioidentical hormone replacement therapy.

What are bioidentical hormone therapy services?

  • A comprehensive review of symptoms, medical, family and personal history
  • Testing - saliva, urine and/or blood laboratory analysis
  • Natural hormone balancing
  • Ongoing evaluations
  • Quality compounded pharmacy
  • Highest quality supplements
  • Fitness programs
  • Nutrition planning
  • Stress reduction plans

WORK PHYSICAL:

Employers covered by federal laws against disability discrimination often require employees to undergo a pre-employment physical exam. These exams are used to determine if an individual is suited for a specific job and may also include drug testing or physical ability tests.

SCHOOL PHYSICAL:

Active families and individual’s on-the-go know that PMGAZ is the place to go for convenient, affordable sports physicals. Plus, with a caring, compassionate staff to help take care of your athlete, PMGAZ can get you back in the game and feeling better today.

Contact Us

New patients, get your complimentary 1-hour consultation to establish a personalized care plan.

Send My Info

Why Choose Us?

  • Cash Options
  • Compassionate Staff
  • Experienced Specialist
  • Cutting Edge Advances
  • Assortment of Services
  • Complimentary New Patient Consult
  • We Accept Most Public and Private Insurance
  • VA/Triwest & Medicare provider
  • Provider for Auto Accidents & Workers Comp Cases