What is Regenerative Injection Therapy?
Regenerative injection therapy (RIT) is the injection of therapeutic substances directly at the
site of strain in damaged connective tissue. The result is a mild, controlled inflammation that
stimulates the body's innate healing process of laying down new collagen fibers on the
weakened area. The wound healing cascade starts with increased circulation and the
release of growth factors that cause proliferation of fibroblasts resulting in the formation and
deposition of new collagen. New collagen shrinks and tightens as it matures replacing
damaged connective tissue, making it stronger.
The success of RIT is based on the premise that much of chronic musculoskeletal pain is
caused by degeneration of connective tissue: essentially connective tissue wearing out faster
than it can be replaced due to either major injuries or small, repetitive injuries. Tennis elbow,
plantar fasciitis, Achilles tendonitis/tendonosis, rotator cuff tears, meniscal tears, osteoarthritis
and chronic low back and neck pain are all being treated by RIT with the goal of
regenerating degenerated connective tissue. RIT takes an hour or less in the office and the
results are long-lasting to permanent. If you have tried and failed physical therapy, cortisone
injections, or medication, then RIT may be just the right option for you.
What is Prolotherapy?
Prolotherapy, or proliferative therapy (prolo) utilizes dextrose as the therapeutic solution.
Dextrose is a mild stimulant of fibroblast proliferation and collagen deposition.
Studies have been performed showing microscopic views of ligaments before and after prolo,
and show prolo does in fact normalize tissue. Prolo is extremely safe, relatively inexpensive and
effective for many chronic joint, tendon and ligament conditions.
What is platelet rich plasma therapy?
You may only think of platelets as being responsible for blood clotting, which is true. What you
may not know is that platelets serve two other important functions. First, platelets are
responsible for bringing white blood cells to the injured area to clean up the remains of dead
and injured cells. Secondly, platelets release growth factors that are directly responsible for
tissue regeneration including platelet derived growth factor, epithelial growth factor, and
other important growth factors.
Platelet Rich Plasma (PRP) is a concentrate of your own platelets from your body. Therapy
with PRP is an emerging biologic treatment that has been shown to improve healing of
wounds, tendons, ligaments and joints. PRP harnesses the body’s own natural healing power
as PRP is rich in your own connective tissue growth factors including fibroblast growth factor.
PRP therapy is simply the injection concentrated platelets from your own blood into the
damaged portion of a tendon or ligament under ultrasound guidance
For many years PRP has been used to improve the success of bone grafting (especially in
dental surgery), speed healing time and decreasing the risk of infection after surgery. In the
last few years PRP has been researched and used for the treatment of chronic pain.
How is PRP Done?
In the office, blood is drawn from the patient and placed in a special centrifuge, where the
blood is spun down. The platelets are separated from the red blood cells and are
concentrated. The red blood cells are discarded, and the resulting platelet concentrate is
used for treatment. While the blood is spinning in the centrifuge, the painful area is injected
with lidocaine to numb it. The entire treatment, from blood draw, to solution preparation, to
injection, takes 46 to 60 minutes.
What Conditions Benefit From RIT?
RIT works best for chronic ligament sprains and laxity, tendon strains, tendinosis, tenosynovitis
that have failed other conservative treatment, including:
* Shoulder: rotator cuff injuries, shoulder pain and instability, capsulitis
* Elbow: tennis & golfer's elbow
* Wrist and Hands: arthritis, finger pain,
* Hamstring and hip strains, hip capsulitis
* Knee: collateral ligaments sprains and instability, patellofemoral syndrome, patellar
tendinosis, meniscus injuries, Baker's cysts
* Ankle and foot: sprains, Achilles tendinosis, plantar fasciitis
* Spine: back pain, neck pain
RIT may also benefit headaches, myofascial pain and fibromyalgia.
What is the Success Rate of RIT?
Studies suggest an improvement of 80-85%. Some patients experience complete relief of their
pain. The results are generally permanent!
How Often are Injections Given?
