Our goal is to provide compassionate and innovative treatment that is rooted in evidence based practice. We are committed to empowering our patients by providing easy access to medical information, ensuring ample time for care and advocacy work. Our core values are centered on: compassion, trust, integrity and genuine patient care.
We strive to serve our local and global community through advocacy, outreach and charitable works.
We are committed to advancing the field of regenerative medicine through thoughtful and meaningful research.
Who We Treat
By our measure, everyone is a “performer.” Whether it is working in the garden, typing on a computer, participating in professional athletics, caring for a loved one, performing in a concert—whatever your body needs to do—we must perform in some way. Optimizing performance and using advanced regenerative techniques to facilitate healing is what we are all about.
What We Treat
Because of everyone’s unique performance requirement, we are committed to treating a whole host of problems. Whether it is pain, movement issues, sensation problems or simply underperformance, we will help determine the best solution for you. In more common terms, we do address joint pain, nerve damage, tendon and ligament disease and back pain. Our approach, however, is much more comprehensive and truly designed to meet your performance needs.
We are committed to redefining healthcare delivery and the patient experience. With an emphasis on innovation and compassionate care, we strive to meet the complex needs of our patients and advance the field of regenerative medicine through research
Dr. Victor Ibrahim is a board certified specialist in Physical Medicine & Rehabilitation and serves as the Director of the Performance and Musculoskeletal Regeneration Center (PMRCenter) [Read More…]
Dr. John Ferrell is a board certified Family Medicine Physician with an added specialty certification in Sports Medicine and Musculoskeletal Sonography. He is currently a Team Physician for DC United [Read More…]
A nationally regarded expert in the treatment of musculoskeletal pain, Dr. David C. Wang returned home to Northern Virginia in early 2011 to join the Kaplan Center for Integrative Medicine in McLean [Read More…]
Dr. Yokel completed his residency training in Physical Medicine and Rehabilitation with a focus on diagnostic and interventional ultrasound and sports medicine. He believes in an integrated approach that begins with a careful review of the history of the injury or pain [Read More…]
Dr. Imran James Siddiqui is board certified in both physical medicine and rehabilitation and musculeskeletal ultrasound. He completed his residency at Harvard Medical School where he trained in cutting edge techniques in the diagnosis and treatment of joint, muscle and nerve conditions.[Read More…]
When Dr. Ruff was a child, he adored his grandfather who was a highly respected OBGYN. As a child, Paul didn’t know exactly what that meant, but he knew that his grandfather helped people. He felt his grandfather’s joy and enthusiasm for his work in his own heart. His grandfather loved his work and it showed. [Read More…]
Lori grew up in Remsen, New York a small town in upstate, right on the edge of the Adirondack Mountains. She received her BS in Nursing in 2004 from University at Buffalo, The State University of New York. After graduating Lori moved to the Washington, DC area to work as a clinical nurse in the Medical/Surgical ICU at INOVA Alexandria hospital. She also worked as an infusion nurse in a private oncology office. [Read More…]
Dr. John Broussard is board certified in Family Medicine with added certification in Sports Medicine (CAQSM) who specializes in both regenerative medicine and osteopathic manipulative medicine. Dr. Broussard’s philosophy for patient care is that through the utilization of integrative medicine, patients are able to receive comprehensive care in one setting. [Read More…]
Dr. Mariam Razaq is a board certified Physical Medicine and Rehabilitation Physician. She focuses on providing her patients with an integrative health care plan that includes elements of exercise, lifestyle awareness, nutrition, and pain management. She has trained extensively under Dr. Victor Ibrahim in the use of musculoskeletal ultrasound technology as a diagnostic tool, as well as for guided regenerative medicine injections. [Read More…]
Our services are centered on optimizing performance and enhancing healing. Instead of the general trend to focus on pain management, we focus on performance optimization. We provide a wide array of interventions that are office based and require little to no recovery time. The emphasis on each patient encounter is to first establish an accurate and thorough diagnosis. Then by determining the specific performance goals, a proper intervention may be implemented. By taking this approach, our goal is to avoid needless procedures and rather focus on efficient and effective healing.
Below is the patient information for each procedure. To see all the details of our services please click here
Your ultrasound evaluation will take between 30-60 minutes. There is no preparation required. There are no contraindications to an ultrasound evaluation and no limitations following the visit.
