Wilderman Medical Clinic

03/11/2026

Did you know Botox® isn't just for wrinkles? 🧠✨
Emerging research shows that Botulinum Toxin injections may significantly reduce symptoms of depression.

The science is rooted in the facial feedback hypothesis: when you can't frown, your brain gets the signal to feel better.
For those who haven't found relief through traditional treatments, this could be a game-changer. 💙

👉 Learn more about this innovative approach at Wilderman Medical Clinic — link in bio!

https://drwilderman.com/botulinum-toxin-for-depression/

01/21/2026

Dear colleagues,
We are glad to share our recently published article in the Cureus online journal:
"The Present and Future of Pain Management in Patients with Chronic Kidney Disease: A Narrative Review"(https://lnkd.in/eemBxyjd).
Our clinic see many patients with CKD (chronic kidney disease) in my chronic pain practice, and it significantly restricts the treatment options for pain management.
This prompted me to review the published articles regarding the treatment of acute and chronic pain in patients with various stages of CKD.
The paper describes the most current treatment options as well as emerging approaches for improving patient pain control and quality of life.
We prepared algorithms for pain management strategies for chronic pain patients with all Stages of CKD, perioperative pain, and acute pain. I hope they can be useful to family physicians, emergency doctors, pain practitioners, neurologists, surgeons, and other specialists in their everyday practice.
Thank you to Dr. Francesca Sarzetto, Budvin Wijetillake, and Sydney Verdun for your help and contribution to this work!

01/21/2026

Struggling with chronic migraines? Botulinum toxin injections can help prevent migraine attacks by blocking pain signals before they start. Many patients experience fewer headache days and improved quality of life with this FDA-approved treatment.

💉 Ready to explore your options? Contact us for personalized medical advice at www.drwilderman.com

01/08/2026

Is Muscle Spasm Ruining Your Back? 😣
Chronic back pain from muscle spasms doesn't have to control your life. Botulinum toxin injections offer targeted relief by relaxing overactive muscles and reducing pain at the source.
If you've been struggling with persistent back spasms that limit your daily activities, it might be time to explore this effective treatment option.
💙 Ready to find relief? Learn more about how we can help you get back to living pain-free.
👉 Visit us at www.drwilderman.com or call to schedule your consultation today.

09/17/2024

If you’re struggling with chronic lower back pain and have not found relief with other treatments – there is hope at Wilderman Medical Clinic. Platelet-rich plasma (PRP) is an innovative therapy that can provide long-lasting relief by promoting tissue repair and reducing inflammation.

If you’re ready for a more innovative approach to managing your pain, Platelet-Rich Plasma (PRP) for lower back pain might be the solution you’ve been searching for. This cutting-edge treatment is helping people find lasting pain relief when other methods have fallen short.

How Does PRP Work to Treat Lower Back Pain?

PRP therapy involves drawing a small amount of the patient’s own blood, processing it to concentrate the platelets, and then injecting this platelet-rich plasma back into the affected area.

These platelets contain growth factors that can accelerate tissue repair and reduce inflammation, making them a promising option for treating chronic pain.

For patients with chronic lower back pain, PRP injections are typically administered into areas of damage or degeneration within the spine, such as the discs, ligaments, or facet joints. PRP therapy may be particularly beneficial for individuals suffering from chronic lower back pain caused by conditions such as:

Degenerative disc disease
Disc herniation/ruptured disc
Facet joint arthritis
Atrophy of the paravertebral muscles
Sacroiliac joint dysfunction
Muscle or ligament injuries
It’s important to understand that PRP is not a one-size-fits-all solution. While some patients experience significant pain reduction and improved function, others may see more modest results. However, for patients who have tried other treatments without achieving lasting relief, PRP could be a valuable alternative.

If you’re ready to explore your options for chronic pain management, contact us today to schedule a consultation and learn more about how PRP for lower back pain could work for you.

If you’re ready for a more innovative approach to managing your pain, Platelet-Rich Plasma (PRP) for lower back pain might be the solution you’ve been searching for. This cutting-edge treatment is helping people find lasting pain relief when other methods have fallen short.

