Discovering Perineural Injection Therapy For Joint Pain

By Michael Hayes


While most often in the past, health care providers have provided prescriptions such as opioids for pain, times are changing. For, the U. S. Government and others have now placed strict regulations on health care providers prescribing these medications. As such, many health care providers and clients are now looking for alternatives to these prescription medications such as Perineural Injection Therapy or PIT.

PIT has been proved safe and effective for individuals whom can not undergo joint replacement surgeries, stem cell injections or other prescription medications. As a primary treatment for inflamed and injured nerves, response with regards to use in pain management has mostly been positive. For, lower back pain is most often associated with injuries from surgery, trauma, occupational hazards, overuse of joints and muscles and injuries related to sports.

As any sensation which is perceived by the brain is transmitted to the central nervous system, minor and major pain are both reactive to PIT. When a nerve or nerves are stimulated by pain, individual nerve cells create an electrical current which travels to the spinal cord and eventually, the brain. A good representation of this experience is to imagine a door, when a nerve cell is activated, the door opens and lets molecules such as potassium, sodium, calcium and others in and out of the cell.

While the door is open, the nerve cell moves from one room to another. As a result, an electrical current stimulates the nerve. When the stimulation is complete, the door closes. Whereas, if a nerve is injured, the process is disrupted and like with squeaky doors, muscles and joints can often tighten and cause pain and discomfort.

Biologically, the substances in the nerves and joints causing such pain are known as Nerve Growth Factors or NGFs. If a nerve is injured, it still continues to send a message to the brain even though there may be no pain at the time. In doing so, the nerve creates a sensation known as a short circuit, much like an open electrical wire when exposed to water.

The substance within the joints which cause pain can also cause ligaments, tendons, muscles and other tissue from healing. The common term to describe these conditions is that of neurogenic inflammation. For, while the pain often causes the inflammation, the nerves and joints are instigators of the pain.

Nerves have the potential to become inflamed in a number of ways. In some cases, nerves become inflamed when running through a tunnel of bone such as the cluneal nerves located near the rear of the pelvic bone, just above the gluteal muscles at the waistline which are often a frequent source of lower back pain.

While PIT has been tested for use in pain management in different areas of the body, the back remains the most common. When providing treatment for back pain, a health care provider injects dextrose into the nearest trigger point which activates the cell. Once the cell is awakened, the cell receptor opens the cell, thus allowing restoration of the cell while alleviating and ultimately, eliminating pain.




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