Sunday, 21 April 2019

Exploring Perineural Injection Therapy For Back Pain

By Michael Hayes


Back pain can often be some of the most debilitating pain in the world. Before strict regulations were placed on opioids and other narcotics, primary care providers would often prescribe medication to ease pain. As a response to these regulations, most primary care providers placed clients on pain management while others began providing different forms of pain relieving injections. Perineural Injection Therapy is one of the newest forms of these injection based treatments.

When it comes to PIT, the practice has been rated safe and effective for individuals who can not undergo joint replacement surgeries, stem cell injections or other prescription medication. PIT is primarily used for nerves which have become inflamed or injured. This type of nerve damage is often a result of injuries related to surgery, trauma, arthritis, sports, occupational hazards and overuse of joints and muscles.

All sensations in the body are recognized by the brain. At which time, the brain transmits a signal to the body's nervous system. As such, major and minor pain have been responsive to PIT. For, when pain stimulates a nerve cell in the body, the nerve often creates a short circuit which travels first to the cord of the spine, then the brain.

When a nerve is active, the nerve cell can move between different locations. As a result, the nerve is stimulated by an electrical current. When the stimulation process is finished, the door shuts. In the case of an inflamed or injured nerve, the process is disrupted, thus causing pain and discomfort in joints and muscles.

Biologically, the substances in the nerves and joints causing such pain are known as Nerve Growth Factors or NGFs. If a nerve is injured, it still continues to send a message to the brain even though there may be no pain at the time. In doing so, the nerve creates a sensation known as a short circuit, much like an open electrical wire when exposed to water.

The substance in the joints can often cause pain and prevent healing in tissue, muscles, tendons and ligaments. When this occurs, it is often referred to as neurogenic inflammation. For, while pain causes inflammation, the joints and nerves are generating the pain.

Nerve cells have the potential to become injured or inflamed in a number of ways. In one case, when traveling through the pelvic bone. In fact, this is often one of the main reasons for back pain. For, when the cluneal nerves near the rear of the pelvic area, just above the muscles at the waistline are injured or inflammed, individuals can often experience extreme pain in the lower back and lumbar region.

While the therapy can be used for pain in different areas, these injections are most often used for back pain. When used for lower or lumbar pain, a health care provider provides an injection of dextrose into the nearest trigger point to activate the nerve cell. Once the nerve cell is activated, the cell receptor allows the cell to open. After which, the cell is restored to normal function, thus decreasing and eventually eliminating pain.




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