While the majority of patients will respond to specific exercises, the challenge remains how to determine which exercise will be individualized to your needs. Dr. Geraci’s main research interest is in functional exercise. His special interest and expertise is in spinal stabilization exercises, as well as exercises that will promote healing of knee meniscal tears, hip and shoulder labral tears and in exercises for arthritic joints.
Dr. Geraci has studied and published with the leading researcher in spinal exercise, Professor Stuart McGill, PhD. This gives him with a unique perspective when choosing exercises for patients with spinal disorders. He understands which exercises provide low spinal loads and high co-activation of the muscles that support the spine to take stress off the bones, joints and discs.
He has also completed The McKenzie Method or Mechanical Diagnosis and Therapy courses that have proven to be the most valid and reliable methods when selecting the best exercise to reduce a disc herniation or treat a joint dysfunction.
Dr. Geraci has also completed the courses on how to classify pain in order to provide treatment and not just manage your pain including the Pain Mechanism Classification System taught by the Neuro-orthopedic Institute from Australia and the World of Hurt Courses from Annie O’Connor, MSPT. In addition, he is currently completing training with the Integrated Musculoskeletal Care group from Tallahasse, Florida that recently published the most important article on cost effective care and prevention for musculoskeletal disorders.
When it comes to performing indicated spinal injections, such as epidural steroid injections, sacro-iliac and facet joint injections or selective nerve root blocks, Dr. Geraci uses the most precise fluroscopic (x-ray) guided technique. He was one of the first physicians to mentor under Dr. Charles Aprill MD who piorneered these procedures.
Dr. Geraci offers other procedures, such as joint, tendon, muscle, cartilage and ligament injections which are done under ultrasound guidance and are regenerative in nature. These may include using your own concentrated platelets (platelet rich plasma therapy or PRP), which have growth factors for these tissues. Less commonly, but at times necessary, using your own cells from bone marrow or fat can provide additional cells from your own tissues to promote healing. Prolotherapy (a concentrated sugar solution) is also offered when indicated for joint arthritis or ligament healing.
All of these procedures are combined with the most effective exercise protocols, developed by Dr. Geraci, who will assist you and your physical therapist to give the best results from your injection procedure.
Dr. Geraci also trained and then taught Manual Medicine at Michigan State University, College of Osteopathic Medicine. He along with 2 other faculty members developed a course on Exercise as an Adjunct to Manual Medicine, to help maintain the correction provided from a mobilization or manipulation.