Treat Low Back Pain with Neural Prolotherapy

Neural Prolotherapy – Treatment for Low Back Pain

Low back pain can be caused by a number of reasons.  The lumbar spine, or low back, is a remarkably well-engineered structure of interconnecting bones, joints, nerves, ligaments, and muscles all working together to provide support, strength, and flexibility. However, this complex structure also leaves the low back susceptible to injury and pain.

The low back supports the weight of the upper body and provides mobility for everyday motions such as bending and twisting. Muscles in the low back are responsible for flexing and rotating the hips while walking, as well as supporting the spinal column. Nerves in the low back supply sensation and power the muscles in the pelvis, legs, and feet.

Most acute low back pain results from injury to the muscles, ligaments, joints, or discs. The body also reacts to injury by mobilizing an inflammatory healing response. While inflammation sounds minor, it can cause severe pain.

There is a significant overlap of nerve supply to many of the discs, muscles, ligaments, and other spinal structures, and it can be difficult for the brain to accurately sense which is the cause of the pain. For example, a degenerated or torn lumbar disc can feel the same as a pulled muscle – both creating inflammation and painful muscle spasm in the same area. Muscles and ligaments heal rapidly, while a torn disc may or may not. The time course of pain helps determine the cause.

What is Neural Prolotherapy

Neural prolotheraphy is a non-invasive treatment used to treat neuropathic (pain which is caused specifically by injury or dysfunction of the nerves or the nervous system). It promote healing of injured nerves and restoration of tissue function by injecting medical grade sugar just below the skin.  Both traditional prolotherapy and neural prolotherapy promote healing and result in pain relief and function restoration, but each uses different concentrations of dextrose and different techniques for injections. Neural prolotherapy injections are applied at multiple points just below the surface of the skin to target subcutaneous nerves to reduce neurogenic inflammation.

If you are unsure if Neural Prolotherapy is right for you, call to schedule a consultation with one of our doctors.  (855) 684-3740

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Neural Prolotherapy – A Treatment Option for Tennis Elbow

 
What is Tennis Elbow?
 
Tennis elbow is a painful inflammation of the elbow joint caused by repetitive stress (overuse).  The pain is located on the outside (lateral side) of the elbow, but may radiate down the back of your forearm.  You’ll likely feel the pain when you straighten or fully extend your arm.
 
CAUSES
 
The tendon is the part of a muscle that attaches to the bone. Forearm tendons attach the forearm muscles to the outer bone of the elbow. Tennis elbow often occurs when a specific muscle in the forearm — the extensor carpi radialis brevis (ECRB) muscle — is damaged. The ECRB helps raise (extend) the wrist.  Repetitive stress weakens the ECRB muscle, causing extremely tiny tears in the muscle’s tendon at the point where it attaches to the outside of the elbow. These tears lead to inflammation and pain.
 
Tennis elbow can be triggered by any activity that involves repetitive twisting of the wrist. These activities may include:
 
tennis and other racquet sports
swimming
golfing
turning a key
frequently using a screwdriver, hammer, or computer
 
SYMPTOMS:
You may experience some of the following symptoms if you have tennis elbow:
1. Elbow pain that is mild at first but gradually gets worse
pain extending from the outside of the elbow down to the forearm and wrist
2. A weak grip
3. Increased pain when shaking hands or squeezing an object
pain when lifting something, using tools, or opening jars
 
TREATMENT OPTIONS:
 
Regenerative medicine techniques have been proven to both eliminate pain and heal the joints and ligaments. Neural Prolotherapy is one treatment option that is effective in treating elbow pain. 
Find out if this treatment is right for you.  Call us at (855) 684-3740 to schedule a consultation with one of our doctors to determine which treatment is right for you!
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Eliminate Osteoarthritis Pain with Platelet Rich Plasma (PRP)

What is Platelet Rich Plasma (PRP)?

PRP, or platelet rich plasma regenerates damaged tissues, and creates repair of those tissues by increasing growth hormones in the area first.  This then stimulate stem cell repair.  The plasma is created by taking your own blood, spinning it down, and then injecting the buffy coat layer (between your red blood cells and the clear yellow stuff on top) into the area we are treating. It can be used for facial aesthetics to create collagen, or for tendons/muscles/ligaments to stimulate repair.

Platelets are naturally extremely rich in the connective tissue growth and healing factors. The body’s first response to tissue injury is to deliver platelets to the area. Platelets initiate repair and attract stem cells to the injury. Injecting these growth factors into damaged ligaments, tendons, and joints stimulates the natural repair process. In order to maximize the healing process, the platelets must be concentrated and separated from the red blood cells. The goal of PRP is to maximize the number of platelets while minimizing the number of red blood cells in a solution that is injected into the injured or pained area(s). In summary, PRP creates, stimulates, and accelerates the body’s natural healing process.

