PLATELET RICH PLASMA
Botox therapy has been shown to help patients with a variety of pain problems including
migraine and tension type headaches, myofascial pain syndromes, piriformis syndrome, whiplash neck and back injuries and other dystonias. Minute quantities of botulinum toxin are injected into
involved muscles. The medication blocks
the release of acetylcholine from motor nerve endings resulting in a prolonged neuromuscular blockade. This relieves the abnormal contraction of muscles resulting in improved blood flow and release
of compressed nerve fibers. These effects typically last about three months.
Epidural injections place a corticosteroid medication in the epidural space of the spine to treat the inflammatory process in cases of low-back pain and sciatica with prolapsed intervertebral discs
and compressed nerve roots. A series of up to three procedures is sometimes required. Conditions treated include sciatica, spinal stenosis and herniated intervertebral discs.
Nerve blocks use local anesthetics to stop pain transmission and interrupt the reflex pain
cycle. Sometimes cortisone is added for a powerful anti-inflammatory effect. As a result, the central nervous system’s sensitization to painful stimuli is diminished
and “pain memory” resolves.
Prolotherapy is a minimally invasive procedure that is useful in treating a wide variety of painful musculoskeletal conditions. Damaged tissues are stimulated to repair themselves by an injection
that improves local blood supply and releases growth factors. Usually a course of
5-10 treatments are needed depending on the area being treated and the extent of degeneration.
TRIGGER POINT INJECTIONS
Trigger point injections are used to treat musculoskeletal conditions with regional or referred pain patterns. Taut bands or nodules of hyperirritable muscle tissue are injected with local anesthetic
or saline solution to desensitize or inactivate these common sources of pain and spasm.
Ultrasound is a therapeutic modality that uses high frequency sound waves in a painless manner to treat neuromuscular and musculoskeletal conditions like reflex sympathetic dystrophy, muscle spasm or
contracture and neuromas.