Helping your body
heal itself
Dr. Ehrlich’s practice is based in the founding principles of Naturopathic Medicine using Nutrition, Botanical Medicine, cleansing, purifying and detoxification. He also does Regenerative Injection Therapies (RIT) using MSK ultrasound imagery in realtime: Platelet Rich Plasma Therapy (PRP), Placental Tissue Matrix Allografts, Autologous Cell Cell therapies derived from Adipose and Bone Marrow, Prolotherapy, Trigger point injections, and neural prolotherapy or otherwise referred to as perineural injection therapy, nerve hydrodissection, Intravenous therapies, Intramuscular vitamin injections, immune system stimulation and optimization, Bioidentical Hormone Replacement therapy, and musculoskeletal therapies (physical medicine) including corrective spinal and extremity care.
About Dr. Ehrlich
Dr. Nathan Ehrlich, N.D. is a Naturopathic Physician practicing on Maui, Hawaii since 1988. He is a graduate of the National College of Naturopathic Medicine in Portland, Oregon from where he received his Doctorate of Naturopathic Medicine (N.D.) degree in 1988. His premedical training was done at Albright College where he received his Bachelor of Science in PsychoBiology along with a Cluster in Hispanic Studies in 1984. From 1981 to 1984, while in college, he worked at the St. Joseph Hospital in Reading, Pennsylvania as Laboratory Technical Assistant and Phlebotomist.
He has done externships with the Portland Naturopathic Clinic, Portland, OR; and preceptored with Dr. Andrew Weil, M.D., Tuscon, AZ a world renowned physician, author and leader in the field of Holistic Medicine, Dr. Alec Burton, DO, Sidney, Australia, an authority in the field of Natural Hygiene and fasting, Dr. Harold Dick, N.D. Spokane, WA (deceased), a naturopathic physician heralded as one of the authorities in hydrotherapy, among others. Dr. Ehrlich did a 6 month internship with Dr. Michael Dickens, N.D. on Maui in 1988.
Our Services
Ola Ha Therapy
Ola Ha Therapy (body work)
Is the name I have coined for the type of musculoskeletal release work that I do. I have been doing bodywork for 30 years and during that time I have trained and practiced many techniques.
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AUTOLOGOUS ADIPOSE CELL THERAPY
Autologous Adipose Cell Therapy is a relatively new and promising procedure in which the patient’s own adipose fat tissue is harvested via a lipoaspiration procedure and then injected back into their own body utilizing Ultrasound guidance at the region of the body requiring healing.
Regenerative Injection Therapy
In between the world of surgery and more conservative modalities such as massage and physical therapy is a rapidly evolving field that is harnessing the body’s ability to heal itself with safe injections aimed at regenerating new connective tissue.
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MSK Ultrasound
Dr. Ehrlich utilizes MSK ultrasound technology to enhance both the diagnostic and treatment aspects of care of musculosketelal disorders. By using ultrasound imagery in real-time, pathology of the musculoskeletal system is treated more effectively by visualizing the region being injected.
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Nerve Hydro-dissection
Nerve hydro-dissection, though sounding somewhat frightening, is actually a very safe and relatively easy treatment for the patient to undergo. When nerves, for example the median nerve in carpal tunnel, become entrapped by structures around them the problems which result can be many and varied but usually neuropathic pain is at the top of the list.
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Perineural Injection Therapy or Neural Prolotherapy
Perineural Injection Therapy or Neural Prolotherapy is a regenerative therapy that employs a dilute concentration of dextrose/sugar to treat peripheral nerves via subcutaneous injections.
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Prolotherapy
Prolotherapy is a safe and natural form of therapy which stimulates the proliferation (“prolo”) of new collagen cells and connective tissue. Cartilage, ligaments, muscles and tendons comprise connective tissue. A safe solution primarily consisting of dextrose and a lidocaine or procaine is injected into the site of trauma or injury and this controlled irritation produces an inflammatory response which sparks the healing and repair of the damaged or dysfunctional tissue.
Platelet Rich Plasma Therapy
What is Platelet Rich Plasma?
(for pertinent studies on PRP go to articles under resources)
Platelet Rich Plasma, PRPis blood plasma with highly concentrated platelets. Platelets are a specialized type of blood cell involved in injury healing. Platelets also contain large reservoirs of natural growth factors. While a normal concentration of platelets circulating in your blood is 200,000 per micro liter, the platelet count in Platelet Rich Plasma can exceed 2 million platelets per micro liter. To be considered PRP the platelet count must be 4x or greater above baseline. Because of the highly regenerative properties of platelets they can be injected to areas of damaged connective tissue to stimulate greater healing. One can think of this process as a grafting of sorts where systemic platelets are gathered and concentrated into the patient’s own plasma and injected back to these areas of the body needing assistance with healing. PRP is superior to Prolotherapy with the principle biologic component being dextrose as the efficacy of the procedure is less contingent upon the available blood supply to an area such as in thick ligaments or markedly fibrotic tissue.
When concentrating platelets, 7 fundamental protein growth factors (also called cytokines) are concentrated.
Platelet-derived growth factors – PDGFaa, PDGFab, PDGFbb
Transforming growth factors – TGFb1, TGFb2 Vascular endothelial growth factors – VEGF
Epithelial growth factors – EGF
This concentrate also contains 3 proteins in the blood to act as cell adhesion molecules: fibrin, fibronectin, and vitronectin. Clinical data has shown that the concentration of growth factors may help optimized conditions for bone healing.
How is Platelet Rich Plasma made?
Platelet Rich Plasma is collected by drawing 20 – 60 cc of blood (500 cc is taken in blood bank donations), the blood is then put into the Harvest SmartPReP®2 Platelet Concentrate System and spun down separating the red blood cells, plasma and concentrating the platelets.
Plasma
Is Platelet Rich Plasma Safe?
Since Platelet Rich Plasma is Autologous (from the self) there is no chance of rejection or adverse effects.
Is Platelet Rich Plasma Safe?
Since Platelet Rich Plasma is Autologous (from the self) there is no chance of rejection or adverse effects.
PRP testimonial with Nakoa DeCoite Maui big wave surfer
PRP testimonial with Suzy Ham for Cervical Spine
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