Injection therapies can be introduced when pain or functional limitations are significant despite oral medication or exercise
These are popular therapies as they are Non surgical day procedure (walk in -out) Some are done using a Ultrasound Machine for added safety.
Trigger point injections in the muscles Tendon injections
PRP (Platelet Rich Plasma) injection in the joints
Prolotherapy
Dry needling
Peripheral Nerve Blocks
A tender point in a muscle which produces pain when pressed they are areas of muscle which can feel like a taut band severe trigger points can cause pain when you are not even moving.There is restriction of blood flow to that area causing ischemia andneurogenic inflammation leading to pain
It is an injection of local anaesthetic into the painful area of the muscle
The number of injections depends upon the number of trigger points and is usually between 1 and 6
This works by relieving the spasm/ tension in muscles thereby improving blood flow and oxygenation
Platelets are well-known for their clotting abilities, but they
also contain Growth factors which promote healing. PRP
injections are used to treat range of musculoskeletal
injuries such as
Tennis elbow, Jumper’s knee,
Osteoarthritis Shoulder, knees, hip, back, Pelvis
Post-surgical Healing
As the treatment uses patient’s own blood they have a very
big safety margin
Prolotherapy is a nonsurgical regenerative injection technique that administers small amounts of an irritant solution to the degenerated part
It initiates a healing process, whereby a local inflammatory cascade is initiated, which triggers the release of growth factors and collagen deposition
Overuse injuries
Ligament or tendon dysfunction (sprain, strain, and tendonitis)
Bursitis
Arthritis
Degenerative discs
There are many conditions where peripheral nerves can be entrapped, inflamed, or damaged (post-surgery/trauma).In these cases, peripheral nerve blocks are performed. These are very effective in relieving patients' pain.
The use of peripheral nerve blocks in multimodal analgesia confers multiple benefits. It improves postoperative pain hastens rapid recovery
Dry needling is a treatment designed to ease muscular pain Dry needling, is performed by inserting several filiform needles into your skin.
the needles is placed in your muscle or tissue which are knotted or hard.It is a form of intramuscular stimulation.
The needle helps to release the knot and relieve any muscle pain or spasms. The needles will remain in your skin for a short period of time. In-and-out techniques
Some dry needling techniques treat a broader landscape of the central nervous system. here the needles are placed in areas around the point of pain instead of directly on it
This method is often used to treat sports injuries, muscle pain, and even fibromyalgia pain.
Dr.Smruti Bhonsle`s Pain Management Clinic