At the ROSM, we do not simply provide a screening consultation. Rather, we focus on providing a holistic approach to evaluation and treatment. This includes a thorough physiatric evaluation with an emphasis on performance deficits. We strive to provide efficient care and therefore an ultrasound evaluation is often utilized to help determine the precise diagnosis, prognosis and treatment plan. The key to many of our success stories is determining an accurate functional diagnosis.
NPT is a very new and exciting intervention with research still informing us about its proper use. The procedures involves multiple shallow injections of an all organic substance that triggers the response. Most patients will experience very mild discomfort for 2-5 days following the procedure. A series of treatments may be required depending on the nature of the nerve damage. More information on prolotherapy here
These procedures are done with local anesthesia. The blood is drawn the same day of treatment and approximately 45 minutes is required for a full treatment. The patient may experience between 2-5 days of soreness after treatment, and use of anti-inflammatory medications is not advised during the course of treatment. Depending on the specific problem, multiple treatments may be required.
This minimally invasive procedure is done under local anesthesia. The bone marrow harvesting may result in a dull aching pain for several days to weeks. Because of the potential for infection within the bone, this procedure is done in a complete sterile surgical environment. The entire process will take less than an hour and most patients will have little to no restrictions following the procedure.
This is a same day procedure that requires approximately one hour for a full treatment. Depending of the specific problem being treatment, various amounts of fat harvesting may be required. A plastic surgeon may be involved if there is a desired cosmetic affect during the liposuction. These procedures are done in a specialized operating room and require 1-2 days of recovery.
Prolotherapy treatments are often times repeated. Depending on your specific issue, you may require between 3-4 treatments to achieve the desired effect. There is a moderate amount of soreness associated with these treatments and patients are recommended to discontinue anti-inflammatory medications during the course of treatment.
Botox treatments are generally done without local anesthesia because they are well tolerated. A topical ointment may be used to numb the skin to make the procedure comfortable. You should be sure to discuss potential complications associated with using Botox for pain control.
The IBBS™ Procedure relies on a sophisticated interdisciplinary approach to mapping out muscle restrictions and resolves contracted tissue using high definition ultrasound imaging and unique tissue expansion and release methods. The procedure is done in office and requires 1-2 therapists and an interventional musculoskeletal sonographer. Results of the procedure are often seen within hours to days. Following the procedure, patients will often experience moderate swelling and bruising. Therapy is initiated immediate following the procedure and will continue on a regular basis to optimize the effects of the release. Repeat interventions are almost always needed to obtain increased gains in function. Regular use of specifically designed home therapy tools, such as the Mirror Book™, will help ensure continued functional improvement.
When tendons are injured, calcium deposits may accumulate and cause both pain and limited movement. The common way to treat mature calcium deposits is to surgically remove this debris, which may result in scar tissue and prolonged rehabilitation. Percutaneous debridement is a non-surgical way to remove these calcium deposits in the office. The procedure takes a few minutes and involves minimal risk. Ultrasound is used to guide a needle into the calcium deposit. And then using a specialized technique, the calcium is carefully isolated and removed under local anesthesia.
Morton’s neuromas are painful swellings and degeneration of the nerves in between the toes.They present as painful and persistent pain at the base of the foot. Diagnosis is often based on physical exam, but can be confirmed by ultrasound exam or MRI. Typical treatment includes physical therapy, orthotics, nerve toxin injection (alcohol, botox, etc.) and surgical removal. A minimally invasive approach includes percutaneous debridement. This procedure is done in the office under local anesthesia. The goal of this procedure is to remove calcium and debris around the neuroma in order to facilitate proper healing.
The world of medical procedures has trended towards minimally invasive approaches. At the ROSM, we have helped lead the cutting edge in this movement within the musculoskeletal field. We offer a wide array of minimally invasive ultrasound guided procedures including:
-Nerve decompressions (i.e. carpal tunnel)
-Joint debridement and injection
-Tendon and ligament debridement
A spine procedures are done in office and are same day treatments requiring 1-2 hours of recovery time. It is important to have all previous imaging tests (xrays, MRI studies, CT scans) available for review on your first visit. Your physician will review the specific interventions required which may include nerve treatments, ligament injections or direct disc injections.
ROSM participates with a variety of insurance plans but most of our services are not covered by insurance. All payments are due at the time of service. Please check with your insurance provider regarding your out of network benefits. A detailed fee schedule is available upon request.