Perineural injection Therapy
What is Perineural Injection Therapy (PIT)?
An injection given under the skin along the nerves to restore their normal function and resulting in almost immediate pain relief.
How does PIT work?
- Dextrose injections in concentrations of 5% reduce nerve inflammation and injured nerves.
- Nerve inflammation differs from other forms of inflammation in that anti-inflammatory drugs are commonly ineffective for reducing pain.
Who should get PIT?
Individuals with chronic nerve pain may be due to trauma, arthritis, sports, overuse, diabetic nerve pain and surgical injuries.
How long does pain relief last?
First treatment is variable from 4 hours to weeks. Each additional treatment, should keep the pain away longer. The number of treatments needed vary on severity and response to therapy. (Expect 2-3 treatments or 5-8 treatments)
Does it hurt?
The procedure is relatively painless.
Any risk associated with PIT?
Side effects are very rare but may include: Bruising, brief tenderness from the injection, Infection (Usually a result of not properly cleaning injection site)
Post treatment expectations:
Decreased pain and improved range of motion. Return to regular activities same day or next day.
Prolotherapy
What is Prolotherapy?
Prolotherapy is a regenerative injection therapy that heals by inducing inflammation in a problem area in order to increase blood flow and growth factors. Increased tendon elasticity around a joint makes you more prone to developing arthritis. Therefore, this medical procedure is used to address and target joint instability which will strengthen and stabilize the joint.
Is prolotherapy safe?
- The solutions have shown to be safe and do not contain cortisone.
- The most common side effect is discomfort due to the injections, as well as temporary soreness, stiffness, and occasional bruising.
- Local anesthetic is used prior to the injections to decrease discomfort.
Should I eat before my appointment?
A light meal and plenty of water 1-2 hours before the procedure is recommended and hydration the day before.
How many treatments are needed?
- 3 – 6 treatments on average
- Few patients will respond to 1 or 2 treatments
When will the benefits occur after the injections?
- It does not result in immediate relief of pain.
- Patients improve within two weeks of the
procedure. - Significant relief usually occurs around 4-6
weeks after the first treatment.
Can I exercise following the treatment?
- Exercise and movement are recommended as soon as possible.
- Mobilization promotes tissue healing and faster results.
When can I return to work?
- Most can return to work the same day.
- Although, if the job places a great deal of stress
on area treated. A few days off is recommended.
What are the chances I will get better or worse?
- Statistics show that 85-90% of patients treated with prolotherapy will benefit at least 50% when treated 2-10 times.
- There is no evidence of a condition becoming permanently worse for the treatment.
Prior to treatment
- Instructions for preparing for the procedure will be reviewed with the patient.
- This may include, discontinuing anti- inflammatory medications and smoking. Diet recommendations.
Platelet Rich Plasma (PRP)
What is A-PRP
A-PRP stands for autologous platelet rich plasma. Autologous means "harnessed" from one's own body. A-PRP is a biological solution from the patients whole blood that has concentrated growth factors, high levels of platelet concentration, and proteins.
How does the A-PRP process work?
A blood draw is performed to obtain a small amount of blood. The blood is then put through a centrifugation process that will separate the platelets and growth factors. The platelets and growth factors are resuspended in the plasma and applied to the treatment area. The process is usually done in about 15-20 minutes.
Why are platelets important?
Platelets play a role in preventing bleeding and help facilitate tissue healing.
Is PRP the right treatment for me?
Determining the use of PRP therapy will be based on physical exams, past medical history and if the use of PRP may benefit your injury.
Are there any risk associated with PRP?
PRP utilizes your own body ability to heal an injured area. Thus, making side effects very rare.