Jennifer S. Sartori, D.P.M. 14 Manchester Square
Portsmouth, NH 03801
603-431-6070
603-766-0612 fax
Diagnostic Services
A wound that will not heal or other
persistent circulatory problems require carefully planned and managed treatment to ovoid further complications. For this reason, your physician has scheduled two simple tests that will give him or her essential information when developing the optimal treatment plan for you.
The two tests are noninvasively provided by the SensiLase® System. They are typically painless, require only minutes to complete and can be performed in your physician's office or clinic. The tests are,
1) Skin Perfusion Pressure (SPP) which evaluates how well the tiny blood vessels, called capillaries, ore circulating blood to your skin.
2) Pulse Volume Recording (PVR) which measures the volume of blood going through the larger vessels (arteries) in your leg with each pulse, or beat, of your heart.
Together, these tests will quickly provide information about whether the blood flow in your legs, feet, toes or fingers is decreased or absent due to blockage or damage to your vascular system. This is very important since capillaries or arteries that hove become blocked or damaged may be the reason that you have a wound that will not heal normally.
These tests can be performed effectively even if you have conditions such as edema, anemia, Raynaud's, gangrene or "necrotic toes".
The results of the SPP and PVR tests will help guide your physician in prescribing the most appropriate treatment plan for you.
The Skin Perfusion Pressure (SPP) Test
The SPP test is administered with you lying flat and relaxed on your back (If you cannot lie flat on your back, the specialist performing your test will make the necessary adjustments.) A small laser Doppler sensor and pressure cuff will be placed at the test site, and the specialist, nurse or doctor may ask you a few short questions before starting the test.
SPP testing is similar to taking a blood pressure in that a pressure cuff is used to briefly stop capillary blood flow, It is placed around the test site (finger, toe, foot or ankle). Once inflated, the pressure cuff is then slowly deflated at o controlled rate as the laser sensor under the cuff measures the return of blood flow to the capillaries.
The only special instruction you must follow during an SPP test is to lie quietly without moving to ensure timely and accurate measurements. If you have tremors or other problems causing involuntary movement, the health care provider will help you control motion during the brief test.
The Pulse Volume Recording (PVR) Test
Following completion of the SPP test, the pressure cuff will be taken off and the sensor removed, The cuff will then be rewrapped a bit more snugly for the PVR test.
The PVR test evaluates changes in the arterial blood volume in the legs or arms with each pulse, which helps determine the level and severity of arterial disease or damage in the limb. Together, the SPP and PVR measurements give your physician the clinical data needed to confidently diagnose, treat and/or monitor your medical condition.
In addition to wound care, the SPP and PVR tests can be used to assist your doctor in diagnosing and managing your care if you have circulatory problems such as peripheral arterial disease (PAD) and critical limb ischemia (CLI). Your doctor may also choose to use SPP and PVR test results to monitor your progress before and after certain surgical, therapy or drug treatments in order to determine whether the treatment is successful.
The SensiLase System tests are an important tool for your doctor as he/she helps you to make informed decisions about your circulatory condition and to improve your overall health.
Through your lifetime, your joints sustain significant physical stress from everyday activities such as walking and bending. Fortunately, your body was miraculously built to accomplish these many activities. Your bones are connected with a material known as cartilage – the smooth, elastic tissue that covers the end of bones, allowing them to safely glide across and cushion each other as you move. As a normal function, your body sustains joint maintenance by continually rebuilding and regenerating cartilage. As a result, your joints are mostly able to maintain their shock-absorbing capabilities.
However, as you age or incur injuries, the body is sometimes unable to sustain a healthy level of cartilage regeneration. Upon injury or cartilage breakdown, the body’s natural reaction is to provide inflammation within the joint so blow flow is increased, making more nutrients and oxygen available to aid in the healing process. Pain and discomfort that prohibit normal movement can result from the inflammation and injury.
BONE AND JOINT HEALTH
Your bones and joints, which comprise your skeletal system, work in harmony to provide structure and flexibility. Like all systems though, your skeletal system needs a little tuning and care as time goes on. Glucosatrin® formula contains several ingredients that may help control joint inflammation and assist in the body’s normal regeneration of cartilage, as well as help maintain proper bone health. With the daily use of Glucosatrin, your joints may maintain their natural flexibility and assist you in maintaining comfortable movement.
Glucosatrin contains various key ingredients, including vitamins, minerals and herbs, that promote healthy cartilage in the joints and help maintain appropriate levels of the vitamins and minerals that control bone resorption. Without proper care, your joints can begin to deteriorate, sometimes resulting in pain and inflammation. Similarly, without proper care, including diet and exercise, your bones may become depleted of minerals and collagen, making them increasingly susceptible to fracture. Let’s take a look at some of these key ingredients:
Glucosamine is an amino sugar naturally produced by the body and a key component of cartilage. Glucosamine helps stimulate health joint function and the production of snyovial fluid, which lubricates your joints and assists in the regeneration of cartilage. Numerous studies have also shown that it can help ease joint pain, renew joint fluids and even repair damaged joints.
Vitamin D3 promotes proper bone mineralization, as well as normal regulation (or maintenance) of cell growth and immune function. The function of vitamin D3 is to maintain normal tissue levels of calcium and phosphorus. Vitamin D3 aids in the absorption of calcium, helping to form and maintain strong Bones. Vitamin C is an important co-factor for the enzyme that cross-links and strengthens the protein strands forming collagen, the most abundant protein in the body. Healthy bones and joints go hand-in-hand.
Manganese is also essential for normal bone structure and has been shown to retard the progression of cartilage degeneration. Specifically, it assists in the manufacture of mucopolysacharides, one of the main components of connective tissue.
Boswellia resin contains boswellic acids, which have been shown to possess anti-inflammatory activity by inhibiting 5-lipoxygenase, a pro-inflammatory enzyme. Boswellic acids are also analgesic because they significantly reduce the total white blood cell count in the joint fluid, lowering the concentrations of inflammatory mediators, and help restore the structural integrity of blood vessels.
Scutellaria root, derived from the Scutellaria baicalensis plant, as well as oleanalic acid, provide anti-inflammatory activity by inhibiting cyclooxygenase-2. COX-2 is an enzyme that is responsible for the large increase in the synthesis and release of inflammatory mediators at the sites of inflammation.
Hops extract contains humulone which also suppresses COX activity as well as inhibits bone resorption.
Glocosatrin® is made from a powerful combination of ingredients that are anti-inflammatory and help the body’s normal regeneration of healthy cartilage within the joints and collagen for bones. This bone and joint formula is powerful by itself.