Discovering Perineural Injection Therapy For Joint Pain

By Michael Hayes


In the past, most health care providers would prescribe narcotics such as opiates such as Vicodin, Tylenol 3 or others for pain. While this is the case, there are new and stringent regulations when it comes to prescribing this type of medication. As a result, clients and health care providers are now seeking natural alternatives such as Perineural Injection Therapy or PIT, herbal medications and others.

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.

As any sensation which is perceived by the brain is transmitted to the central nervous system, minor and major pain are both reactive to PIT. When a nerve or nerves are stimulated by pain, individual nerve cells create an electrical current which travels to the spinal cord and eventually, the brain. A good representation of this experience is to imagine a door, when a nerve cell is activated, the door opens and lets molecules such as potassium, sodium, calcium and others in and out of the cell.

Once the brain receives the message, the nerve cells move from one location to another. As a result, an electrical current stimulates a nerve in the area. Whereas, if the nerve is injured, the process is interrupted and like with doors which need to be oiled, joints and muscles can often become tight, causing discomfort and pain.

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 nerve growth factors which cause pain also have the ability to prevent healing of other tissue, muscles, tendons and ligaments. Most often referred to as neurogenic inflammation, the conditions can often effect far more than the central nervous system. For, while pain causes the inflammation in the nerve, the substance in the joints and muscles are often the instigators of pain.

Nerves throughout the body can become injured or inflamed in different ways. In some cases, pain is generated when inflamed nerves travel through bone, such as the gluteal nerves near the pelvic bone, slightly above the gluteus muscles at the waistline. In fact, these nerves are often a frequent source of lower hip and back pain.

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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