Perineural Therapy, Prolotherapy, and Platelet Rich Plasma (PRP)
Regenerative medicine helps promote tissue repair, using your body’s own healing properties. The body is continually finding equilibrium between repair and breakdown in the body. The body has constant regenerative processes to counteract the constant turnover of cells in the body. Osteoarthritis, tendinopathies, and ligamentous tears that do not heal are examples of when the breakdown outweighs the repair. Regenerative medicine shifts the body back towards repair allowing the body’s natural healing response.
Perineural injection therapy specifically targets neuropathic pain and neurogenic inflammation meaning the nerve fiber itself is damaged, injured or chronically inflamed. This type of pain often develops after an injury and is usually chronic, unrelenting and diffuse in nature. The quality of pain is often aching, nagging or burning with fluctuating severity. Perineural therapy involves superficial injections of dextrose along cutaneous nerve pathways. Dextrose calms down the inflammation around the nerve allowing time for the nerve to heal and eliminating pain.
Prolotherapy is a method of injection treatment designed to stimulate healing. It stimulates an inflammatory response recruiting fibroblast, growth factors, and other collagen building precursors to the area of injury. Prolotherapy is a minimally invasive therapy that utilizes your body’s own ability to heal. This therapy is used for chronic myofascial pain, back pain, osteoarthritis, and ligament/tendon injuries or sprains. Prolotherapy is an effective long- term solution rather than a temporary measure such as drugs or Cortisone.
Platelet Rich Plasma (PRP)
Platelet-rich plasma therapy involves using your own blood plasma and platelets as an enriched source of growth factors and cytokines directly at the site of injury. This allows for growth, repair and strengthening of the tissue as well as pain reduction. PRP’s advantage over prolotherapy is placing your body’s own growth and healing factors in a concentrated location at the site of injury rather than having them travel to the site of injury. PRP is indicated for tendonitis/tendon tear, ligament sprain/tears, muscle strains/tears, plantar fasciitis, osteoarthritis, rotator cuff injuries, and chronic joint pain.
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