Pain Management

We provide patients with options for joint pain and neuropathy pain management. Pain management treatments can be combined with other regenerative treatments to provide symptom relief short and longer term.


LiHA   Lidocaine HCl + Hyaluronic Acid Intraarticular Injections

Over time, the loss of articular cartilage in major joints such as the knee, shoulder, and hip can lead to osteoarthritis. In addition to loss in cartilage, osteoarthritis can cause a decrease in certain joint properties like elasticity and viscosity of the synovial fluid (the lubricating mechanism). Sodium hyaluronate and hyaluronic acid which are already a component of the syno­vial fluid make an effective replacement of the synovial fluid using a series of intraarticular injections.

This protocol has proven  worthwhile for patients who cannot take oral medications or for whom traditional treatments have failed.


Pitcher Plant Injections

Is a trigger point injection used to treat pain including sciatic pain, intercostal pain, alcoholic or occipital neuritis, brachial plexus neuralgia, meralgia paresthetica, and lumbar or trigeminal neuralgia. Pitcher plant extract has been used by injection in combination with bupivacaine hydrochloride 0.5% (Marcaine) and gamma globulin to treat the omohyoideus myofascial pain syndrome (neck pain). It has been used in combinations by injection (extract triamcinolone and lidocaine with ephinephrine) to treat migraine headaches.  It is also used in prolotherapy (phenol and extract) to cause inflammation at the site where the ligaments and tendons attach to the bone to stimulate the body to proliferate stronger, shorter, and less painful ligaments and/or tendons.



Extracorporeal Shock Wave Therapy (ESWT)

ESWT is beneficial for strained muscles and trigger point therapy. Trigger points are small muscle spasms within the muscle belly that, when pushed, radiate to another part of the body. Treatment  typically involves 3 -5 sessions of 30 minutes spaced one week apart.  Minimal to no pain is experienced by the patient. If a PRP is performed as part of the treatment plan, ESWT is ideally performed the day of the procedure and resumed 2 weeks after PRP. Some patients report immediate pain relief, but natural healing of injured tissue occurs approximately 8 weeks following treatment. Between treatments, patients are able to resume regular activities as tolerated.

Transdermal Therapy

Transdermal refers to applying a drug which penetrates the skin to achieve systemic absorption.Transdermal therapy could be more directly compared to IV products, where a drug is administered outside the oral route and bypass GI absorption and  first-pass effect.  Our transdermal medicines are gels applied to  the location of the pain, trigger point locations or, the dermatome location (in the spinal column).

The primary conditions treated are neuropathies, bone and joint conditions, muscles strains & sprains and headaches.



Got Pain?