Services

We help our patients by following the basic principles we were taught in medical school. Primarily, that the key to diagnosis is in the history and physical examination. The answer for the cause of a patient’s problem almost always lies in what the patient tells the doctor and what the doctor finds when they examine the patient’s body .

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Bone Health and Osteoporosis

We help you optimize your bone health to decrease your risk of painful and debilitating fractures.

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Kyphoplasty

Dr. Webb is a leading expert on kyphoplasty, a minimally invasive outpatient treatment for painful vertebral compression fractures. 

Kyphoplasty is a highly effective way to relieve the severe pain from a fractured vertebra. These fractures are most frequently caused by osteoporosis but can also be caused by benign tumors or certain cancers like multiple myeloma. 

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Other Procedures for Spinal Pain

For back pain that doesn't get better, there are many options for minimally invasive injections to help get you moving again. We believe that treating a patient should start with arriving at a diagnosis. This involves analyzing all the available data from the history, the exam, imaging studies and synthesizing it into a cohesive, logical explanation for the patient’s problem. Once a rational diagnosis is made, treatment can begin

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Bone Density (DXA) Scans

Bone density scan can detect early bone loss in patients who are getting older.  It is a screening test for primary osteoporosis - or weakened bones due to low bone density.

Learn More → MORE INFO COMING SOON

 

Hormone Replacement Therapy

Hormone imbalances are common and are a common cause of poor bone health or secondary osteoporosis.  Both women and men struggle with declining hormone levels as they age. Many think it is just part
of aging. It is but it is also one that can be avoided

Learn More →

PRP - Protein Rich Plasma Injection

Sometimes, chronic problems in a tendon, muscle or
ligament can cause severe pain.  When other methods
fail, PRP may be the answer.  PRP uses your very own
blood cells drawn in office to stimulate healing in the
area of pain.  Many patients experience complete
resolution of their pain with PRP...

Learn More → Call 918-260-9322 for more information today. 

Contact us Today!

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Osteoporosis

People often ask, how is the OSTEOPOROSIS INSTITUTE significantly different
from orthopedic surgery centers?

1. EXPERTISE AND FOCUS

Most patients with a painful spinal fracture who are treated with kyphoplasty have significnt improvement in their pain and mobility.  However, if their doctor does not treat the underlying cause of the fracture--osteoporosis--then, that patient is more likely to continue getting painful fractures.  We focus on treating osteoporosis patients’ compression fractures with Balloon Kyphoplasty to provide relief of pain but we also treat the underlying osteoporosis to decrease their risk of getting fractures in the future. 

2. AFFORDABLE

We are able to provide Kyphoplasty procedures more efficiently and affordably than most hospitals and other outpatient centers.  Our procedures are approved by Medicare and we accept most insurances.  Since we are independent, you will typically receive one bill.  In contrast, if you have the procedure done at a hospital, then patients usually receive a large bill from the hospital and separate bills from the doctor. 

3. NON-SURGICAL

We are able to avoid surgical referral in over 95% of our patients.  Our procedures are done on an outpatient basis.  No big scar or recovery time from the procedure.  This helps most patients on their way to finding freedom from pain without invasive surgery or narcotics.

4. IV SEDATION WITH CRNA

The Osteoporosis Institute utilizes IV sedation instead of general anesthesia.  This reduces recovery time, cost and general sedation risks.  Not all patients are candidates for IV sedation.


What are some preventative measures I can take to prevent fractures and osteoporosis?

  • Make sure you have adequate vitamin D and calcium in your diet.

  • Avoid activities that bend or flex the spine.

  • Beware of falls - avoid step ladders, extension cords and throw rugs.

  • Stop smoking - smoking is one of the leading causes of secondary osteoporosis.

  • Talk to your doctor if you take steroids, certain acid blockers and anti-anxiety or anti-depression medications.  These can cause secondary osteoporosis.


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Kyphoplasty:
A Simple Solution for Vertebral Fractures

Symptoms of a vertebral fracture

In most cases, compression fractures are caused by osteoporosis.  Compared to everyday back pain, pain from a spinal fracture tends to have one or a combination of the following symptoms:
• Severe back pain
• Back pain that is worse when lying on stomach
• Limitations in ability to function in everyday activities
• Pain with transitions--getting out of chair, in and out of car, etc.
• Back pain that is new or more severe than everyday or minor back pain
• Poor quality of life (such as extending bed rest)


What Is Kyphoplasty?

