Integrative Pain Consults
In-office Diagnostic Ultrasound
Regenerative Injection Therapy
What is Regenerative Injection Therapy?
Regenerative Injection Therapy (RIT) treats musculoskeletal problems due to overuse and injuries by injecting nutritive substances into the body and joints. This provides the building blocks to provide healing and have the ability to regenerate tissue.
- Knee injuries
- Foot and ankle pain
- Rotator cuff tendinitis
- TMJ dysfunction
- Back pain
- Alternative to long-term Opiod use
- Improves the connection and stability of joints eliminating pain.
- Stimulates the growth of new tissue and helps create more of a
cushion between the joints.
- Helps signal the body that something is wrong so that it will divert
resources to healing.
Type of Regenerative Injection Therapies:
- It works by injecting a diluted form of glucose solution at a tendon or
ligament attachment site.
- This will signal the healing Immune response and provide
nourishment to the area.
Platelet Rich Plasma (PRP):
- It works by injecting a concentrated solution of your own
platelets, which have tissue growth factors, into the damaged
- These growth factors recognize your damaged or diseased area to
stimulate regeneration directly.
- Since the graft can have 6 times the concentration of your own
platelets and healing factors, it helps accelerate tissue
- Works by injecting Biological (amniotic fluid) directly into a
damaged area. Biologics are rich with cells and growth factors
that have been used successfully for many years to promote
wound healing. The fluid and membrane are donated by healthy
mothers at birth. The fluid and membrane are then cryopreserved
allowing the cells (including stem cells) to return to function upon
thawing and create powerful regeneration of cartilage, bone,
ligament, and tendon.
- Information carrying vesicles that aid in causing change in our body.
They signal adult stem cells which are located in various tissue such
as bone, cartilage, fat, skin etc. This allows our stem cells to
proliferate and travel to sites of injury to assists in repair and
remodeling. They also signal the immune system to provide great
- Consent and intake forms will be sent electronically via email for completion.
- Bring any previous lab work and imaging if obtained before appointment, you can scan this into your patient portal or bring a hard copy to your appointment
- Update any allergies, medications and supplements that you are currently taking.
- We will review any imaging or labs necessary for your procedure and obtain your vitals.
- Procedure and Consent will be reviewed with explanation of risks, alternatives and outcomes. Any remaining questions will be answered at this time.
- Get comfortable and relax on the treatment table as your doctor prepares all equipment needed for procedure. The injection site will be thoroughly cleaned using aseptic technique.
- Injection site will be numbed and treatment solution/mixture injected.
- Throughout the procedure your doctor will be checking on you. Inform them if you have any severe discomfort or reactions that you are experiencing.
- After treatment solution is injected the site will be covered and area wiped clean
- Assessment and Vitals will be obtained prior to leaving the clinic
- Tenderness, pain and discomfort may occur at the injection site/joint.
- Apply ice for 1-2 mins but no more than 20min every 2-3 hours. Heat can also be used for soreness.
- Avoid Non-Steroidal Anti-inflammatory medications (NSAIDs) e.g Aleve, Advil, Motrin, Naprosyn, Aspirin, Ibuprofen etc). Tylenol is ok to take.
- You may resume any recommended daily supplements after your procedure.
- Avoid intense activity for the next 2-4 weeks or until cleared by your doctor.
- Prepare/scan any previous imaging and have questions prepared before your scan.
- No preparation is needed prior to your appointment
- Your Doctor will review any imaging and answer any questions you may have.
- Ultrasound gel will be applied to the site(s) of interest and the ultrasound probe will be used to obtain images.
- Your comfort is ideal so let your doctor know of any discomfort you may experience.
- Gel will be wiped away and images saved for future procedure/appointment
- No recommendations or precautions are needed following your appointment.