What Does PRP treat?

A growing number of people are turning to PRP injections to treat an expanding list of orthopedic conditions, including osteoarthritis. It is most commonly used for knee osteoarthritis, but may be used on other joints as well. PRP treatment works most effectively for chronic ligament and tendon sprains/strains that have failed other conservative treatment.  It can also be effective for many cases of osteoarthritis by stimulating healing of cartilage and reducing pain and disability. This includes:

Knee arthritis
Hip joint arthritis
Shoulder arthritis
Ankle arthritis

How Does it Help Your Osteoarthritis?

When treating osteoarthritis with platelet-rich plasma, a doctor injects PRP directly into the affected joint. The goal is to:

  • Reduce pain
  • Improve joint function
  • Possibly slow, halt, or even repair damage to cartilage

Platelet-rich plasma is derived from a sample of the patient’s own blood. The therapeutic injections contain plasma with a higher concentration of platelets than is found in normal blood.

Call the office  (855) 684-3740  to find out how Platelet Rich Plasma (PRP) can help eliminate your osteoarthritis pain.

 

Knee Injection

Regenerative Medicine Treatments for Shoulder Pain

Is MY Shoulder Injury Serious Enough For Me To See A Doctor?

If you have shoulder pain due to an injury or medical condition, Regenerative Medicine techniques are a great alternative to surgery.  Unless you have X-ray eyes, there is practically no way you would be able to know the magnitude of your shoulder pain just by looking at it. Should you simply rest it for a couple of days, ice it for 15-20 minutes several times a day, or go straight to the operating room?

Like many joint, ligament, and tendon issues, rest and ice are probably all it needs but if you’re suspecting something more serious, don’t hesitate to see your doctor and have a check up in place.

If you are experiencing any of these types of symptoms, you should make an appointment with your doctor.

1. If you have just sustained a bad fall on the shoulder and you notice a deformity in the collarbone area, it could be a clavicle (or collarbone) fracture.
2. If you can’t lift your arm, this could be an indication of a rotator cuff injury or other structural problems. Even if you can tolerate the shoulder pain but you can’t perform any activity with the arm, a meeting with the doctor should be in place.
3. A popping sound or sensation deep in the shoulder can mean different things for many people making this “symptom” a little tricky. Even so, erring on the side of caution is still advised because for many, feeling a popping/clicking sound deep in the shoulder could mean a labral tear.
4. If the shoulder popped out of place. This is an obvious dislocation and even in minor cases, it still should be checked out by a doctor to solve any stability problems that could result.
5. If you can’t reach across your body, it could be a result of an AC joint injury due to trauma or osteoarthritis.
6. Intense pain won’t let you sleep at night. For many shoulder pain sufferers, this is the final straw that broke the camel’s back. As long as they can sleep well at night, they would often ignore the pain and forego seeing the doctor. But really, if you’re at this stage already, the best thing that you can do is seek professional help as soon as you can.

The earlier the doctor can diagnose the problem, the higher the chance of treating shoulder injuries completely. More often than not, conservative treatments go a long way in curing shoulder problems at its earliest stages.

If you are experiencing on going pain or an acute injury, regenerative medicine techniques may be the answer for you. One regenerative medicine technique called Prolozone, uses medical grade ozone to regenerate damaged tissues by local administration in the affected area. It heals joint and musculo-skeletal problems including, common shoulder conditions like rotator cuff injuries and the like.

Under normal circumstances, around 3-4 Prolozone treatments are needed for a torn rotator cuff and it will make it feel better even after just one treatment. Though a similar success rate could be attained with surgery, you won’t experience any downtime with Prolozone and other regenerative medicine techniques. This, makes it worthy of even more consideration especially for busy individuals.

We at the RMI understand that not everybody’s pain is exactly the same. What may be debilitating for one person, may be a mild irritation for another. That’s why, after 6000 injections with over an 85% success rate, we understand that each treatment will be tailored to the individual.

Call us at (855) 684-3740 and allow us to give you the treatment and pain-free lifestyle that you and many pain-sufferers deserve.

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Prolotherapy Treatment for Athletic Knee Pain and Injuries

Prolotherapy Can Heal an Athlete’s Knee Pain 

Treatments for Knee Pain/Injury

Knee pain is one of the most common reasons athletes seek medical care. Traditional treatments for knee pain can include bracing, cortisone injections, exploratory surgery, and long periods of rest. Unfortunately, in most cases of chronic knee pain, relief is only temporary. This is because the origin of pain is not addressed, ligament instability. It is ligament instability which actually precedes the loss of cartilage in a knee.

