Tag Archives: trigger-point-injection

Injection of Hyaluronic Acid For Neuropathic Pain

Injection of Cross-Linked Hyaluronic Acid For Neuropathic Pain – Practical Pain Management – June 15, 2017

Postsurgical neuropathic pain is a frequent problem

I have developed a treatment method that uses commercially available cross-linked hyaluronic acid (Restylane and Juvéderm) that provides prolonged, significant relief without side effects.

The first use of cross-linked hyaluronic acid to treat neuropathic pain was presented at the 2015 Annual Meeting of the American Academy of Pain Medicine in National Harbor, Maryland.   Continue reading

Stem Cell Prolotherapy For Musculoskeletal Pain

Advances in Regenerative Medicine: High-density Platelet-rich Plasma and Stem Cell Prolotherapy For Musculoskeletal Pain

Prolotherapy is a method of regenerative injection treatment designed to stimulate healing. Prolotherapy is used for the treatment of chronic musculoskeletal pain, inclucing ligament, tendon and joint injuries, as well as osteoarthritis.

The term prolotherapy is short for proliferation therapy, as it stimulates the proliferation and repair of injured tissue.

In the 2000s, in-office platelet-rich plasma (PRP) prolotherapy was introduced. This method uses a patient’s own blood, centrifuged to concentrate growth factor–rich platelets as the proliferation formula.

In the past few years, physicians have began using adult stem cells, harvested from an individual’s fat tissue or bone marrow during an in-office procedure, then combined with the individual’s PRP as the proliferation formula for injection into injured musculoskeletal tissue.   Continue reading

The Medical Ordeals and Chronic Pain of JFK

Reconceptualizing JFK’s chronic low back pain — ScienceDaily

Reading this, you’ll find that JFK followed the same path so many of us do in our pursuit of pain relief.  I’m disappointed to note that the medical interventions for pain haven’t changed much since the 1950’s. He would be getting the same treatments now, 60 years later.

President Kennedy took opiates all during his time in office:

“Nor did he believe that the many medications he took would reduce his ability to work effectively; on the contrary, he saw them as ensuring his competence to deal with the demands of the office.” 

This is exactly what we have been trying to tell the public, which is grossly misinformed about the effects of opioids on pain patients, thanks to the media. Continue reading

Study: Plasma Injections Better than Surgery or Steroid

Study: Plasma Injections Better than Surgery or Steroid

Injections of platelet rich plasma (PRP) into injured parts of the body reduce pain and improve function more than surgical or steroid treatments, according to a new study published in The Journal of the American Osteopathic Association (JAOA).

PRP is a relatively new therapy and only a few small clinical trials have been conducted on its effectiveness. Researchers at the University of Miami Miller School of Medicine analyzed those trials and found that patients with knee osteoarthritis and other musculoskeletal disorders had statistically significant improvements. In some trials, patients continued to show improvement one to two years after being treated.

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Comprehensive Management Of Chronic Knee Pain

Pain Medicine News – Comprehensive Management Of Chronic Knee Pain

Knee pain is a very common complaint that can be debilitating when severe.

If the patient is not a surgical candidate, there are several conservative treatment options—such as physical therapy for retraining of proper mechanics, kinesiology taping to improve proprioception, acupuncture and chiropractic treatment—that may alleviate the patient’s symptoms.

Additionally, many patients have intractable chronic pain after more invasive treatment options such as a total knee arthroplasty (TKA). Studies have reported that 20% of patients undergoing TKA have persistent postsurgical pain.

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Myofascial pain–an overview

Myofascial pain–an overview. [Ann Acad Med Singapore. 2007] – PubMed – NCBI – as applied to acupuncture

Skeletal muscle is the largest organ in the human body. Any of these muscles may develop pain and dysfunction. In modern society, myofascial pain is a major cause of morbidity. It may present as regional musculoskeletal pain, as neck or back pain mimicking radiculopathy.  It may also present as shoulder pain with concomitant capsulitis, and hip or knee pain with concomitant osteoarthritis.

The condition is treatable. However, it is often under-diagnosed and hence undertreated.

This review will focus on muscles, myofascial pain and dysfunction. During history taking and physical examination, precipitating and perpetuating factors, taut bands, trigger points, tender spots and sensitised spinal segments have to be accurately located and correctly identified for effective needling treatment.

Full text at http://www.annals.edu.sg/pdf/36VolNo1Jan2007/V36N1p43.pdf



Fibromyalgia: Time To Be a Secondary Diagnosis?

Editor’s Memo: Fibromyalgia: Time To Be a Secondary Diagnosis?

This article presents a novel theory: “The most common cause of fibromyalgia is probably positional cervical cord compression.”

Fibromyalgia has undergone a most interesting metamorphosis over the past 30 years. Initially, most of us believed it to be a psychological phenomenon with no organic basis.

The first transition was when it became recognized as a myofacial disease with trigger points (fibrositis). In 1990, the American College of Rheumatology Research Classification Criteria (ACR RCC) for fibromyalgia was published. The criteria required two components for fibromyalgia: a patient’s history of chronic widespread pain for at least 3 months, and ≥11 of 18 painfully tender soft tissue sites on physical examination

Late in the 1990s, the concept of a central, autonomic hyperfunctional state with neurotransmitter deficiencies and lack of restorative sleep were proposed as the causative factors. Continue reading

Trigger Point Injections for Headache Disorders

Trigger Point Injections for Headache Disorders: Expert Consensus Methodology and Narrative Review


To review the existing literature and describe a standardized methodology by expert consensus for the performance of trigger point injections (TPIs) in the treatment of headache disorders. Despite their widespread use, the efficacy, safety, and methodology of TPIs have not been reviewed specifically for headache disorders by expert consensus.

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‘Migraine Head Box’ Chills Pain

‘Migraine Head Box’ Chills Pain

Minnesota doctor has come up with a non-prescription, low-tech way of treating severe headache pain—immersing the back of the patient’s head in a basin of gradually cooling water.

the technique appeared to work for the majority of a group of 18 patients who came to the Hennepin County Medical Center in Minneapolis, MN, with severe headaches including migraines.

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Pain and Pain Treatment Document from NIH

Pain: Hope Through Research: National Institute of Neurological Disorders and Stroke (NINDS)

This is an exhaustive primer on pain and pain treatment, and covers the latest scientific findings.

What is pain? The International Association for the Study of Pain defines it as: An unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage.

The Two Faces of Pain: Acute and Chronic

It is useful to distinguish between two basic types of pain, acute and chronic, and they differ greatly.

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