• Back pain can have many causes.  If severe pain is caused by a vertebral compression fracture, then kyphoplasty is an effective treatment with a success rate reported as high as 95%. 
• Kyphoplasty is a minimally invasive procedure used for treating a compression fracture resulting from osteoporosis.  It is designed to provide rapid back pain relief and help restore the spine's natural curvature. 
• Kyphoplasty treats the pain from a vertebral fracture by internally stabilizing the fracture using an acrylic bone cement.
•  The procedure takes about 30 minutes and has a short recovery time, usually a couple of days in most patients. 
• Kyphoplasty can help relieve pain by stabilizing the fracture and improves mobility because of decreased pain.  It also restores height to the crushed vertebral body, and decreases spinal deformities. 
• Kyphoplasty has a significantly lower complication rate compared to verteboplasty (no balloon) and has an added life-extending benefit as it decreases mortality.
• While kyphoplasty is highly effective for improving mobility and decreasing pain in patients with spinal fractures, it does not treat the underlying osteoporosis itself.  It's important for your doctor to treat the underlying bone disease (osteoporosis) causing the fractures.  This decreases the risk of future fractures and generally makes them less frequent. 


What happens during the procedure?

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1. Instruments Inserted – Through a half-inch incision, small instruments are placed into the fractured vertebral body creating a working channel.
2. IBT Inserted – The KyphX inflatable bone tamp is then placed into the fracture.
3. Cavity Created – The device is carefully inflated, creating a cavity inside the vertebral body.
4. Balloon Deflated – The balloon is deflated, leaving a cavity in the vertebral body.
5. Fracture Stabilized – The cavity is filled with bone cement to stabilize the fracture. Once filled, the incision is closed.
6. End of Procedure – With the process completed, an internal cast is now in place. This stabilizes the vertebral body and provides rapid mobility and pain relief.
It also restores vertebral body height, reducing spine deformity.

Patients treated with balloon kyphoplasty have significantly better outcomes in terms of pain reduction, quality of life, function and mobility both initially at one month, and throughout the months and years after treatment.

 


Experience Matters

When it comes to kyphoplasty, Dr. Webb is one of the most experienced physicians in the US.  Dr. Webb has performed thousands of these procedures and has the experience necessary to safely perform kyphoplasty.  In fact, he also teaches other physicians how to safely and effectively perform the procedure.  Dr. Webb:
•  Performed over 120 kyphoplasties during his training (fellowship)
•  Was the first kyphoplasty practitioner in Oklahoma and one of a few in the nation to establish a full-service outpatient clinic focused on medically treating the underlying osteoporosis.
•  Average 300-400 fractures treated per year.
•  Continues efforts to refine vertebral fracture treatment, consulting for numerous medical device companies and teaching other physicians how to perform this life-saving procedure.
•  Is a principal investigator in the EVOLVE trial, the largest ever on-label study of kyphoplasty in Medicare patients with vertebral fractures with 350 patients enrolled over 24 sites across the US.

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Interventional Pain Management

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Non-Surgical Injections For Pain

Our Unique Approach...

We do the best for our patients by following the basic principles that we were taught in medical school. Primarily, that the key to diagnosis is in the history and physical examination. The answer for the cause of a patient’s problem almost always lies in what the patient tells the doctor and what the doctor finds when the examine the patient’s body.  By following these principles, we are often able to find the source of pain, even when others have not.

After that, we employ a systematic approach based on the scientific method, identifying and treating individual components of the patient’s pain. Most spine specialists focus on the intervertebral disc, presuming that a torn, bulging or herniated disc is the main source of the patient’s symptoms. For the patient we see, the pain is usually caused by multiple problems including the facet joints, the vertebral bodies, posterior elements, sacroiliac joints, muscles and other soft tissues in addition to the disc. We don’t just treat the disc, we treat the patient.
We believe that treating a patient should start with arriving at a diagnosis. This involves analyzing all the available data from the history, the exam, imaging studies and synthesizing it into a cohesive, logical explanation for the patient’s problem. Once a rational diagnosis is made, treatment can begin.

Many times, a patient may go to a specialist who asks the question is “Does this patient need spine surgery?”.  What we try to do is get to the root cause of the patient’s pain and find out what is wrong with them–not whether or not they are a candidate for a particular procedure. Back pain is a leading cause of disability. Back surgery takes months to recover from, leaves a huge scar and metal in your back.  We generally see the patients that surgery didn't help. 

