Perineural Injection Therapy (PIT) – Neural Prolotherapy in Medford, Oregon
Dr. Eric Wruck DC, FNP at Rogue Valley Pain, Physical & Regen Medicine is at the forefront of healthcare providers in our region, introducing the groundbreaking Lyftogt Perineural Injection TreatmentⓇ Program. This specialized approach to neural prolotherapy is revolutionizing pain management. Our commitment to excellence shines through as we meticulously evaluate each patient, tailoring treatment options to their unique needs. Our goal is to craft personalized treatment plans that pave the way for their remarkable pain relief, recovery and renewed vitality.
Understanding Perineural Injection Therapy
Perineural Injection Therapy, also known as Neural Prolotherapy, represents a groundbreaking advancement in pain treatment pioneered by Dr. John Lyftogt, an esteemed physician from New Zealand.
Dr. Lyftogt's Approach
Perineural Injection Therapy entails administering multiple small injections along the path of tender superficial nerves in the painful area, using a 5% Dextrose solution, essentially sugar water. This solution swiftly blocks nerve endings responsible for pain and inflammation in these superficial nerves, leading to healing not only at the nerve's surface but also in deeper structures such as muscles, tendons, ligaments, and cartilage of affected joints. Patients with nerve pain often experience rapid pain relief, sometimes within seconds, often with a surprised look as they realize their pain has vanished without the need for anesthetic or cortisone shots. This ability to address superficial nerves and promote healing beneath and around them aligns with Hilton's Law, a medical principle dating back to 1863.
Neurogenic or Neuropathic Pain
Following an injury or overuse, the affected area often experiences an increased production of sodium and calcium, leading to inflammation and swelling of the associated nerves. These inflamed nerves release neurotransmitters like Substance P and CGRP (Calcitonin Gene Related Peptide), which exacerbate neurogenic or neuropathic pain, the type of pain that persists long after an injury and becomes chronic. Neurogenic pain is often severe, debilitating, and can severely affect a patient's quality of life, leading to various sensations such as burning, stabbing, tingling, or electric shocks.
Conditions Treated with Perineural Injection Therapy
Conditions like fibromyalgia, headaches, migraines, and various joint and muscle pains, including those in the neck, shoulder, elbow, wrist, hand, low back, hip, knee, and foot, may respond positively to Perineural Injection Therapy. Essentially, it targets conditions that involve tendons, ligaments, cartilage, and muscles in painful or arthritic joints.
Your Initial Visit
Dr. Wruck conducts a thorough evaluation of each patient, including a personal history review, physical examination, and gait observation. The evaluation also includes palpation of the affected area corresponding to the superficial nerves when the patient experiences pain. Depending on the case, further evaluation may involve ultrasound, X-rays, or MRI scans before proceeding with Perineural Injection Therapy. In chronic pain cases, Dr. Arnold adopts a comprehensive approach that may encompass rehabilitative exercises, dietary recommendations, and specific supplements to optimize health and healing.
Number of Treatments Needed
Typically, mild to moderate conditions require 4-6 treatments, with more severe cases sometimes necessitating additional sessions. During each session, patients receive a series of small injections containing a small amount of 5% dextrose in sterile water (sugar) solution with a tiny needle. If initial injections don't provide immediate and profound relief, alternative procedures may be considered to address the issue at a deeper level.
What to Expect
Relief from the initial treatment typically lasts from 4 hours to a few days and is not permanent. To achieve long-term relief, repetitive treatments are required. Patients usually return weekly, with fewer regions to inject, experiencing gradual improvement of about 10-25% each week.
In Summary
Perineural Injection Therapy is an effective treatment for chronic painful conditions. Among various pain treatment options, it is considered one of the safest and least discomforting for patients, thanks to its use of small-diameter needles and shallow injections. Patients often experience immediate pain relief and improved range of motion.
PROLO-PRP IV theray also available
The Prolo-PRP IV is a specialized intravenous mixture of vitamins, minerals, and amino acids designed to enhance the effects of regenerative medicine injections like Perineural Injection Therapy. This intravenous nutrition delivers nutrients directly into the bloodstream, maximizing their effectiveness in healing damaged tissues such as ligaments, tendons, and cartilage.
