OMT: Osteopathic Manipulative Treatment

Osteopathy is based on the fundamental principle that the entire body is interrelated and that each body system affects the others. Trained in anatomy, physiology, structure, function, and biomechanical relationships, DOs palpate, diagnose, and treat restrictions that limit the body's full potential to self-heal. Dr. Nourani focuses on treating the whole person and their underlying cause for the condition rather than treating the symptoms alone.

Prolotherapy and Regenerative Injections

Prolotherapy is short for proliferative therapy, to strengthen and heal damaged joints and soft tissue structures. The prolotherapy solution is injected inside and outside the joint to repair and strengthen surrounding soft tissue ligaments, tendons, and muscles. Prolotherapy is a safe and effective non-surgical approach for treating joint and spine pain.


Osteopathic Manipulative Treatment, or OMT, is a hands-on diagnosis and treatment. Dr. Nourani will move your muscles, joints, and soft tissue using techniques including stretching, gentle pressure and resistance. OMT is used to promote healing, treat pain and a number of other health problems of all ages and duration.

Joints, Muscles, Soft Tissue, and Nerves

  • • Back Pain
  • • Neck Pain
  • • Joint Pain
  • • Pain after a car accident
  • • Traumatic injury
  • • Overuse injury
  • • Pelvic pain
  • • Sciatica
  • • Generalized aches and pains
  • • Restricted range of motion


  • • Birth Trauma - Long or Difficult Labor
  • • Poor Latch
  • • Spitting Up
  • • Colic, Fussy Baby
  • • Digestive Disorders
  • • Learning Disorders
  • • Recurrent Ear Infections
  • • Plagiocephaly, Misshapen Head


  • • Back Pain
  • • Groin Pain
  • • Headaches
  • • Edema/Swelling
  • • Digestive Disorders
  • • Optimal Mechanics in Preparation for Labor and Delivery


  • • Concussions, TBI
  • • TMJ, Grinding Teeth
  • • Sinusitis
  • • Asthma
  • • Digestive Disorders
  • • Headaches
  • • Visual Strains
  • • Dental Strains and Trauma

Prolotherapy and Regenerative Injections

Prolotherapy is likely a good option for you if you have acute, chronic or recurrent pain not relieved with rest, exercises, or physical therapy. Prolotherapy is effective for pain associated with joints, spine, neck, back, shoulder, knee, elbow, wrist, ankle, foot, hip, sciatica, arthritis, sports injuries, bursitis, tendonitis, headaches, TMJ disorder, fibromyalgia, and soft tissue laxity.


Forms of prolotherapy have been around for hundreds of years. In the 1950's Drs. George Hackett and Gus Hemwall routinely performed prolotherapy with what is today/s most common and tested solution mixture of dextrose, lidocaine and normal saline.
Former US Surgeon General C. Everett Koop, called by President Reagan was a prolotherapist. He stated, "I was so impressed with what prolotherapy could do for musculoskeletal disease... I continue to see many people who have benefited from prolotherapy as a treatment for ligament laxity... In my own case, I had been diagnosed by two separate neurological clinics as having intractable pain. My symptoms and the lack of sleep were affecting my work. I obtained complete relief from prolotherapy... I saw remarkable benefits... Certainly, if used properly, prolotherapy dosed no harm but can be of extraordinary benefit. I have changed many lives." - quoted from the Prolotherapy Institute


Prolotherapy is effective in healing pain, not just covering it up. Long-term studies of steroid injections have demonstrated an increased risk of weakening tissue. Studies of prolotherapy have favorable short and long-term outcomes. A double-blind study for knee pain with osteoarthritis demonstrated statistically significant improvements in pain, function, and quality of life.

Prolotherapy Solutions

The most commonly used medicines include dextrose (sugar water), platelet-rich plasma mannitol, glycerin, lidocaine (short acting numbing medicine), and normal saline

Ligaments and Tendons

Ligaments are tough bands of tissue connecting bone to bone and providing constant structural support. They are found along all joints and along the spine of your back. Tendons are tough bands of tissue that attach muscles to bone. Weakened tendons and ligaments may irritate surrounding nerve fibers which notify the brain to recruit muscles to compensate by tightening. The area may feel tight, achy, numb, fatigue, weak, sore, or painful.
Bones and muscles have a rich blood supply allowing for necessary healing factors to enter and repair. This is why broken bones and torn muscles heal well. Unfortunately, ligaments and tendons have a poor blood supply, limiting the transport of necessary repair factors. By stimulating these weakened areas, the body is able to locally stimulate the proper response for repair and restrengthening. Dr. Nourani is well trained and also teaches internationally on proper diagnosis and treatment.

Individualized Treatment Plan

To identify your individualized treatment plan, Dr. Nourani utilizes the combination of the mechanism of injury, clinical structural exam, orthopedic tests, soft tissue and joint evaluations, and in-office ultrasound evaluation. Additional imaging and tests are ordered when needed.