 
 


HOW WE’RE DIFFERENT

FAST RECOVERY

Most patients are back to their usual activities the next day.

MEDICAL OSTEOPOROSIS MANAGEMENT

We fix the fracture and treat the osteoporosis that caused it.

AFFORDABLE

Having the procedure done in office can save thousands over a hospital. Covered by Medicareand most insurances are accepted.

MINIMALLY INVASIVE

Performed with only tiny incisions so you can have freedom from pain while avoiding invasive surgery or narcotics.

INDEPENDENT PHYSICIAN

As an independent doctor, Dr. Webb is free to do what is best for our patients, instead of what is best for the bottom line of a hospital or large group.  Dr. Webb is an expert in both interpreting imaging studies as well as performing procedures to reduce pain. Advanced imaging studies, such as MRI, are critical to selecting the correct treatment plan for patients with chronic and/or postoperative pain.  Dr. Webb is the only practicing pain specialist in Tulsa who is also board-certified to read the imaging studies that guide treatment.

 

 
JENNY GUTHRIE, ARNP

JENNY GUTHRIE, ARNP

 

HI, MY NAME IS JENNY GUTHRIE

Both women and men struggle with declining hormone levels as they age. Many think it is just part of aging. It is but it is also one that can be avoided.  Our mission is to improve the lives of the hormone replacement therapy patients we serve.

HOW MEN ARE AFFECTED

Men struggle with declining testosterone or “Low T” levels. This includes: fatigue, lack of mental acuity, loss of libido and difficulty achieving or sustaining an erection.


MEN WITH ANTI AGING HORMONE REPLACEMENT THERAPY CAN:
• Achieve lean muscle gain
• Fat loss
• Better skin tone and elasticity
• Improved cognitive function
• Improved cholesterol scores
• Improved sex drive
• Improved blood sugar levels
• Stronger immunity
• Stronger bones
• Disease prevention
• Better overall sense of well-being

HOW WOMEN ARE AFFECTED

Women struggle with menopause, suffer from Osteoporosis, feel lethargic and can’t lose weight.

WOMEN CAN ENJOY
• Total Menopause symptom relief
• Ease the disruption of PMS with a natural
relief for your worst symptoms
• Overcome fatigue, stress and anxiety to feel
like yourself again
• Balance your thyroid and relieve
bothersome symptoms
• Fight Osteoporosis and bone health
concerns
• Speed bone fracture healing time while
building stronger bones for life
• Overcome metabolic obstacles and lose
weight for good
WE UNDERSTAND THIS IS NOT JUST A
HEALTH ISSUE BUT A QUALITY OF LIFE ISSUE.

People often ask, “How can Bio-Identical Hormone Replacement Therapy help?”

HRT IS HORMONAL BALANCE!

Contact us to schedule your in office risk assessment!

 

 
 

Platelet Rich Plasma (PRP) Injection

 
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What is PRP?  How does it work?

PRP stands for "Platelet Rich Plasma."  When the body has a soft tissue injury, platelet activation is one of many methods the body uses to heal.  Using a concentration platelets (a type of blood cell that helps with blood clotting), PRP injects the part of the blood with a higher concentration of platelets. 

It is thought that the platelets and bio-chemicals associated with them help kick-start the healing process.  Some of these bio-chemicals signal other cells to the area of injury and cause them to turn into healing cells.

How is the procedure performed?

The PRP procedure uses the patient's own blood.

1.  Blood is drawn into a sterile syringe.

2.  The patient's blood is spun down separating the platelet rich portion from the rest.

3.  The platelet rich portion is then injected into the affected soft tissue under sterile technique.

 
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I’ve seen active patients—including high level athletes—respond favorably to PRP when nothing else seemed to help.
— Dr. Pitts

What should I expect after PRP injection?

After week or so, many patients will notice improvement in pain and function.

Most patients will experience a degree of injection sites soreness or tenderness, usually lasting a few days.  If this is severe, or lasts beyond a week, you should follow-up with your physician. 

Is PRP covered by insurance?

Insurance coverage is variable.  Many plan do not cover platelet rich plasma injection.  Our office staff can help you determine if your plan covers PRP.  If not, they can arrange for an affordable cash payment price.