Injection Treatment Procedures for Pain Relief and Regenerative Therapy
Neural therapy is a minimally invasive injection technique used by physicians to help patients with pain related to scars. It requires the injection of local anesthetic (procaine or lidocaine) into the scar tissue of the skin (old or new) but does not involve injections into any other parts of the body. The purpose is to decrease pain and binding associated with the scar tissue. Since the scar is often associated with a traumatic injury, it is not uncommon for patients during the procedure to have some recall as to the original trauma causing the injury. Since this may result in some temporary anxiety and/or apprehension regarding the procedure, you should make your physician aware of any concerns you may have so that they can discuss with you any additional interventions that may benefit. Typically, scars will soften and “relax” over a series of treatments allowing for greater mobility as the scar is remodeled biophysically and mentally.
Trigger Point Injection
Trigger Point Injection is an injection technique frequently used to help patients with pain resulting from an acute muscle injury or from a variety of repetitive strain injuries. It has been in use for over 70 years. A portion of muscle is tighter than the tissue around it, reducing the normal blood flow through that part of the muscle. This trigger point becomes tender, the muscle tires more easily, it ultimately becomes weaker, and it may cause significant radiating pain. This positive feedback loop between the spine and a group of receptors in a portion of the muscle can be thought of as a “glitch” in the software of the neural system that blocks the normal reparative process. By briefly interfering using the anesthetic properties of lidocaine, and the microinjury caused by the needle point, the normal reparative process can be jumpstarted. Occasionally, a steroid medication may be used for bursitis or certain inflammatory conditions.
Prolotherapy is an injection treatment designed to stimulate healing of ligament laxity and tendon weakness or joint instability. The painful weakened areas are injected with proliferant solution which causes an intense inflammatory reaction. The reaction the initiates a new healing phase wherein cells called fibroblasts deposit new collagen over the subsequent weeks. The new collagen “lines up” along the functional lines of stress of the tendon or ligament to strengthen these tissues. Prolotherapy is helpful for pain problems due to ligamentous laxity that have not been resolved by more conservative treatment, such as manuel therapy, trigger point injections, therapeutic exercise or medications. Ligamentous reconstruction involves more risk and discomfort for the patient, as weak as more commitment to rehabilitation. Antinflammatories are counterproductive and opiates are used for pain control. Benefit may be seen in as little as 2-6 injection sessions. Patients with more extensive damage will require more treatment MEDICARE WILL NOT COVER THE COST OF TREATMENT. In smokers, vegetarians and the immunosuppressed, healing may be less optimal.