Pain Management

Comprehensive Pain Management Solutions

Struggling with pain in your knees, ankles, shoulders, back, or neck? We provide specialized treatments to alleviate your discomfort and improve your quality of life.

Pain Management

Prolotherapy

Prolotherapy, short for proliferative therapy, is a medical procedure aimed at treating chronic musculoskeletal pain. It involves injecting a solution of dextrose (a sugar) and lidocaine (an anesthetic) into damaged or weakened ligaments, tendons, or joints.

The goal is to stimulate the body's natural healing processes, bringing white blood cells, growth factors, collagen, and cytokines into the area. This allows the body to focus its healing abilities on a specific region.

Mechanism of Action

The injected solution irritates the tissues, triggering a localized inflammatory response. This inflammation prompts the body to send healing cells and substances to the site, promoting tissue repair and regeneration.

Over time, this process can strengthen weakened ligaments and tendons, reduce pain, and improve joint function.

Indications for Prolotherapy

Prolotherapy may be recommended for various conditions, including:

  • Chronic ligament and tendon pain, such as in the knees, shoulders, elbows, or ankles.
  • Osteoarthritis, particularly in joints like the knees, hips, or hands.
  • Joint instability, where ligaments are lax, leading to frequent dislocations or subluxations.
  • Musculoskeletal injuries, such as sprains, strains, repetitive stress injuries, or issues arising from motor vehicle accidents.
  • Migraines and headaches.
Pain Management

Trigger Point Injections

Trigger point injections (TPIs) are a medical procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax.

These points can irritate the surrounding nerves and cause referred pain in other areas of the body.

Trigger point injections are often used to alleviate myofascial pain syndrome, tension headaches, and fibromyalgia.

How the Procedure Works

  1. Identification of Trigger Point: The doctor first identifies the trigger point by palpating the muscle for tender spots that reproduce pain.
  2. Injection: A small needle is then inserted into the trigger point, and a solution is injected. An anesthetic helps to numb the area, and the injectate helps reduce inflammation.
  3. Breaking the Pain Cycle: The injection helps to disrupt the cycle of muscle spasm and pain. It may also help to improve blood flow to the area and facilitate muscle relaxation.
  4. Post-Injection: Some people may experience immediate relief, while others may require a few days to notice improvement. Physical therapy and stretching may be recommended following TPIs to prevent the recurrence of trigger points.

Neural Therapy

Neural therapy is a medical treatment used primarily to help alleviate chronic pain and dysfunction. The autonomic nervous system, which controls many unconscious bodily functions, can be disrupted by injury, surgery, scars, or illness, leading to "interference fields." These interference fields can cause dysfunction or pain in distant parts of the body.

Neural therapy aims to "reset" these interference fields by injecting certain trigger points, scars, or nerves with the goal of restoring normal function to the autonomic nervous system and reducing symptoms.

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Frequently Asked Questions

Using a needle will always be uncomfortable. Pain varies from patient to patient and depends on the area being injected. We use an anesthetic to help with pain management and the pain disappears after the needle is withdrawn.

Most people will feel ‘full’ when they leave the clinic. It is also common to feel more achy in the next few days. By 4-5 days after the injection, you will feel the same or better as you did before.

As with any therapy that breaks the skin barrier, there are risks. We take the necessary precautions to prevent issues such as infection. Keeping the area clean after treatment and avoiding public hot tubs, swimming pools and lakes for the next 5 days will also minimize risk. Patients are required to sign a consent form before receiving treatment.

This varies from patient to patient. It also depends on the therapy being used and history of the injury. Typically, our protocol for prolotherapy consists of 1 injection every 2-3 weeks for 3 injections before reassessment.

YES! It is ideal to eat about an hour before you come in order to keep your blood sugar high and decrease the chances of you feeling faint or unwell.

You can generally return to work the same day. If you work a physical job it may be ideal to take the day of treatment and one more day off. Exercise should be avoided for 2-3 days after treatment.

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