Home / FAQ-reviewed / Neural prolotherapy

Neural prolotherapy

Prolotherapy Treatment in Brisbane

This information about neural prolotherapy relates to treatment for irritated nerves. You can find information related to prolotherapy for ligaments, tendons and joints here.

neural prolotherapy

The idea behind Neural Prolotherapy it essentially this. An injury of some sort damages one of the body’s tissue. Following this, the nerves that supply the damaged tissue becomes irritated.  This irritation can continue long after the original injury has settled and can affect the nerve higher or lower than the injury.  The outcome of an irritated nerve can include pain, swelling, altered reflexes and muscle spasm.

Nerve fibres contain a large amount of connective tissue.  They are subject to strains and injury like any other tissue.  A sharp ‘yank’ on a nerve, for example at the outside of an ankle during a sprain, can affect its function for a long time.  This may be due to the the physical organisation of the ‘supply services’ that support the nerve bundles.

The structure of a nerve is a bit similar to a tube of plastic electrical conduit. The fibres of the nerve run inside, with the connective tissue packing out the volume.  The ‘tube’ is the epi-neural sheath.  Around the outside of the sheath run the blood vessels and the tiny nerves that supply the nerve itself.  These micro-structures are called the nervi nervorum.

Chronic Constriction Injury

The mechanism of just how the nerve is injured is a bit mysterious.  At this time, it is currently thought to involve a Chronic Constriction Injury (CCI).  Nerves commonly pass from one area to another through a hole of some sort, or around a corner or under some other structure. This happens in many, many places. If irritation and swelling enlarges the nerve inside these passage ways which have a fixed diameter, it can cause a ‘strangulation’ of the nerve.  As the blood supply and nerves run around the outside of the nerve bundle, they are most prone to this compression and strangulation.   This may result in malnourishment of the nerve.  This in turn limits healing of the nerve itself and sometimes the tissues that the impaired nerve services.

 

What is injected during Neural Prolotherapy?

For peripheral cutaneous nerves, the infiltrate is a  5 % (weak) glucose solution. This is a sterile liquid of 95% water and 5% glucose.  It is hypotonic and extracted immediately before injection from a sterile bag.  The solution within the bags is intended for use intravenously (I.V.) It is vitally important that substances administered by the I.V. route are sterile and safe which reinforces the idea of this sterile glucose and water mixture being a harmless substance.  Neural prolotherapy uses sub-cutaneous injections, that is, just beneath the skin. Neural prolotherapy does not intended to deliver the injection into a blood vessel.

 

Possible effects of Neural Prolotherapy:

Decreased pain

Improved function

Anabolic effect (repair) on connective tissue

Reduction in number of neovessels

Reduced cross section of tendon in tendinosis ie tighter bundles of muscle fibres

Reduced tendon oedema / swelling

Improved architecture of collagen in tendons ie more orderly bunches of connective tissue

 

Which nerves are injected during neural prolotherapy?

 

This depends entirely on the location of the pain.  A knowledge of nerve anatomy is required to determine which nerve is likely to be supplying the painful area. These nerves then carry the pain impulses back to the brain.  The nerves will be palpated along their course and painful trigger points are marked.  A normal nerve does not have the painful spots to touch that we find in affected nerves.

How is Neural Prolotherapy performed?

The weak glucose solution is introduced using a very fine needle just below the skin.  As the injections are superficial, they are not particularly painful. There may be a series of five to ten spots done to follow the nerve until it reaches the constriction point.  Stronger glucose solutions used in soft tissue prolotherapy can be irritating.  At this weak 5% strength, the solution itself is not and so local anaesthetic is usually not used.  Often, the injections will relieve the pain very quickly when the correct area is targeted. It isn’t unusual for people to be free of  the original discomfort before leaving the clinic.  This improvement fades initially and a  series of three to six treatments is usually envisaged.

What can Neural Prolotherapy be used for?

