Injections deliver products directly to the injured or dysfunctional area with the aim to decrease pain, improve function and stimulate healing. Below is a quick summary of some of the injections we offer:
Regenerative Medicine Injections
Regenerative Injections are on the forefront of modern medicine for the treatment of pain, injuries and physical impairments. The aim of Regenerative Medicine is to stimulate healing, improve structure and function, and potentially cure the underlying condition. A variety of products and injection techniques are utilized to create a specific treatment for each patient.
Prolotherapy addresses ligament instability, the root cause of many chronic pain condition. Prolotherapy is performed through a series of injections of dextrose or other products into loose and injured ligaments, tendons and joint capsule in order to stimulate their growth, strength and stability. By providing stability of joints and spinal segments, prolotherapy can eliminate pain, muscle spasms, weakness and nerve irritation.
Platelet Rich Plasma (PRP)
PRP is solution of concentrated platelets made by spinning the patient’s own blood within a centrifuge. Platelets are the first responders to any injury, they are sticky and act as glue to the injured tissue. They are also packed with growth factors that mobilize the immune system to start healing. PRP can be injected into torn tendons and ligaments, into joint capsules and around nerves to stimulate stem cell recruitment and tissue regeneration.
Stem Cells are a line of cells that can become specialized into healing cells or tissue cells. They orchestrate the healing cascade and perform vital functions during the healing process. Stem cells can be withdrawn from the bone marrow and concentrated using a centrifuge. Bone Marrow Concentrate can be injected into arthritic and degenerated joints, torn tendons or around nerves to stimulate healing and decrease pain.
Regenerative Nerve Injections
Products such as PRP, dextrose or stem cells can be injected around injured or sick nerves in order to improve nerve function, decrease pain and stimulate nerve regeneration. These injections are done under careful ultrasound guidance along the course of the nerves. Nerve injections are combined with specific nerve physical therapy and energy modalities for best results.
Hydrodissection (of Nerves and Scars)
The word hydrodissection comes from two words: “hydro” fluid or water and “dissect” to open up or separate. Nerve and scar Hydrodissection is a nonsurgical technique used to free up inflamed and injured nerves and tissues thus allowing them to heal and improve in function. Under ultrasound guidance, a thin needle is used to carefully inject a solution around the nerves and scars separating them from surrounding tissue and fascia. Once a release is achieved, symptoms quickly improve.
Other non-regenerative Injections can be utilized to decrease pain and improve function while a person is undergoing rehabilitation. There are many products and techniques that are available.
Trigger Point Injections
Trigger points are tight and painful points in dysfunctional muscles that can cause muscle spasms, local or referred pain and decreased range of motion. Precise injections of lidocaine or other products are used to release the trigger points, decrease pain and allow proper muscle function. These can be done in a series and are combined with a therapy routine to stretch the treated muscles.
Lubricants such as hyaluronic acid can be injected into the knee joints improve joint function and decrease pain. These injections are often performed in a series of 3 or more along with joint strengthening and mobility rehabilitation.
Injections of lidocaine, steroids or other agents can be performed around specific nerves to decrease inflammation and provide temporary relief of chronic pain conditions. Multiple nerves around a joint or area can be targeted to provide thorough pain relief, improve function and participation in rehabilitation.
Botulin toxin injections can be utilized to decreased spasticity (very tight muscles) after central nervous system injuries such as stroke, brain injury or spinal cord injury. This allows for improved movement and function for the patient and the care taker. Botulin toxin can also be used for chronic migraines if other measures have failed to provide adequate relief.