Combination Joint Therapy (Platelet Injections and Prolotherapy)

Platelet Injections

Platelet Injections treatment takes the patient’s blood and re-introduces the concentrated blood platelets from the patient into areas of chronic joint deterioration/pain. Your blood platelets contain growth factors. When concentrated through simple centrifuging, your blood plasma becomes “rich” in healing factors, thus the name Platelet Injections. Platelets play a central role in wound/injury healing. The procedure and preparation of therapeutic doses of growth factors consist of an autologous blood collection (blood from the patient), plasma separation (blood is centrifuged), and application of the plasma rich in growth factors (injecting the plasma into the areas of concern).

Perineurla Injection Therapy (PIT)

Perineural injection therapy treats inflamed and injured nerves. Chronic nerve pain is often due to trauma, peripheral nerve damage (peripheral neuropathy), arthritis, sports, overuse, occupational, and surgical injuries.

With the nerve being injured, it continues to send a pain message to the brain even though the nerve is not being stimulated by pain. This creates a “short circuit” much like an open wire lying on the floor with electricity flowing through it. The substances that cause pain also prevent tissues such as muscles, tendons, and ligaments from healing. The term used to describe these inflamed nerves is called neurogenic inflammation. 

PIT is aimed at stopping this neurogenic inflammation which will decrease pain and allow your body to heal itself.

Trigger Point Injections

Trigger Point Injections can be used to treat chronic muscle pain that contributes to joint pain and a different variety of chronic pain issues. A trigger point is an involuntary contraction or spasm in the muscle which causes the area to become tender and to radiate pain to different areas of the body. These are typically caused by injury to or overuse of the affected muscle; they can also be caused by stress and anxiety. Many times we will see multiple trigger points in chronic joint pain patients due to the change in biomechanical function that is produced with these issues. The treatment of these trigger points is an injection of anesthetic (typically lidocaine) directly into the “knots” in the affected muscles. This inactivates the trigger point and, therefore, alleviates the pain. If necessary, multiple sites can receive trigger point injections in one appointment.

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