Perineural Injection Therapy

Perineural injection therapy (PIT), also known as “neural prolotherapy” is an injection therapy targeted for resolving neurogenic pain and neurogenic inflammation.

Perineural Injection Therapy

Also known as “Neural Prolotherapy”, PIT involves subcutaneous injections of 5% dextrose or 1% procaine injected along the superficial nerve branches just under your skin, which will eventually reach deeper nerve branches and roots. PIT is an injection therapy aiming at resolving neurogenic pain and/or neurogenic inflammation. The injections result in immediate pain relief and overall improved quality of life.

How does it work?

Local inflammatory markers can result in neurogenic inflammation when nerves are injured, damaged or hypersensitive. The over production of inflammatory markers can result in chronic pain, stiffness, swelling, weakness, paresthesia and hypersensitivity to touch. Neurogenic pain may also be a result of chronically tight muscles or fascia, traumatic injury or underlying tendon or ligament dysfunction. PIT can be combined with other standard treatments to treat both acute pain as well as underlying causative dysfunction in the deeper connective tissues. 

What is the course of treatment?

Initial assessments are standard 60 minute initial appointments in order to complete a full assessment of the affected area as well as general history taking. Follow-up injection appointments are 30 mins to allow frequent re-assessment, monitoring progress and administration of injections. Ideally, injections are administered once weekly for 3-4 weeks, then as needed until symptoms subside. 

What conditions do Perineural injections help?

Pain related conditions: 

  • Whiplash
  • Concussions
  • Chronic pain
  • Chronic headaches
  • Nerve entrapment or impingement
  • Sciatic pain
  • Joint pain
  • Post-surgical pain and paresthesia
  • Altered sensation of scar tissue
  • Persistent sports injury
  • Complex regional pain syndrome

Other general conditions: 

  • Shortness of breath
  • Indigestion
  • Constipation
  • Sinusitis
  • Anxiety

Other injection services offered: B12 injections

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