Trigger Point Injections, first developed by Janet Travell, MD after her studies in Germany, also known as Trigger Point therapy (TPI) is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. Many times, such knots can be felt under the skin. Trigger points may irritate the nerves around them and cause referred pain, or pain that is felt in another part of the body.
Prolotherapy utilizes simple, basic mechanisms. A substance is injected into the affected ligaments or tendons, which leads to local inflammation. The localized inflammation triggers a wound healing cascade, resulting in the deposition of new collagen, the material that ligaments and tendons are made of. New collagen shrinks as it matures. The shrinking collagen tightens the ligament that was injected and makes it stronger. Prolotherapy has the potential of being 100 percent effective at eliminating and chronic pain due to ligament and tendon weakness.
Platelet-rich plasma (PRP)
PRP stands for Platelet-rich plasma. Many famous athletes — Tiger Woods, tennis star Rafael Nadal, and several others — have received PRP for various problems, such as sprained knees and chronic tendon injuries. These types of conditions have typically been treated with medications, physical therapy, or even surgery. Some athletes have credited PRP with their being able to return more quickly to competition. PRP is plasma with many more platelets than what is typically found in blood. The concentration of platelets — and, thereby, the concentration of growth factors — can be 5 to 10 times greater (or richer) than usual. Laboratory studies have shown that the increased concentration of growth factors in PRP can potentially speed up the healing process.
Neural Therapy involves the injection of anesthetics (drugs that normally cause numbness or reduce pain) into various places in the body to eliminate pain and cure illness. Procaine and other agents used in Neural Therapy correct the bioelectric disturbance at a specific site or nerve ganglion by re-establishing the normal electrical condition of cells and nerves.
BOTOX is a therapeutic muscle-relaxing agent that works at motor nerve endings (nerves that lead to muscles). It is in a class of drugs called neurotoxins. When considering neurotoxin therapy, BOTOX is a novel therapeutic agent derived from the bacterium, Clostridium Botulinum. Also known as Botulinum Toxin Type A, the brand BOTOX is produced in controlled laboratory conditions and given in extremely small therapeutic doses. BOTOX is indicated for the treatment of persistent migraines, and dystonia. BOTOX is being investigated for several conditions associated with overactive muscle activity, known as spasticity due to post strokes, spinal cord injury, brain injury and cerebral palsy. It is also used in overactive muscle activity in myofascial pain. BOTOX works to block the release of acetylcholine and, as a result, the muscle doesn’t receive the message to contract. This means that the muscle spasms stop or are greatly reduced, providing predictable and reliable relief from symptoms. Effects of reducing pain and spasticity usually begin to dissipate within a few days and maximum effect is reached within 2 weeks. The effects can last up to six months.
Interventional Pain Procedures
We can assess and refer to an appropriate pain specialist for the services below
- Radiofrequency Ablation
- Epidural Steroid Injections
- Sacroiliac Injections
- Facet Injections
- Spinal Cord Stimulation Trials
- 2nd Opinion Consultations