What is Neural Prolotherapy?
Neural Prolotherapy is a minimally invasive, drug-free, pain management option that targets the nerves that cause pain. Neural prolotherapy uses a small amount of dextrose (plant-based sugar) in water, creating a solution similar to IV's, which is then injected using a tiny needle just under the skin into subcutaneous nerves. Neural prolotherapy is different than traditional prolotherapy in that neural prolotherapy targets inflamed nerves that cause pain just under the skin, while traditional prolotherapy goes deep into tissues to regenerate soft tissues such as tendons and ligaments. The doctor will discuss which procedure is best for your individual needs based on what is the cause of your pain.
The subcutaneous nerves targeted by neural prolotherapy are responsible in pain transmission and are called sensocrine nociceptors. It is thought that these sensocrine nociceptors are responsible for painful conditions described as ‘neuralgias’ or ‘neuropathic pain’ or more commonly known as ‘chronic pain’.
How Does Neural Prolotherapy Work?
Neural prolotherapy works by targeting subcutaneous nerves that reside just under the skin. These nerves send impulses from their local bone, muscle, and soft tissues and transmit pain signals.
What happens in many chronic pain cases is that the nerve endings are misfiring and sending continuous nerve impulses that the brain then experiences as pain. This constant misfiring causes the nerves to become tender and inflamed. This may happen in a long-standing injury, years after an injury has occurred, or even have an undiagnosed cause.
Neural prolotherapy injects a small amount of glucose water near these inflamed nerves. The dextrose acts on the nerves to block pain channels (specifically TRPV1). This effectively stops the misfiring and reduces inflammation without the use of medication.
Pain caused by nerve inflammation does not respond to anti-inflammatory drugs or cortisone injections, which is why many individuals experiencing “chronic pain” find little relief. Neural prolotherapy reduces nerve inflammation, the cause of many chronic pain symptoms including neuralgia and neuropathic pain.
What Can A Patient Expect?
An initial consultation with Dr. Andrey is the first step to determine whether neural prolotherapy is right for you, or if another therapy would be most beneficial.
The procedure is a relatively short (20-60 minutes) outpatient procedure. The visit will include gathering of medical history, examination, marking, and injections. The doctor will make a few small injections of dextrose solution just under the skin to target the subcutaneous nerves. The patient may experience some soreness or bruising in the area which should resolve itself within a day or two. There is no down-time with this procedure.
Injections will target the nerves related to the chronic pain and will often include several injections in the area per treatment. Generally, the first treatment will result in diminished pain lasting anywhere from a few hours to a few days after the treatment- this is a good sign and shows that the patient is responding positively to the treatment.
However, one treatment is not enough and the patient will have to return for follow-up procedures. Each time, the results will be compounded resulting in longer and longer periods without pain. The ultimate goal is to continue injections until pain is relieved permanently.
The majority of clients are able to enjoy elimination of pain in the long-term after 6-10 treatments, others may take as much as 20. Some clients do not experience full pain elimination but do enjoy significantly reduced pain that allows them to enjoy their daily lives. Each individual is different so we will work with you in your unique case to ensure maximum results with this treatment.
Dr. Andrey Lutskovsky has been performing prolotherapy for the last two years in his alternative pain managament clinic. He recently had the pleasure of meeting the founder of neural prolotherapy, Dr. Lyftogt and participated in his training program. Dr. Andrey is now also certified in performing neural prolotherapy and has had great success with his clients in reducing and eliminating their chronic pain symptoms.
For more information please visit: http://www.doctorliftoff.co.nz
Or call our clinic to set up a consultation at (248) 876-4242
Prolotherapy/Neural Prolotherapy Pre-Procedure Guidelines
Please read the below instructions carefully.
• Discontinue Anti-Inflammatory medication (Advil, Motrin, Ibuprofen, Aleve, and Aspirin) at least 3-4 days before your procedure.
• Discontinue any blood thinners or any herbs, supplements or vitamins 1-2 weeks before your procedure.
• Discontinue Systemic Steroids (Prednisone, Hydrocortisone, etc.) 1-2 weeks before your procedure. Steroid Injections (cortisone) should be discontinued at least 1 month before your procedure.
If you have any questions, you are welcome to call our office at 248-876-4242.
Prolotherapy/Neural Prolotherapy Post Procedure Guidelines
Please read the following steps carefully.
0-3 Days Post Prolotherapy:
• It is recommended that the patient rest the day of the treatment. After the first day, patients can begin to return to normal physical activities.
• We strongly encourage you to use connective tissue support vitamins and/or cream. It is imperative that you take this as directed by the doctor; they will enhance the healing process.
• DO NOT apply ice to the affected joint(s).
• DO NOT TAKE anti-inflammatory medications such as; Advil, Motrin, Ibuprofen, Aleve, and Aspirin, for at least 2 weeks after your procedure.
• DO NOT TAKE systemic steroids such as; Prednisone, Hydrocortisone, etc. for at least 2 weeks following your procedure.
• Do not consume alcoholic beverages for the first 7 days following your procedure.
• Avoid smoking. Smoking delays healing and can increase the risk of complications.
• Drink at least 64 ounces of water daily to help your heal properly.
• If you are experiencing pain, you can take Tylenol as needed.
3-7 Days Post Prolotherapy:
• At this point you should continue to increasing your daily activities.
• Increase tendon tolerance and your range of motion with the affected joint. If you are still experiencing pain, you can take Tylenol as needed.
• Continue to use the prescribed connective tissue support vitamins and/or cream to enhance healing.
• A follow up appointment and the next session of Prolotherapy must be scheduled for 7-10 days after your initial treatment.
If you have any questions, at any time after your procedure, you are welcome to call our office at 248-876-4242.