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 heal and 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 direct
resources to heal.
Type of Regenerative Injection Therapies:
- It works by injecting a diluted form of glucose solution into 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 area.
- 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 regeneration.
- Exosomes are information carrying vesicles that aid in causing change in our body.
- They are composed of lipids, proteins, mRNA and miRNA.
- Exosomes cause your cells to function at a more optimal level by signaling adult stem cells which are located in various tissue such as bone, cartilage, fat, skin, etc.
- This allows our local stem cells at sites of injury to assist in repair and remodeling.
- They also signal the immune system to provide anti-inflammatory benefits.
- Long term benefit depends on your balance of systemic inflammation, which is why this in conjunction with naturopathic care and a healthy lifestyle is so important.
- Consent and intake forms will be sent electronically via email for completion.
- Bring or upload any recent outside lab work or imaging and notify your doctor to review.
- Be sure to update any allergies, medications and supplements that you are currently taking.
- Stop any NSAID's 24 hrs before your procedure
- Be sure to eat and hydrate before the procedure.
- For exosome injections, you may be advised to take one Benedryl prior to your appointment.
- 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.
- Treatment solution/mixture will be injected at one or multiple sites of concern
- Throughout the procedure your doctor will be checking on you. Inform them if you have any severe discomfort or reactions.
- After treatment solution is injected, the site will be wiped clean and covered.
- Assessment and Vitals will be obtained prior to leaving the clinic.
- After treatment, it is recommended to stay in office for 10-20 minutes for monitoring.
- Avoid non-steroidal anti-inflammatory drugs (NSAIDs) e.g Aleve, Advil, Motrin, Naprosyn, Aspirin, Ibuprofen, etc) because you want to support the acute inflammatory process to help heal the area. Tylenol is ok to take.
- You may resume any recommended daily supplements after your procedure.
- Do not submerge your joint for the next 24-48 hrs following your procedure.
- Bruises that may occur are normal and will gradually disappear. Arnica cream or Traumeel applied topically every 4-6 hours will help recovery.
- Regenerative Injection Therapy procedures are intended for long lasting relief of your pain.
- In many cases your pain will be greatly diminished and not return unless re-injury occurs.
- An average of 3-4 treatment sessions, 4- 6 weeks apart are usually required to adequately treat the problem and stimulate healing.
- More treatments may be necessary for more severe problems.
- Each treatment builds on the previous, too much time between treatments may slow improvement.
- Complete pain relief cannot be guaranteed.
- Apply ice for 1-2 mins but no more than 20 min every 2-3 hours. Heat can also be used for soreness (heating pad, warm moist towel, hot shower).
- Pain at the injection site/joint and can last up to 7 days
- You MAY take Tylenol, CBD, Traumeel, arnica, fish oil or other approved medications for relief of pain from injection following treatment.
- If you have any of the following problems following treatment, contact our office or go to your local urgent care or emergency room:
- Drainage or heat at the injection site with or without an increase in body temperature.
- Pain and discomfort that is severe, persistent, and intolerable.
- Shortness of breath, hives, itching, severe headaches, nausea, severe neck pain.
- Any unsuspected side effects from your treatment.
- Avoiding intense activity for the next 2-4 weeks or until cleared by your doctor at your follow up/next appointment.
- Staying hydrated following your treatment will decrease pain and improve cell function.
- Exercise and Activity: Once tolerated you can resume previous activities. Avoid high impact and strenuous exercise on treated areas until cleared by your doctor at your follow up appointment. Gentle or Moderate exercise is encouraged. Exercise will strengthen areas of weakness and is beneficial for general fitness.A physical therapy/exercise program may be prescribed if areas of weakness are found during examination.
- If you are receiving manipulation treatments by a D.O. or Chiropractor, ask them to avoid forceful/ high-velocity manipulation methods until fully recovered.
- 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.