{"id":25687,"date":"2023-04-05T07:00:31","date_gmt":"2023-04-05T07:00:31","guid":{"rendered":"https:\/\/updates-www.mccdn.io\/vitals\/?p=25687"},"modified":"2024-03-07T00:34:04","modified_gmt":"2024-03-07T00:34:04","slug":"regenerative-therapy-injections-chronic-pain-overuse-injuries","status":"publish","type":"post","link":"https:\/\/updates-www.mccdn.io\/vitals\/regenerative-therapy-injections-chronic-pain-overuse-injuries\/","title":{"rendered":"Try regenerative therapy for overuse injuries","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

Despite everything you\u2019ve probably been told about aching joints and injuries, inflammation isn\u2019t always a bad thing.<\/p>\n

In fact, while it\u2019s often a pain, inflammation is part of your body\u2019s natural healing process. Figuring out how to harness that is a key part of the field of regenerative therapy injections.<\/p>\n

\u201cFor a run-of-the-mill or acute injury, we talk about rest, ice, anti-inflammatories, corticosteroid injections, things that reduce inflammation,\u201d says Brian Hill<\/a>, MD, sports medicine specialist with MultiCare Orthopedics and Sports Medicine.<\/p>\n

That\u2019s because inflammation is painful and sometimes the body overreacts, so we need to counteract it.<\/p>\n

But for chronic, repetitive use injuries, the playbook changes. Regenerative therapy \u201cis turning that on its head and actually creating an inflammatory response in an intentional way to remind your body this is an area that needs to be fixed,\u201d Dr. Hill explains.<\/p>\n

While\u00a0regenerative injection therapy isn\u2019t \u201c100 percent natural,\u201d the healing it promotes is natural, he says.<\/p>\n

\u201cWe\u2019re attempting to harness the body\u2019s natural healing abilities in kind of a pointed way to ideally have your body heal something that\u2019s going on,\u201d he adds.<\/p>\n

The therapy, which is conducted with ultrasound guidance, is most useful for overuse injuries such as tennis elbow, tendonitis of the knee, golfer\u2019s elbow, plantar fasciitis or injuries to rotator cuff tendons.<\/p>\n

\u201cThe procedures are designed to initiate the tendon to undergo some healing changes to end up with a healthier tendon in the long run,\u201d Dr. Hill says.<\/p>\n

The same procedures can work to relieve joint pain associated with cartilage injuries or arthritis, with fewer downsides than corticosteroid injections. But in those cases, it\u2019s not truly regenerative medicine because \u201cit\u2019s not doing any meaningful healing or recovery,\u201d he says.<\/p>\n

Types of regenerative therapy<\/strong><\/h2>\n

The first type of regenerative injection is called tendon fenestration. It involves numbing the area and using a sugar-water and numbing solution while repeatedly needling the damaged area of the tendon.<\/p>\n

\u201cWe intentionally irritate the tendon, a kind of pro-inflammatory treatment to cue the body to know that this is an area we need to heal,\u201d Dr. Hill explains.<\/p>\n

While the numbing solution helps, it\u2019s primarily the repeated needling that does most of the work in irritating the tendon.<\/p>\n

The next option is similar: prolotherapy. But in addition to needling the injured tendon, in prolotherapy the doctor will also inject the dextrose, or sugar-water solution, into some of the other structures in the area around the joints to promote healing and strengthen a larger area.<\/p>\n

A third in-office option involves injecting the patient\u2019s own platelet rich plasma (PRP)<\/a>. In this therapy, the visit starts with a blood draw. The doctor will put the patient\u2019s blood into a centrifuge to create a solution rich in healing platelets, then inject that back into the injured tendon.<\/p>\n

Finally, a more invasive procedure called Tenex percutaneous tenotomy uses ultrasonic vibration to break up unhealthy tissue. It\u2019s considered a surgical procedure and is performed at MultiCare Gig Harbor Medical Park.<\/p>\n

Regardless of which therapy is used, recovery involves rest, stretching, rehab and strengthening, along with some activity modifications. But though it might be sore, patients are asked to put down the ibuprofen \u2014 and even the ice.<\/p>\n

\u201cWe actually want that inflammatory process happening,\u201d Dr. Hill says. \u201cThat\u2019s part of what will be helping with tissue recovery.\u201d<\/p>\n

(Patients can take acetaminophen\/Tylenol, though, because it\u2019s not an anti-inflammatory.)<\/p>\n

And of course, don\u2019t repeat the activities that caused the injury.<\/p>\n

\u201cEven if you have a very good response and over time your tendon is back to 100 percent health, if you are using it the same repetitive way again, you could end up in the same situation,\u201d Dr. Hill says.<\/p>\n

For anyone suffering chronic pain from a tendon overuse injury, regenerative therapies are worth considering, he says. Insurance usually covers tendon fenestration, but often considers the other procedures experimental.<\/p>\n

Dr. Hill encourages anyone suffering from repetitive stress pain or other chronic pain to ask their primary care physician about a referral, or simply call for a consultation with one of the MultiCare Orthopedic and Sports Medicine<\/a> clinics.<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"

Despite everything you\u2019ve probably been told about aching joints and injuries, inflammation isn\u2019t always a bad thing. In fact, while it\u2019s often a pain, inflammation is part of your body\u2019s natural healing process. Figuring out how to harness that is a key part of the field of regenerative therapy injections. \u201cFor a run-of-the-mill or acute […]<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":315,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[127,95],"tags":[],"class_list":["post-25687","post","type-post","status-publish","format-standard","hentry","category-healthy-living","category-orthopedics"],"acf":[],"yoast_head":"\nTry regenerative therapy for overuse injuries - MultiCare Vitals<\/title>\n<meta name=\"description\" content=\"Discover how regenerative therapy injections offer relief for chronic pain and overuse injuries. 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Learn about this innovative treatment option.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/updates-www.mccdn.io\/vitals\/regenerative-therapy-injections-chronic-pain-overuse-injuries\/\" \/>\n<meta property=\"og:site_name\" content=\"MultiCare Vitals\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/multicarehealthsystem\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-05T07:00:31+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-03-07T00:34:04+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/res.cloudinary.com\/derwl0zbi\/image\/upload\/v1680300913\/mc-prd\/man-playing-tennis.png\" \/>\n\t<meta property=\"og:image:width\" content=\"918\" \/>\n\t<meta property=\"og:image:height\" content=\"616\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Cheryl Reid\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:description\" content=\"Discover how regenerative therapy injections offer relief for chronic pain and overuse injuries. 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