amazing demonstration, treatment based on scientific evidences. I've always believed that in dextrose prolotherapy the improvement of patients pain is in most cases more related to a neuromodulation effect than tissue regeneration .
Excellent discussion. Whats your thought of using low dose steroid and high dose dextrose in arthritis cases? tq dr for your reply. Love and prayers from Malaysia
In GHJ arthritis ? tricky. most severe cases do not respond to the intra-articular injection, moderate degree of stabilized osteoarthritis will response better in intra-articular steroid injection. In severe intractable joint osteoarthritis, I prefer to block the articular branches.
amazing demonstration, treatment based on scientific evidences.
I've always believed that in dextrose prolotherapy the improvement of patients pain is in most cases more related to a neuromodulation effect than tissue regeneration .
thank you
Thank you for sharing your knowledge
thank you
Thanks doc. after I join the master class youtube, I found the answer why did you use dextrose with Botulinum Toxin.
Study about the mechanism of the botox, Botox has a muscle paralytic and antinociceptive effect.
thank you Dr Lee. can you show me the detailed dosage of steroid and dextrose in subacromial bursal?
I always use 38% of dextrose. Usally I put 2mg of dexamethasone palmitate . With 0.5 % local anesthetics.
@@practicalpainmanagementwit8115 how ml does each ingredient in treatment, sir?
Great video as allways Dr. Lee!! Do you think it would be the same with glucose solution instead of dextrose? Thanks
Yes, it is same. the dextrose is a kind of glucose
Thank you very much, Dr. About your team and staff, how many physiotherapists are there, if any?
Thanks for your selfless sharing! I always learn a lot from your video. Would you also do intrasubtance injection of dextrose & steroid?
yes, sometimes.
Dr lee , Do you use high dextrose concentration (50%) intratendinous like supraspinatis or mcl(knee) for regeneration or pain relieve
sure. the net concentration of dextrose will be lower than 50 % , becoming around 30% to 40%
You are awesome
Thank you doctor. Great!
thank you
Excellent discussion. Whats your thought of using low dose steroid and high dose dextrose in arthritis cases?
tq dr for your reply. Love and prayers from Malaysia
In GHJ arthritis ? tricky. most severe cases do not respond to the intra-articular injection, moderate degree of stabilized osteoarthritis will response better in intra-articular steroid injection. In severe intractable joint osteoarthritis, I prefer to block the articular branches.
What kind of product do you use for discogenic pain? Ozone? Thank you very much!
I use 50% dextrose with botulinum toxin.
How will you know it’s discogenic pain and in what conditions you do intervention