09/13/2024

- Hyaluronic Acid Injections for Musculoskeletal Conditions -

Hyaluronic acid injections (HAI) have long been a valuable treatment option for patients with osteoarthritis who do not respond to other pain management therapies.

These injections consist of a series of hyaluronic acid (HA) treatments administered directly into the affected joints, with the most common application being in the knee.

However, recent advancements and research have expanded the use of HA injections to other joints, including the hip, hand, and foot, providing a broader spectrum of relief for patients suffering from osteoarthritis and other joint-related conditions.

What is a Hyaluronic Acid Injection?

Hyaluronic acid injections are a therapeutic intervention designed to reduce pain and improve joint function in individuals with osteoarthritis. This condition, characterized by the degeneration of cartilage and synovial fluid, often leads to painful friction within the joint. HA injections aim to...

Hyaluronic acid injections (HAI) have long been a valuable treatment option for patients with osteoarthritis who do not respond to other pain management therapies. These injections consist of a series of hyaluronic acid (HA) treatments administered directly into the affected joints, with the most co...

09/04/2024

- Large-Scale Genetic Testing -

What is Large-Scale Genetic Testing?

In the 1950s, a new medical tool was coming to hospitals to identify genetic disorders. This was done by looking at the deoxyribonucleic acid (DNA) for mutations or errors (Durmaz et al., 2015).

Over the decades, these tests have been refined and updated to be able to pinpoint over 1800 different genetic mutations that have an impact on an individual’s health.

There are multiple types of genetic testing available as of 2023, including a publicly available medical genetic test kit. While the accuracy of the commercial genetic test kits has been contested, the genetic tests done as part of a medical examination are highly accurate as they look for specific mutations or disease markers within a person’s DNA.

Large-scale genetic testing (LSGT) is a test that looks at most if not all, of an individual’s genes to identify any mutations or missing DNA pieces (Genetic Testing | CDC, 2022). There are two types of large-scale testing: exome sequencing and genome sequencing.

Medical Applications

The use of LSGT can identify over 6000 different medical disorders (Online Mendelian Inheritance in Man, 2023; Costain et al., 2021). LSGT can be used to identify your, or your familial, risks of:

Certain types of cancers
Familial hypertension
Familial hypercholesterolemia: The body is unable to process cholesterol, leading to a patient being at a higher risk of cardiovascular disease.
Diabetes
Multiple sclerosis
Alzheimer’s disease
Parkinson’s disease ...

Large-scale genetic testing (LSGT) is a test that looks at most if not all, of an individual’s genes to identify any mutations or missing DNA pieces (Genetic Testing | CDC, 2022). There are two types of large-scale testing: exome sequencing and genome sequencing.

09/04/2024

- Caudal Epidural Injection for Spinal Stenosis -

Spinal stenosis is a degenerative spinal disorder that can easily become debilitating due to the pain. An effective and minimally invasive treatment to treat the pain of spinal stenosis is a caudal epidural injection.

This injection introduces a steroid, often a corticosteroid, along with a mild anesthetic into the epidural space in the lower back.

The anesthetic would lessen the pain quickly until the steroid can start acting on the inflammation that exists in the area, reducing the pain in the long term.

What are Epidural Injections?

Epidural injections have been used as a means to provide pain relief since 1901 (Waurick & Waurick, 2015). This treatment involves injecting a substance directly into the epidural space, the fluid-filled area around the spinal nerves.

This substance may be an analgesic or a steroid, which is used depending on why the epidural injection is being considered.

This may range from controlling chronic pain to managing pain during and after surgery. The most common reason for getting an epidural is ...

Epidural steroid injections can be used for a variety of medical conditions that involve an inflammatory injury within the spine or spinal area (Kaye et al., 2015). The most common use is to treat lumbar radiculopathy (sciatica), and arthritis or osteoarthritis back pain. Some other conditions that....