How Prolotherapy works to Treat Knee Pain and Inuries

Treating the ligament instability with Prolotherapy encourages joint restoration and can eliminate the need for long term symptom management, making it an ideal non-surgical option for knee pain in athletes.

Prolotherapy is an ideal first-line treatment for many athletic injuries. This regenerative medicine technique has gained tremendous momentum in the sports medicine arena, because athletes do not want to stop training for an event or give up on scholarships. Prolotherapy allows an athlete to continue exercising and maintain fitness, while promoting long term repair of the injured joint.  Athletes looking for accelerated recovery options are ideal candidates for Prolotherapy.

Average Treatment with Prolotherapy

Depending on how soon after an injury the athlete starts Prolotherapy, can help determine how many treatments they need for long term pain relief. On average an athlete will need 3 to 6 total treatments for most injuries. Many newer injuries require only one or two treatments for complete resolution: while an older or more complex injury may need 6 to 8.  Prolotherapy treatments are generally given every 4 to 6 weeks, but they can be moved closer if necessary to fast-track recovery.

Motion and exercise are actually encouraged while getting Prolotherapy, as it brings blood flow and nutrients to the joint. This is unlike traditional “Rest” recommendations from the RICE protocol (Rest, Ice, Compression, Elevation), and unlike the weeks of immobilization after a surgery. Between treatments, athletes who receive Prolotherapy are encouraged to stay active. Specific recommendations for cross training and rehab exercises should be discussed with the Prolotherapy physician.  Find out how Prolotherapy can help you.

Call us at (855) 684-3740 to schedule a consultation!

 

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Heal Your Rotator Cuff Tear with Platelet-Rich-Plasma (PRP)

Heal Your Rotator Cuff Tear with Platelet-Rich-Plasma (PRP)

A Rotator Cuff tear are one of the most common causes of chronic shoulder pain and disability of the upper body.

Rotator Cuff injuries are common among athletes, but they are not limited to this demographic. In fact, injuries can occur to virtually anyone during everyday activities or with chronic overuse. Approximately 7.5 million visits are made to physicians’ offices per year for shoulder pain.  Over 50% of these physician visits result in a diagnosis of rotator cuff tendonopathy, with tendon tears and tendonosis being most common.

What is a Rotator Cuff Tear?

Your rotator cuff is a group of four muscles and tendons that stabilize your shoulder pain and let you lift and rotate your arms.  There are two kinds of rotator cuff tears-  A partial tear is when the tendon that protects the top of your shoulder is frayed or damaged. The other is a complete tear. That’s one that goes all the way through the tendon or pulls the tendon off the bone.

Symptoms 

You can’t always feel a torn rotator cuff. But in some cases, you might:

  • Have trouble raising your arm
  • Feel pain when you move your arm in certain ways or lie on it
  • Have weakness in your shoulder
  • Be unable to lift things like you normally do
  • Hear clicking or popping when you move your arm

Options for Treatment

Surgery is the traditional way to treat rotator cuff tears. However, surgery  has risks associated with it.  Risks such as infection, damage to surrounding nerves and blood vessels. Recovery after this surgery can take up to 6 months depending on the severity of the injury. Stiffness, weakness, chronic pain, or incomplete healing after surgery can also occur.

Platelet-rich plasma therapy, a treatment for aiding the regeneration of ligament and tendon injuries, is helping to shorten rehabilitation time and often eliminates the need for rotator cuff surgery. Platelet-rich plasma therapy  regenerates and repairs damaged tissues by increasing growth hormones in the area which then stimulates stem cell repair. The plasma is created by taking your own blood, spinning it down, and then injecting it into the area we are treating.  It can be used for facial aesthetics to create collagen, or for tendons/muscles/ligaments to stimulate repair.

 

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Prolozone Therapy Helps Heal Degenertive Disc Disease

Do You Have Degenerative Disc Disease? Try Prolozone Therapy

 

What Is Degenerative Disc Disease?

Degenerative disc disease is when the spinal discs in the back breakdown; something  that occurs naturally with age. It is not necessarily a disease but can be considered an age-related occurrence. Spinal discs interlock the bones that make up the spine. They are soft and compressible and act as shock absorbers, allowing the spine to flex, twist, and bend. Degenerative disc disease usually occurs in the discs located in the lower back and neck. Changes in discs can result in neck pain and other conditions that put pressure on the spinal cord and nerves, which may affect nerve function.