  • Calf muscle strain
  • Shin splints
  • Medial/lateral ankle pain
  • Achilles’ Tendon Injury
  • ‘Cuboid syndrome’
  • Morton’s neuroma
  • ‘Bunion pain’
  • Plantar fascia syndrome
  • Heel pain especially where not responsive to standard treatment
  • Knee pain
  • ITB syndrome
  • Pes Anserinus syndrome
  • Jumpers knee
  • Runners knee
  • Infra/supra patellar tendinopathy
  • Osteoarthritic pain

What are the risks of Neural Prolotherapy?

This treatment has been used extensively in the field of sports medicine.  At the time of writing, no serious side effects had been reported.  For the most part, the main risk is if the clinician has chosen the wrong treatment to address your condition. If this is the case, the treatment will fail and the series of injections will not prove useful.  On the upside, it is extremely unlikely that any harm will come from the therapy.  The podiatrist will discuss the risks and rewards in your specific circumstances. They will answer questions to help you to decide if this is an option you wish to explore. Read More…

Everybody experiences some form of injury at some point in their life. For those that recover perfectly without any side effects, that is incredible and what we all wish for. However, for thousands of people, there are long-term side effects felt as a result of damage to the nerves in the foot. While regular physiotherapy can bring about results, there is an alternate option available to those that wish to address the root cause of the problem directly, which is referred to as prolotherapy for feet.

Here at Walk Without Pain, we specialise in delivering prolotherapy and have seen fantastic results for our clients over the past few years. With over 87 years of combined experience, our team are as well-informed in all matters related to the foot as is possible. All of our staff also continue to build upon their knowledge by attending over 50 hours of training per year to ensure that we possess a combined comprehensive understanding of the most modern techniques, treatments and solutions available to the Australian public.

 

A Virtually Pain-Free Solution

Sceptics that have tried countless podiatrists in the past may be surprised by the results our team can achieve, and while you may be ready to throw in the towel and simply live with the pain you endure every day, rest assured that until you have met with our team and allowed us to treat your condition, there is still hope that your discomfort can be eliminated.

Prolotherapy is fast becoming a popular choice for those with foot issues. Those that have experienced success from this treatment have noted a variety of positive changes, which include:

  • Improved function of their foot or feet. While mobility may have been affected in the past, this can receive a boost and enable greater ability to move independently and without pain.
  • Decreased pain is the primary area that those that have undertaken the services of prolotherapy doctors.
  • The elimination or a significant reduction in the collection of watery fluid in tendons, which means a reduction in swelling.
  • Connective tissue improvements with regards to the architecture of collagen in tendons.

The process itself is virtually pain-free. A weak glucose solution is injected using very fine needles beneath the skin and once the correct area is targeted, pain reduction can be felt immediately. There is no need to an anaesthetic, given the superficial nature of the injections and so it is a relatively stress-free, simple process.

 

A More Mobile Future 

Here at Walk Without Pain, we use neural prolotherapy for feet to treat a wide range of conditions, including:

  • Shin splints
  • Achilles tendon injuries
  • Cuboid syndrome
  • Calf muscle strain
  • Knee pain
  • Bunion pain
  • Morton’s neuroma
  • Osteoarthritic pain
  • ITB syndrome
  • Medial/lateral ankle pain
  • Runners Knee and Jumpers Knee

There are many more ways that this treatment can be used to relieve pain. So if you are in need of relief and wish to avail of the expertise of the best team capable of administering prolotherapy in Brisbane we encourage you to get in touch with us today here at Walk Without Pain.

Bookings can be made right here on our site 24/7 and given the fact that we comfortably see up to 180 people per day, you are assured of a short wait if any, before our specialists set out addressing that problem that has held you back for long enough.

We look forward to your visit and doing our utmost to enable you to Walk Without Pain again.

We provide bulk bill podiatrist in Brisbane including plantar fasciitis treatment and shin splints treatment. Speak with one of our specialists today to find out more.

– Less

Spread the love
  • 22
    Shares

2 thoughts on “Neural prolotherapy

Comments are closed.

Top
Phone now