09/04/2024

- Botulinum Toxin Injections for Neck Pain -

Neck pain is the general term used to identify any pain found between the chin and the shoulders.

It can be caused by inflammation, trauma, a degenerative disorder, and/or strained muscles. In many cases, this neck pain will fade with time and careful stretching.

In more serious cases, professional medical help will be needed to address the underlying cause of the pain.

Neck pain can be debilitating and limit an individual’s ability to move their head. It can make daily activities difficult to accomplish and negatively impact a person’s quality of life.

Neck pain can be caused by a variety of conditions.

The general underlying causes can be separated into the following categories:

- Nerve compression
- Muscle strain
- Joint issues
- Traumatic injury (Torlincasi & Waseem, 2022)
- Disease

Nerve compression is caused when the nerves in the neck are damaged by inflammation, shifted/abnormal tissues, and/or disease.

Use of Botulinum Toxin Injections for Neck Pain Management

BTI for neck pain should be considered when more conventional methods of pain management do not provide sufficient pain relief (The International Centre for Allied Health Evidence, 2017).

However, it is only effective in cases where the underlying cause of the neck pain involves either muscles or nerves.

Botulinum Toxin Injections for neck pain should be considered when more conventional methods of pain management do not provide sufficient pain relief (The International Centre for Allied Health Evidence, 2017). However, it is only effective in cases where the underlying cause of the neck pain involv...

07/25/2024

PRP Therapy For Temporomandibular Joint Disorder

Discover how you can effectively manage and treat temporomandibular joint (TMJ) disorder, a prevalent condition causing jaw pain and dysfunction.

Explore the potential of Platelet-Rich Plasma (PRP) therapy, an innovative non-invasive treatment that offers relief for this condition.

Understand the causes, symptoms, and advanced treatment options for TMJ disorder.

Temporomandibular joint (TMJ) disorder is a common condition affecting millions of people worldwide, characterized by pain and dysfunction in the jaw joint and the muscles that control jaw movement. Dysfunction of the TMJs is most commonly developed by women and is most often developed in adults in....

06/19/2024

Elevate Your Wellness with Expert Exercise Science and Rehabilitation

At Wilderman Medical Clinic, we strive to keep you informed about the most advanced medical breakthroughs to enhance your health and well-being.

In this issue, we are excited to introduce our kinesiologist, Jonathan Colangelo. Jonathan brings a wealth of experience in kinesiology and a passion for helping patients achieve their health and fitness goals.

With a background in exercise science and rehabilitation, Jonathan is dedicated to providing personalized care through evidence-based exercise programming, biofeedback, mirror therapy, and more. His expertise and commitment to patient well-being make him a valuable member of our team and his services can help you add an effective new element to your health and wellness practice.

Featured Kinesiology Services:

- Biofeedback
- Mirror Therapy
- Stretch Therapy with microStretching
- Customized Exercise Programming
- Electrotherapy for Pain Relief and Healing

We are excited to introduce our kinesiologist, Jonathan Colangelo. Jonathan brings a wealth of experience in kinesiology and a passion for helping patients achieve their health and fitness goals. With a background in exercise science and rehabilitation, Jonathan is dedicated to providing personalize...

06/13/2024

Botulinum Toxin Injections For Cervical Dystonia

Cervical dystonia is a neuromuscular disorder that causes painful and sudden muscle spasms or movements in the neck. It has a sudden onset, but the intensity of the muscle spasms will gradually intensify if left untreated.

The use of botulinum toxin injections as a way to treat cervical dystonia has been approved since 2000 and has proven to be the most effective way to manage this disorder.

Botulinum Toxin Injections For Cervical Dystonia has been approved since 2000 and is considered the best treatment for this disorder (Jankovic et al., 2023).

Treating CD with BTI has been shown to reduce pain, and the risk of long-term and permanent side effects of untreated CD, and improve the overall quality of life of patients...

The use of botulinum toxin injections as a way to treat cervical dystonia has been approved since 2000 and has proven to be the most effective way to manage this disorder. Wilderman Medical Clinic offers Botox Injections as part of its pain management clinic.