We damage our connective tissues all the time.  It is controlled damage that is at the very heart of why exercise is so beneficial. When the tissue is damaged, stem cells and blast cells are called to the area of injury. Growth factors are stimulated, and very soon the damage is repaired. You sprain your ankle, and then it heals. You break your neck, and then it heals. That is, unless it doesn’t.  Degenerative disc disease is one such condition where damage to ligaments does not heal.

 

Why is it that some injuries never heal, and go on to become areas of chronic pain and dysfunction?

Ligaments and joints are notoriously known as areas of decreased oxygen tension. The oxygen tension in a healthy ligament is often only 1/10th that of the tissue only several millimeters away from it. The same is true for joints. These areas are setups for developing a situation that involves a localized area of decreased oxygen utilization. As we grow older, our circulation decreases. So the natural decrease in oxygen utilization that is seen in the healthy ligaments and joints of the young become even further compromised with aging Then along comes a trauma. The trauma produces edema and inflammation causing a further localized decrease in oxygen utilization. This decrease in oxygen utilization produces a localized increase in lactic acid production, free radical damage, and necrosis which serves as the foundation for sensory irritation and injury, all of which causes chronic pain.

Initial trauma, edema and inflammation result in a decrease in circulation. This compromises the delivery of oxygen and important nutrients to the localized area of damage, and decreases oxygen utilization even more. The trauma also compromises cell membrane potential, which both causes decreased oxygen utilization, and in turn is caused by decreased oxygen utilization. So, even though stem cells and blast cells are there, and growth factors are being released, healing does not occur. None of these mechanisms can be effective because of a lack of adequate oxygen utilization. The circle of chronic pain decreases oxygen utilization, which leads to a decrease in cell membrane potential and an increase in free radical damage, which leads to tissue damage and increased inflammation and edema, which perpetuates the trauma, which leads to a further decrease in oxygen utilization.

 

What is Prolozone Therapy and How Can It Help You?

Prolozone is a technique that combines the principles of neural therapy, Prolotherapy, and ozone therapy. It involves injecting combinations of procaine, anti-inflammatory medications, homeopathics, vitamins, minerals, proliferatives, and ozone/oxygen gas into degenerated or injured joints, and into areas of pain.

Prolozone works to break up the cycle of chronic pain and degeneration so that the cells and tissues begin to do what they should do by themselves – heal!

Call us to find out more how Prolozone can help you!  (855) 684-3740

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Eliminate Facet Joint Syndrome Pain with Prolotherapy and Platelet Rich Plasma Injections

Eliminate Facet Joint Syndrome Pain with Prolotherapy and Platelet Rich Plasma (PRP) Injections

Facet Joint Syndrome is a common diagnosis for back, mid-back and neck pain. The facet is a joint that lies between each of the vertebra.  An injury or a degenerative condition, such as arthritis can cause damage to the facet joints.  If this occurs, the joint cartilage deteriorates, friction between the bones leads to the tenderness, swelling, stiffness, and pain. The muscles will also work harder to protect the injured area, becoming very tense and stiff.

 

Symptoms of Facet Syndrome: 
• Pain that is often worse in the beginning and end of the day, or with a change in weather
• Lower back pain that is primarily at the waist level
• Neck pain that radiates into the shoulders, or head
• Headaches at the base of the skull, aching behind the eyes, and/or ringing in the ears
• The sound of bone rubbing on bone when you move
• Abnormal curvature in the spine
• Increase in pain when first standing, when sitting for long periods of time, or when bending or twisting

 

Traditional Treatment Options:

  • Physical therapy is one treatment plan that may improve  some strength, mobility and range of motion.
  •   Cortisone may be helpful in reducing inflammation around the facet joint; however, these treatments may not return the patient to the desired flexibility and comfort level. This is where regenerative treatments are particularly effective in actually helping the facet joint to heal, instead of reducing the symptoms. These treatments actually help to restore the strength to the neck or back.

Regenerative Medicine Treatment Options: 

  • Prolotherapy contains a solution of concentrated dextrose and local anesthetic (steroids are not used). This solution stimulates the body’s natural ability to repair damaged tissue, encouraging new growth and creating a positive environment into which the stem cells are placed.
  • Platelet Rich Plasma therapy uses platelets to initiate tissue repair by releasing growth factors. These growth factors start the healing process by attracting cells that repair. Platelet Rich Plasma therapy intensifies this process by delivering a higher concentration of platelets to the affected area. The therapy involves a small sample of the patient’s blood placed in a centrifuge to separate the platelets from the other blood components. The concentrated PRP is then injected into and around the point of injury, significantly strengthening the body’s natural healing.

