Platelet Rich Plasma (PRP)

Dr. Patrick Kane brings cutting edge treatment options to Sussex County with Platelet Rich Plasma (PRP) injections.

“PRP is an exciting new opportunity to allow patients’ own biology to assist in the healing process. The injection is an entirely autologous, meaning derived from each individual patient and therefore the side effect profile is extremely low. It is definitely still in its infancy and much more research needs to be done but the results thus far appear very promising across a wide range of Orthopaedic conditions, including tendinitis, sports injuries, and arthritis. PRP is not for everyone, but it can provide some patients a viable alternative to surgery.”

                                                                                                                         – Dr. Patrick Kane


For more information on PRP read the American Academy of Orthopaedic Surgeons information on the topic:  click here!

Botox For Migraine

Recently, Dr. Barrish added Botox for Migraine to the services he offers. According to Dr. Barrish, clinical studies have shown significant benefit for those who suffer from chronic migraines, defined as at least 15 headache days/month. Botox has been shown to be effective in reducing the frequency of migraine headaches, and is now FDA approved for that purpose. The realization that Botox could help treat migraines came about anecdotally from patients receiving Botox Cosmetic, who also suffered from migraine headaches. They reported a reduction in migraine frequency and severity. Clinical studies confirmed the findings, and now a standardized injection protocol has been established. Injections are performed at various sites in the forehead, scalp, and neck region, and are typically repeated every 3 months.

For more information, visit

Botox for Spasticity

Dr. Barrish has over 15 years of experience administering Botox injections, mainly to treat muscle spasticity. Patients with various disorders, including stroke, spinal cord injury, brain injury and Multiple Sclerosis often develop significantly elevated muscle tone and involuntary muscle spasm. Botox is FDA approved for treatment of upper extremity spasticity, but also has been shown to be effective in the lower extremities. Often Botox injection is combined with an aggressive stretching and rehabilitation program, to take full advantage of the effects of Botox. If successful, Botox injections can be repeated, at an interval of 3 months or greater, if spasticity returns. Dr. Barrish reports that many patients have benefited from Botox, to help restore function as result of decreased muscle spasm.

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Preparing for EMG/NCS (nerve test)

EMG and NCS (Electromyography and Nerve Conduction Study) are tests conducted to evaluate the ability of nerves to transmit electrical impulses and muscles to respond. The nerve conduction segment of the test involves passage of a small amount of electrical current nerve which is measured electronically. This test can be useful to diagnose nerve entrapment syndromes. Electrical stimulation may produce mild discomfort.

The electromyography segment of the test involves the insertion of a pin into the muscles to study the electrical activity. The pins used are smaller than needles used for blood draws, however, this procedure may produce temporary discomfort in the muscles. Individual muscle fiber activity can be represented electrically on an oscilloscope. This test is useful in the diagnosis of such nerve entrapment caused by disc herniation. The average length of time for these procedures is 45 minutes.


  • Prior to the test, bathe with soap that does not contain ingredients for dry skin such as creams, oils, etc.
  • Do not apply lotion to your skin prior to the test.
  • There is no physical effect from the test which would interfere with your daily activity.
  • For a test on your low back or legs, it would be helpful to wear shorts or bring shorts to change into.
  • For a test on your neck or arms, it would be helpful to wear short sleeves or a tank top.

Call today to schedule an appointment:

(302) 424-4141

Scheduling service opens at 8:30AM

Office Hours

Monday-Thursay 8:00-4:00PM

Friday                     8:00-3:00PM