Tuesday, 16 April 2019

Exploring Perineural Injection Therapy For Back Pain

By Michael Hayes


While most often in the past, health care providers have provided prescriptions such as opioids for pain, times are changing. For, the U. S. Government and others have now placed strict regulations on health care providers prescribing these medications. As such, many health care providers and clients are now looking for alternatives to these prescription medications such as Perineural Injection Therapy or PIT.

PIT has been proved safe and effective for individuals whom can not undergo joint replacement surgeries, stem cell injections or other prescription medications. As a primary treatment for inflamed and injured nerves, response with regards to use in pain management has mostly been positive. For, lower back pain is most often associated with injuries from surgery, trauma, occupational hazards, overuse of joints and muscles and injuries related to sports.

When the brain perceives any sensation in the body, it sends a signal to the central nervous system. As such, PIT is helpful in treating major and minor pain in different areas of the body. For, when nerves are stimulated by pain, the nerve cell sends an electrical current through the spinal cord which eventually reaches the brain. For example, imagine a door opening and closing, when the door opens, it allows molecules such as calcium, potassium and sodium to enter and leave the cell.

While the door is open, the nerve cell moves from one room to another. As a result, an electrical current stimulates the nerve. When the stimulation is complete, the door closes. Whereas, if a nerve is injured, the process is disrupted and like with squeaky doors, muscles and joints can often tighten and cause pain and discomfort.

In biological terms, the substances which cause pain are known as Nerve Growth Factors. For, even if a nerve is damaged, a message is still sent to the brain even though the individual may not be feeling any pain at the time. The brain then creates a short circuit in the nerve, much like an electrical wire or equipment when submerged in 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 PIT can be used for pain in many different areas of the body, back pain is the most common. When used for lumbar or lower back pain, a health care provider injects dextrose into the trigger point near the lower back which activates the nerve cell. After which, the nerve cell receptor allows the door to open, thus restoring the cell to normal function resulting in a decrease and eventually, elimination of pain.




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