PERINEURAL INJECTION THERAPY 

This is one of the newest advances in Regenerative Medicine used to treat nerve pain and musculoskeletal pain due to sports injuries or chronic pain conditions.  Perineural injection treatment has a goal to restore normal function in nerves that cause chronic pain and degeneration. 

How does it work?

When nerves are injured or their supply area is injured, they swell. Perineural injections  involve injecting natural sugars just below the skin to promote healing of injured nerves, restoration of tissue function and elimination of pain. The sugar solution is turning off the pain receptors, shutting down the transmission of pain messages to the brain and reducing the nerve swelling.

The benefit of the procedure is heaving pain-free time that will last anywhere from two hours to four days after the treatment. With each subsequent treatment ussualy patients need fewer injections as some of the nerves will not get reactivated, and will remain pain-free for longer and longer. Eventually, your pain will not return.

 

What do I treat?

 

Any medical condition like:

condition associated with nerve injury neuralgia or neuropthy (such as diabetic or postherpetic neuropathy),

migraine headaches,

tension headaches (associated or not with MVAs), 

frozen shoulder,

scar tissue pain from previous surgeries or injuries

 

 

Complications:

Complications include nerve injury, infection, bleeding.

 

Patients are requested to inform myself about conditions such as allergies, pregnancy, peacemakers, hepatitis, HIV, haemophilia, bleeding disorders or the use of blood thinners prior to treatment.

 

Cost associated:

 

Nerve block injection therapy is  covered by MSP fee plan, therefore there is no cost to the patient directly.

Trigger point injections (TPI)

 

 

TPI  treats painful areas of muscle that contain trigger points, or knots. These knots cause pain in the local area and in distant area. Quite often, such knots can be felt under the skin.

 

How does it work?

 

TPI help release the shortened bands of the muscle and/or fascia surrounding the muscle. TPI uses fine, disposable and sterile medical needles to inject local anesthetic, normal saline  or Mannitol with local anesthetic to release the knot, restore the normal blood supply, function and improve the pain.

 

The procedure take only few minutes. Treatment intervals vary depending on the specific problem and severity of the area being treated. If no results are seen we wil not continue beyond the first 4-6 sessions.

 

Complications:

 

Minor side effects may include bruising, temporary aggravation of symptoms (for 1-2 days), nausea ( rare), dizziness, fainting, muscle spasm, infection (very rare), worsening of symptoms, retained needle (difficult to remove).

 

Major  side effects may include perforation of a lung, bowel and bladder or spinal cord injury with paraesthesia ( pricking sensation from inadvertently penetrating a nerve).

 

General advice:

 

Before treatment- have a light meal, no smoking 1 hour before treatment, no alcohol/tranquilizer 4 hours before treatment, take pain medication as normal, take normal medications given by your doctor, be well rested, drink 1-2 glassess of water. Wear dark-colored clothing.

 

After treatment- rest for 2 hours if possible, take pain medication as normal and keep a record, no alcohol/caffeine for 2 hours, no smoking for one hour. If treated for a painful condition, avoid strenuous activity for two days, even if you are pain free.

 

Patients are requested to inform myself about conditions such as allergies, pregnancy, peacemakers, hepatitis, HIV, haemophilia, bleeding disorders or the use of blood thinners prior to treatment.

 

Cost associated:

 

TPIs are covered by MSP fee plan, therefore there is no cost to the patient directly.

CONTACT US

Marine Drive Location:

1277 Marine Drive, North Vancouver, BC,

V7P 1T3.                         

Lynn Valley Location: 

3167 Mountain Highway, North Vancouver, BC,   

V7K 2H4      

Marine :604 985 3333 

Lynn     :604 984 3333

604 398 6295

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