After the initial treatment, a follow up visit is scheduled 6-8 weeks later. Some patients respond
very well to just one treatment. However, typically 1-4 treatments are necessary with PRP and
usually 4 to 10 treatments are needed with prolotherapy. If no signs of improvement are seen
after 3 treatments, treatment is usually discontinued. If there is marked improvement after only
1-2 treatments, then no further treatments may be necessary.
Additional Therapies
To get maximum benefit from the treatment, and to help prevent re-injury, you may be
prescribed physical therapy for a specially-designed home-based rehabilitation and exercise
program as part of your treatment. This helps the newly developing connective tissue mature
into healthy and strong tendon or ligament fibers. The effectiveness of RIT may be enhanced
by improving nutrition for connective tissue through supplementation and dietary guidance.
Click Here To Learn More
http://plateletrichplasma.blogspot.com/
www.get prolo.com
A Promising Treatment for Athletes, in Blood
New York Times, Feb 16, 2009
Injections to Kick Start Tissue Repair
New York Times, Aug 7,2007
The Buzz On Biological Treatment
CBS News, June 5, 2007
Healing Tendonitis With Blood
Ivanhoe.com, Jan 1, 2007
New Cure Discovered For Tennis Elbow
ABC News, Nov 9, 2006
A Review of the Evidence for Regenerative Injection Therapy
E-Journal of Age Management Medicine, July 2006
A study published in the American Journal of Sports Medicine in November 2006 showed that
over 90% of patients with tennis elbow were "completely satisfied" with the results of their PRP
treatments and avoided surgery. Treatment of Chronic Elbow Tendinosis with Buffered Platelet-Rich Plasma,
American Journal of Sports Medicine, Nov 2006, Vol X, No. X
A study on plantar fasciitis showed that at one year, seven of nine patients had complete
resolution of their plantar fascial pain for a 77.8 percent success rate. These results are very
comparable to the results of a the lateral epicondylitis study by the same authors. Growth
Factors for Chronic Plantar Fasciitis. Podiatry Today November 2004 p 37-42
Regenerative injection therapy (RIT) is the injection of therapeutic substances directly at the
site of strain in damaged connective tissue. The result is a mild, controlled inflammation that
stimulates the body's innate healing process of laying down new collagen fibers on the
weakened area. The wound healing cascade starts with increased circulation and the
release of growth factors that cause proliferation of fibroblasts resulting in the formation and
deposition of new collagen. New collagen shrinks and tightens as it matures replacing
damaged connective tissue, making it stronger.
The success of RIT is based on the premise that much of chronic musculoskeletal pain is
caused by degeneration of connective tissue: essentially connective tissue wearing out faster
than it can be replaced due to either major injuries or small, repetitive injuries. Tennis elbow,
plantar fasciitis, Achilles tendonitis/tendonosis, rotator cuff tears, meniscal tears, osteoarthritis
and chronic low back and neck pain are all being treated by RIT with the goal of
regenerating degenerated connective tissue. RIT takes an hour or less in the office and the
results are long-lasting to permanent. If you have tried and failed physical therapy, cortisone
injections, or medication, then RIT may be just the right option for you.
What is Prolotherapy?
Prolotherapy, or proliferative therapy (prolo) utilizes dextrose as the therapeutic solution.
Dextrose is a mild stimulant of fibroblast proliferation and collagen deposition.
Studies have been performed showing microscopic views of ligaments before and after prolo,
and show prolo does in fact normalize tissue. Prolo is extremely safe, relatively inexpensive and
effective for many chronic joint, tendon and ligament conditions.
What is platelet rich plasma therapy?
You may only think of platelets as being responsible for blood clotting, which is true. What you
may not know is that platelets serve two other important functions. First, platelets are
responsible for bringing white blood cells to the injured area to clean up the remains of dead
and injured cells. Secondly, platelets release growth factors that are directly responsible for
tissue regeneration including platelet derived growth factor, epithelial growth factor, and
other important growth factors.
Platelet Rich Plasma (PRP) is a concentrate of your own platelets from your body. Therapy
with PRP is an emerging biologic treatment that has been shown to improve healing of
wounds, tendons, ligaments and joints. PRP harnesses the body’s own natural healing power
as PRP is rich in your own connective tissue growth factors including fibroblast growth factor.