 

Prolotherapy and Platelet Rich Plasma treatments make it possible to restore the facet joint back to normal function. The muscles around the joint will begin to relax as a result, and the patient can return to the normal range of motion and flexibility experienced before the onset of Facet Joint Syndrome.

If you want to know if you have Facet Joint Syndrome, or if you want to know how these techniques can specifically help you, call our office: (855) 684-3740

 

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Get Relief From Sciatica Pain with Neural Prolotherapy

Neural Prolotherapy Reduces Sciatica Pain

The term Sciatica describes the symptoms of leg pain—and possibly tingling, numbness, or weakness—that originate in the lower back and travel through the buttock and down the large sciatic nerve in the back of each leg. The sciatic nerve is the largest single nerve in the body and is made up of individual nerve roots that start by branching out from the spine in the lower back and then combine to form the “sciatic nerve.” Sciatica symptoms occur when the large sciatic nerve is irritated or compressed at or near its point of origin.

Common lower back problems that can cause sciatica symptoms include a lumbar herniated disc, degenerative disc disease, spondylolisthesis, or spinal stenosis.

Sciatica is often characterized by one or more of the following symptoms:

  •  Constant pain in only one side of the buttock or leg (rarely in both
    legs)
  • Pain that is worse when sitting
  • Leg pain that is often described as burning, tingling, or searing
    (versus a dull ache)
  • Weakness, numbness, or difficulty moving the leg, foot, and/or toes
  • A sharp pain that may make it difficult to stand up or walk
  • Pain that radiates down the leg and possibly into the foot and toes (it
    rarely occurs only in the foot).

Today there are Regenerative Medicine techniques to help ease pain and repair damaged nerves.  Neural Prolotherapy, or Perineural Injections, is a technique that uses dextrose (sugar water) or other substances. The substance is injected along the peripheral nerves which have been over-stimulated at times, causing chronic pain syndromes such as neuropathies. The addition of the substances basically shuts down a substance called “substance-p”, which is pro-pain. This allows the structures underneath the nerves to begin the healing process. The end result is a reduction of pain, and repair of the damaged nerve areas.

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Prolozone (Ozone Injections) for Pain Relief and Tissue Repair

Prolozone (Ozone Injections) for Pain Relief and Tissue Repair

Prolozone (Ozone Injections)  created for medical purposes with an ozone generator that takes oxygen from a tank and exposes it to an electrical spark. This creates two singlet oxygen ions, which then attach themselves to two O2 molecules to create two O3 molecules. Therefore the ozone gas can then be drawn into a syringe to be used for injection into any part of the body that has chronic inflammation and pain.

Our ligaments and joints deteriorate with age, overuse, and overload due to obesity. As ligaments age, they lose elasticity and start to pull away from the lining of the bone, this space is filled with new bone resulting in bone spurs and general deterioration of the joint over time.  Ligaments also tend to have poor blood supply, which further deteriorates with aging, or when injured they’re slow to heal or heal incompletely.  As a result, this is one of the reasons why so many people undergo knee replacement surgery, because their torn ligaments and cartilage just can’t heal… Prolozone therapy  allows ligaments and cartilage to heal by supplying the needed oxygen to start the healing process. It can reduce pain and inflammation in the joint fairly quickly.

What Conditions Can Prolozone be used to Treat?

Ozone injections can be used for chronic neck or low back pain, shoulder tendonitis/bursitis, tennis elbow, knee pain from patello-femoral pain or arthritis, jaw pain from TMJ, chronic trigger points in any muscle of the body and even in the hands or feet that have soft tissue pain syndromes. Virtually all musculo-skeletal aches or pains that have persisted for over two months will respond to ozone injections.

How Long Will It Take to see Results?

Pain relief is usually complete within 30 – 60 minutes. It works by the mechanisms described above. That is increasing oxygen uptake in the local tissue and speeding up local metabolism, which accelerates repair processes. Unlike cortisone shots, which provide anti-inflammatory effects but weaken the injected tissue due to its catabolic effects, ozone stimulates repair processes that promotes healing of the injured tissue.

We have performed ozone injections in our clinic and have seen a tremendous success rate in pain relief for most chronic pain syndromes. The length of relief varies from a month to six months or longer. We have found that some patients may need a series of 2 – 4 injections spread out over a period of many months to achieve complete relief. This is because each injection leads to longer pain relief as there are cumulative tissue repair effects.

Call (855) 684-3740 to schedule your consultation appointment and take the first steps to living a pain-free life!

 

 

 

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