Spine & Musculoskeletal Treatments

Physical Medicine & Rehabilitation (PM & R)


Physical Medicine & Rehabilitation (PM & R)

A physiatrist, or rehabilitation physician, is a physician who has completed a medical residency in the specialty of physical medicine and rehabilitation (PM&R). A physiatrist is an expert in nerve, muscle, bone and brain conditions. The job of a rehabilitation physician is to diagnose and treat injuries or illnesses that affect how you move and function throughout your lifetime. The physiatric approach to patient care looks at the whole person and not just one symptom or condition. A physiatrist treats any disability resulting from disease or injury, from sore shoulders to spinal injuries – without surgery.


A physiatrist will design a treatment plan that can be carried out by the patients themselves or with the help of the rehabilitation physician’s medical team. This medical team might include other physicians and health professionals, such as neurologists, spine surgeons, and physical therapists. By providing an appropriate treatment plan, rehabilitation physicians help patients stay as active as possible at any age.


Our PM & R Team has put together a list of helpful resources for you.

Click here to see them.




Treatments for Spine Conditions & Pain

Low back pain is the most common form of physical disability. An estimated 80 percent of all Americans will suffer from back pain at some point in their lives. Back pain is the second leading cause of work absenteeism. It is important to treat spine pain as quickly as possible, to avoid developing chronic pain.


Fluoroscopic Injection Suite

Interventional physiatrists use targeted spine injections to accurately pinpoint the source of an ailment and to provide pain relief. At Regenerative Spine and Musculoskeletal Medicine, you will receive in-office performance of all spine procedures with live x-ray guidance. This allows patients to receive treatment in a familiar setting and return home after the procedure, thereby avoiding surgical center or hospital stays. Our fellowship trained Interventional Physiatrist, Dr. Melfi is proficient at providing injections of all areas of the spine, including the cervical, thoracic, lumbar, sacral spine and coccyx.

Musculoskeletal Medicine


Musculoskeletal Medicine

Physiatric musculoskeletal medicine treatments encompasses musculoskeletal disorders associated with occupational and sports injuries and age-related dysfunction.


Homeopathic Injections

  • Traumeel® Injection Therapy
  • Zeel® Injection Therapy


Hyaluronic Acid Injections

  • Viscosupplementation Treatments


Joint Injection Options

  • Platelet-Rich Plasma (PRP)
Regenerative Medicine


Regenerative Medicine


Prolotherapy has already long been used to stimulate the body’s healing mechanisms to repair injured ligaments and tendons by injecting a dextrose solution.



PRP uses the patient’s own blood platelets to facilitate connective tissue healing, bone regeneration, and repair.


Stem Cell Therapies

Stem cell therapies are undifferentiated cells that have the ability to replace dying cells and repair damaged tissue.

Integrative Medicine


Integrative Medicine

Dr. Melfi (one of only two doctors) is a spine and musculoskeletal specialist who is board certified by the American Board of Integrative Holistic Medicine in Syracuse. She offers patients the tools needed to take charge of their health; focusing on long-term solutions by incorporating complementary treatments such as acupuncture, exercise, nutrition, supplements, and more. This encourages life-long wellness rather than simply treating illness.


What is Integrative Medicine?

Integrative medicine combines conventional western medicine with holistic medicine to improve patient care. Rather than practice one type of medicine, integrative physicians will often combine therapies and treatment approaches to ensure the best results for her patients.




What is Acupuncture?

Medical Acupuncture is the term used to describe acupuncture performed by a physician trained and licensed in Western medicine who has also had thorough training in acupuncture as a specialty practice. Medical acupuncture is one of the oldest and most effective healing practices in the world updated with modern, medical and integrative perspectives. Physicians so trained can take advantage of either or both approaches to provide effective and quality care to patients. Since acupuncture also has its roots in preventive care, there is an opportunity to address problems in their very early stages with the hope of preventing full-blown disease.

Regenerative Aesthetics & Restorative Health


Regenerative Aesthetics & Restorative Health

Coming in October

In each of these procedures, blood is drawn from the arm, and spun in a centrifuge to concentrate the platelets.  The concentrated platelets are then injected into a specific target for regeneration.




Vampire Facelift®

First, injection of Hyaluronic acid  fillers create a beautiful shape. Then, platelet growth factors from the patient’s blood are injected into the face, to grow new tissue.  This new tissue includes new collagen, new fatty tissue (for smoothness), and new blood vessels (for a healthy glow).


Vampire Facial®

A micro-needling device is used to create multiple micro-punctures, both driving the isolated platelet growth factors into the skin and creating stimulus for tightening and rejuvenation of the collagen of the face. Then, the platelet growth factors are painted onto the micro-punctures so that the growth factors soak into the tissue for further stimulation of tightening and skin rejuvenation.


Vampire Breast Lift®

When injected into the breast the platelet growth factors become activated to grow new tissue.  This new tissue includes new collagen, new fatty tissue for smoothness, and new blood vessels for a healthy glow.


Vampire Hair Re-Growth®

When injected into the scalp the platelets become activated to treat thinning or receding hair.


Restorative Medicine Procedures:



 A numbing anesthetic cream is applied. Platelet growth factors are injected into the clitoris and the upper vagina to rejuvenate vaginal tissue and enhance sexual response. This procedure has also been found to help with mild stress incontinence.


Priapus Shot®

A numbing lidocaine cream is applied to the penis.  Using a very thin needle, the platelet growth factors are injected into specific areas of penis to help with enhancement of erection, sensitivity and size.