PRP therapy is simply the injection concentrated platelets from your own blood into the
damaged portion of a tendon or ligament under ultrasound guidance
For many years PRP has been used to improve the success of bone grafting (especially in
dental surgery), speed healing time and decreasing the risk of infection after surgery. In the
last few years PRP has been researched and used for the treatment of chronic pain.
How is PRP Done?
In the office, blood is drawn from the patient and placed in a special centrifuge, where the
blood is spun down. The platelets are separated from the red blood cells and are
concentrated. The red blood cells are discarded, and the resulting platelet concentrate is
used for treatment. While the blood is spinning in the centrifuge, the painful area is injected
with lidocaine to numb it. The entire treatment, from blood draw, to solution preparation, to
injection, takes 46 to 60 minutes.
What Conditions Benefit From RIT?
RIT works best for chronic ligament sprains and laxity, tendon strains, tendinosis, tenosynovitis
that have failed other conservative treatment, including:
* Shoulder: rotator cuff injuries, shoulder pain and instability, capsulitis
* Elbow: tennis & golfer's elbow
* Wrist and Hands: arthritis, finger pain,
* Hamstring and hip strains, hip capsulitis
* Knee: collateral ligaments sprains and instability, patellofemoral syndrome, patellar
tendinosis, meniscus injuries, Baker's cysts
* Ankle and foot: sprains, Achilles tendinosis, plantar fasciitis
* Spine: back pain, neck pain
RIT may also benefit headaches, myofascial pain and fibromyalgia.
What is the Success Rate of RIT?
Studies suggest an improvement of 80-85%. Some patients experience complete relief of their
pain. The results are generally permanent!
How Often are Injections Given?
After the initial treatment, a follow up visit is scheduled 6-8 weeks later. Some patients respond
very well to just one treatment. However, typically 1-4 treatments are necessary with PRP and
usually 4 to 10 treatments are needed with prolotherapy. If no signs of improvement are seen
after 3 treatments, treatment is usually discontinued. If there is marked improvement after only
1-2 treatments, then no further treatments may be necessary.
Additional Therapies
To get maximum benefit from the treatment, and to help prevent re-injury, you may be
prescribed physical therapy for a specially-designed home-based rehabilitation and exercise
program as part of your treatment. This helps the newly developing connective tissue mature
into healthy and strong tendon or ligament fibers. The effectiveness of RIT may be enhanced
by improving nutrition for connective tissue through supplementation and dietary guidance.
Click Here To Learn More
http://plateletrichplasma.blogspot.com/
www.get prolo.com
A Promising Treatment for Athletes, in Blood
New York Times, Feb 16, 2009
Injections to Kick Start Tissue Repair
New York Times, Aug 7,2007
The Buzz On Biological Treatment
CBS News, June 5, 2007
Healing Tendonitis With Blood
Ivanhoe.com, Jan 1, 2007
New Cure Discovered For Tennis Elbow
ABC News, Nov 9, 2006
A Review of the Evidence for Regenerative Injection Therapy
E-Journal of Age Management Medicine, July 2006
A study published in the American Journal of Sports Medicine in November 2006 showed that
over 90% of patients with tennis elbow were "completely satisfied" with the results of their PRP
treatments and avoided surgery. Treatment of Chronic Elbow Tendinosis with Buffered Platelet-Rich Plasma,
American Journal of Sports Medicine, Nov 2006, Vol X, No. X
A study on plantar fasciitis showed that at one year, seven of nine patients had complete
resolution of their plantar fascial pain for a 77.8 percent success rate. These results are very
comparable to the results of a the lateral epicondylitis study by the same authors. Growth
Factors for Chronic Plantar Fasciitis. Podiatry Today November 2004 p 37-42
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| Vermont Naturopathic Clinic Sam Russo ND, LAc 321 Main St. Suite C Winooski, VT 05404 802-859-0000 info@naturopathicvermont.com |