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Trigger point injections (TPI) can help ease pain in the back, neck, arms, and legs by injecting an anesthetic into painful knots in muscles that form when they can’t relax. The injection can be a mixture of multiple elements including an anesthetic, which blocks the pain receptors, and a steroid that reduces inflammation and increases blood flow. The low-risk procedure only takes a few minutes for your physician to inject a small needle into the trigger point and deliver the medication. This method is great for those suffering from myofascial pain syndrome, fibromyalgia, and tension headaches and haven’t had success with treatments like medication or physical therapy.

Joint injections are a non-surgical method of delivering anti-inflammatory medicine directly to damaged joint tissue to reduce pain. These joints can be anything, including the knees, wrists, shoulders or ankles. Injections are not a permanent fix but can be a long-term solution to treat incurable conditions, such as arthritis. They can also be used to pinpoint the source of pain with relief sometimes coming from an unrelated injection site, therefore indicating where the pain is actually coming from. This 20-30 minute treatment can help increase range of motion and allow for more comfortable, smooth movement.

Botox, or onabotulinumtoxin A, is FDA approved for the treatment of migraine headaches, cervical dystonia, hyperhydrosis, and several other conditions. Dr. Lisa can offer botox injections for these indications and several others as part of a comprehensive treatment plan.

Sometimes, the best option is to include medications into your physical or mental healing regimen. Medication can reduce symptoms and improve overall enjoyment of life. Some medication requires supervision to ensure patient safety and the desired results. Creating a personalized strategy built to achieve the planned outcome can increase patient satisfaction and reduce negative drug-related events.

Integrative medicine combines the full spectrum of conventional and complementary medicine to address the entire person – mind, body, and soul. It emphasizes a more therapeutic approach based on evidence and life experiences through a compassionate relationship between the patient and physician. This comprehensive type of care helps people achieve ideal health and coping mechanisms for chronic conditions.

Massages therapy is not just a way to relax, but also a way to ease pain and improve function. It disturbs pain cycles by delivering different levels of pressure to targeted areas, stimulating blood flow and providing relief. As massages decrease muscle tension, they encourage elasticity and flexibility by loosening fibers to improve range of motion and protect against tension in the future. As relaxation deepens, endorphins are released to make you feel good and less stressed, so you can perform your daily activities without constant pain and tightness.

Ever felt hangry? Usually what follows is relatively unpleasant, unless the thing that follows is you getting food in your system. A similar thing may be happening in your nervous system when you have pain. C-fibers in your nervous system, when they're under duress due to compression through a tight fascial band or bony canal, become hypoglycemic (hangry) and send out pain signals. Feeding these nerves by injecting buffered dextrose at the areas of entrapment as well as branching points and endpoints, the nerves are able to normalize transmission and stop sending intense pain signals.

Perineural injections have been used for decades and improve pain almost immediately. Often times patients have complete pain relief for 2hours to 4days. The pain will usually come back, but at a less intense level. On average people see 15-50% improvement of symptoms with each set of injections. Most patients require 4-8 sets of weekly injections for resolution of symptoms.

Unfortunately perineural injections are not covered by insurance, but they only cost $285-450 per session depending on area treated.

If you would like more information on perineural injections, visit the website of the founder/developer of this very effective treatment, John Lyftogt, MD.