Prolotherapy Trigger Point Injection for Myofascial Pain Syndrome
Вставка
- Опубліковано 2 жов 2024
- I review Prolotherapy Trigger Point Injection for Myofascial Pain Syndrome.
www.ncbi.nlm.n...
pubmed.ncbi.nl...
► Things my patients have found helpful:
Please note that I get a lot of requests and questions about what equipment is ‘best’ for treating a variety of conditions. The following is not meant to be an exhaustive or definitive list. Please use it as a starting point. If you have questions, please discuss with your healthcare provider. With that said, I have tried a number of the products below, but not all. I have included some based on positive feedback from many of my patients. As an Amazon Associate, Dr Peng earns from qualifying purchases. If you purchase any product using the below affiliate links, you are helping Dr Peng maintain this channel.
Soft Tissue & Rehab
Theragun: amzn.to/4363zJG
Massage ball: amzn.to/40BUC9f
Foam roller: amzn.to/4324E5c
Stretching strap: amzn.to/3U9a2iQ
TENS unit: amzn.to/3mcCqnI
Heating pad: amzn.to/40VidSc
Resistance bands: amzn.to/3nFyb4C
Braces & Supports
Hinged knee brace: amzn.to/3U6oyrH
Neoprene knee sleeve: amzn.to/3Zzhsgt
Volar wrist brace: amzn.to/3KawW55
Thumb spica brace: amzn.to/3nHj9vl
Ankle lace up brace: amzn.to/3m6iR0u
Tennis/Golfer’s elbow brace: amzn.to/3ZEGgE1
Superfeet orthotic inserts: amzn.to/436tRf5
Recommended Textbooks & Resources
The Trigger Point Manual: amzn.to/4340cTt
Trigger Point Wall Charts: amzn.to/3zrinVR
► Be Active. Live Healthy. Subscribe for more free videos like this: / @jeffreypengmd
► ABOUT ME
Jeffrey Peng MD is a nonoperative orthopedist and sports medicine specialist. He created a UA-cam channel and blog to translate cutting edge medical knowledge and clinical research to benefit all those looking to live an active and healthy lifestyle. He focuses on maximizing non-surgical treatments for sports injuries and orthopedic conditions. He specializes in using orthobiologics and ultrasound guided minimally invasive techniques to treat osteoarthritis, tendinopathies, and musculoskeletal disorders.
Dr. Peng is board certified in sports medicine and family medicine. He completed residency with the Stanford family medicine residency program and completed his sports medicine training with the Stanford primary care sports medicine fellowship in San Jose. He is an active faculty member for both programs and is excited about training the next generation of physicians.
Dr. Peng’s sports medicine clinic is located in Campbell, California.
Twitter: @JeffreyPengMD; / jeffreypengmd
Website: www.jeffreypen...
► Disclaimer
My content reflects my own opinion and does not represent the views or opinions of my employers or hospital systems I am affiliated with. They are meant for educational purposes only. They do not substitute for the medical advice of a physician. Always seek the advice of your physician with any questions you may have regarding your health.
As a paramedic and amateur body builder , I have got a chronic trigger point in my left rhomboid. It stands about 1.5 years. I tried physical therapy, dry needling, massage, acupuncture, electrical acupuncture, tens , streching, actually ı triend everything expect prp, diprospan and dextrose. We choose dex with my ortopedic surgeon . We did it 3 days ago . For remember my pain score was 7 . I will update what will happen in next days.
Same here brother. What is your condition now. I tried everything except prolo. I will try prolo next week. Let me know your condition please.
Prolotherapy has saved my life. Dealing with fibromyalgia for 25 years (since childhood). Currently have costochondritis as well due to working out. Been doing prolo injections for 6 years and has saved my life.
@@ritam6116 How long does the relief last? Do you go for months without pain after the injection therapy?
@@LeeNeitzelit takes a few treatments to get to the sweet pain free spot but once I’m there it can be months, years etc it all depends on if I choose to over do it with things that aggravate my body physically I may get a fibromyalgia flare up here and there but I go back to get the prolotherapy and am pain free for months again, almost instantly.
@@ritam6116 can you please share which type of Dr does your prolotherapy injections?
Hello Doc, have you ever had patients with Ehlers Danlos syndrome? My question is, is PRP or prolotherapy safe for patients with mast cell issues? MCAS to be exact. In case someone has a bad mast cell reaction, can antihistamines be taken or do they counteract PRP/prolo? Thank you.
The concentrate of dextrose is 15% or more?
Can dextrose injection be guided with fluoroscopy?
Or just with ultrasound
Thanks a lot
Until they come up with a 100% sure fire way to elminate all the trigger points dry needling will remain superior to injections.
Getting the twitches is key!
@@JeffreyPengMD is there no medication that can disinhibit the acetylcholinesterase at the neuromuscular junction?
@@johnathanabrams8434 Safety / side effect profile becomes a big concern.
@@JeffreyPengMD
In Jay shahs
New Frontiers in the Matrix of Neuro-musculoskeletal Pain: Integrating Pain Mechanisms with Objective Physical Findings and Needling Strategies
Jay P. Shah, MD
"Comprehensive management should focus on the removal of perpetuating factors (e.g., active MTrPs) and by addressing SSS early in its development through methods such as electrical
modalities, manual therapies, paraspinal dry needling, paraspinous blocks, centrally-acting pharmacologic agents, biofeedback, behavioral therapy, et al
What are some centrally-acting pharmacological agents ? Cant be just baclofen or lyrica, can it ?
Do you have an office in NYC IN MANHATTAN
I've had the prolotherapy on my right shoulder. I had the choice of Dextrose or HGH for the injection. I chose the latter and had two courses of injections 2 months apart. Both times I got several injections in various places around my shoulder joint. I also received Rolfing which is very beneficial for releasing tight muscles. The injections and the Rolfing have helped reduce my pain significantly. I had gotten to a point where my shoulder pain would wake me 3, 4, or 5 times every night lasting for months. Now I don't experience any discomfort during sleep.
It was not cheap, I spent $1500 for those two sessions. But much cheaper than what I've been quoted for PRP injections here in Colorado. The local outfit wants $4000 to $8000 per joint treated.
Thanks for sharing, good luck!
Hi Dr. Peng I have trigger finger issues in both hands ive had steroid injections twice in both hand it helps for a little while but pain comes back after few months am suffering. Where do you suggest I should go for treatment???
Best to discuss with your health care provider if you have questions, good luck
This is a VERY interesting application of dextrose injections beyond ligaments ,tendons and joints . It should be useful to see the anatomical evolution in the trigger points with a follow-up few weeks after the treatment with an US evaluation, I'll check the studies you've mentioned .Thank you..
100%!!
What about those with low-level (Ha!) autoimmune issues who are already flaming up hard?
In theory it should still be ok!
It's not good
nice
Thanks!